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Relationship between physical capacity and depression in heart failure patients undergoing hybrid comprehensive telerehabilitation vs. usual care: subanalysis from the TELEREH-HF Randomized Clinical Trial.

Publication ,  Journal Article
Piotrowicz, E; Mierzyńska, A; Jaworska, I; Opolski, G; Banach, M; Zaręba, W; Kowalik, I; Pencina, M; Orzechowski, P; Szalewska, D; Pluta, S ...
Published in: Eur J Cardiovasc Nurs
August 29, 2022

AIMS: The hybrid comprehensive telerehabilitation (HCTR) consisting of telecare (with psychological telesupport), telerehabilitation, and remote monitoring of cardiovascular implantable electronic devices might be an option to improve both physical capacity and depressive symptoms. The aim of the study was to investigate the influence of HCTR on depressive symptoms and physical capacity in heart failure (HF) patients in comparison with usual care (UC). METHODS AND RESULTS: The present analysis formed part of a multicentre, randomized trial that enrolled 850 HF patients (New York Heart Association I-III, left ventricular ejection fraction ≤ 40%). Patients were randomized 1:1 to HCTR or UC. Patients underwent an HCTR programme (1 week in hospital and 8 weeks at home; exercise training 5 times weekly) or UC with observation. The Beck Depression Inventory II (BDI-II) score (cut point for depression ≥ 14) was used to assess depression and the physical capacity was measured by peak oxygen consumption (peak VO2; mL/kg/min). Measurements were made before and after 9-week intervention/observation (HCTR/UC group). Both groups were comparable in terms of demographic and clinical characteristics. In HCTR group, at entry, 23% of the sample obtained BDI-II scores ≥14 vs. 27.5% in UC group. There were no significant differences between groups regarding ΔBDI-II score (P = 0.992) after 9-week HCTR/UC. There was a significant improvement in physical capacity only in the HCTR group in both patients with (P = 0.033) and without (P < 0.001) depression. CONCLUSIONS: In HF patients, HCTR provided similar reduction of depressive symptoms as UC. HCTR resulted in a significant improvement in physical capacity in patients with and without depression.

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Published In

Eur J Cardiovasc Nurs

DOI

EISSN

1873-1953

Publication Date

August 29, 2022

Volume

21

Issue

6

Start / End Page

568 / 577

Location

England

Related Subject Headings

  • Ventricular Function, Left
  • Treatment Outcome
  • Telerehabilitation
  • Stroke Volume
  • Quality of Life
  • Nursing
  • Humans
  • Heart Failure
  • Depression
  • 4205 Nursing
 

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Piotrowicz, E., Mierzyńska, A., Jaworska, I., Opolski, G., Banach, M., Zaręba, W., … Piotrowicz, R. (2022). Relationship between physical capacity and depression in heart failure patients undergoing hybrid comprehensive telerehabilitation vs. usual care: subanalysis from the TELEREH-HF Randomized Clinical Trial. Eur J Cardiovasc Nurs, 21(6), 568–577. https://doi.org/10.1093/eurjcn/zvab125
Piotrowicz, Ewa, Anna Mierzyńska, Izabela Jaworska, Grzegorz Opolski, Maciej Banach, Wojciech Zaręba, Ilona Kowalik, et al. “Relationship between physical capacity and depression in heart failure patients undergoing hybrid comprehensive telerehabilitation vs. usual care: subanalysis from the TELEREH-HF Randomized Clinical Trial.Eur J Cardiovasc Nurs 21, no. 6 (August 29, 2022): 568–77. https://doi.org/10.1093/eurjcn/zvab125.
Piotrowicz E, Mierzyńska A, Jaworska I, Opolski G, Banach M, Zaręba W, Kowalik I, Pencina M, Orzechowski P, Szalewska D, Pluta S, Glowczynska R, Kalarus Z, Irzmanski R, Piotrowicz R. Relationship between physical capacity and depression in heart failure patients undergoing hybrid comprehensive telerehabilitation vs. usual care: subanalysis from the TELEREH-HF Randomized Clinical Trial. Eur J Cardiovasc Nurs. 2022 Aug 29;21(6):568–577.
Journal cover image

Published In

Eur J Cardiovasc Nurs

DOI

EISSN

1873-1953

Publication Date

August 29, 2022

Volume

21

Issue

6

Start / End Page

568 / 577

Location

England

Related Subject Headings

  • Ventricular Function, Left
  • Treatment Outcome
  • Telerehabilitation
  • Stroke Volume
  • Quality of Life
  • Nursing
  • Humans
  • Heart Failure
  • Depression
  • 4205 Nursing