Well-Being, Physical Activity, and Social Support in Octogenarians with Heart Failure during COVID-19 Confinement: A Mixed-Methods Study.

Autor:	Marques-Sule E; Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), 46010 Valencia, Spain.; Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain., Muñoz-Gómez E; Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain., Almenar-Bonet L; Heart Failure and Transplantation Unit, Department of Cardiology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain.; Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares (CIBERCV), Instituto de Salud Carlos III, 28029 Madrid, Spain.; Department of Medicine, University of Valencia, 46010 Valencia, Spain., Moreno-Segura N; Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain., Sánchez-Gómez MC; Department of Didactics, Organization and Research Methods, University of Salamanca, Paseo de Canalejas 169, 37008 Salamanca, Spain., Deka P; College of Nursing, Michigan State University, East Lansing, MI 3078, USA., López-Vilella R; Heart Failure and Transplantation Unit, Department of Cardiology, Hospital Universitario y Politécnico La Fe, 46026 Valencia, Spain., Klompstra L; Department of Health, Medicine and Caring Sciences, Linkoping University, 4566 Linkoping, Sweden., Cabanillas-García JL; Department of Didactics, Organization and Research Methods, University of Salamanca, Paseo de Canalejas 169, 37008 Salamanca, Spain.
Jazyk:	angličtina
Zdroj:	International journal of environmental research and public health [Int J Environ Res Public Health] 2022 Nov 19; Vol. 19 (22). Date of Electronic Publication: 2022 Nov 19.
DOI:	10.3390/ijerph192215316
Abstrakt:	Background: This study aimed to compare well-being and physical activity (PA) before and during COVID-19 confinement in older adults with heart failure (HF), to compare well-being and PA during COVID-19 confinement in octogenarians and non-octogenarians, and to explore well-being, social support, attention to symptoms, and assistance needs during confinement in this population. Methods: A mixed-methods design was performed. Well-being (Cantril Ladder of Life) and PA (International Physical Activity Questionnaire) were assessed. Semi-structured interviews were performed to assess the rest of the variables. Results: 120 participants were evaluated (74.16 ± 12.90 years; octogenarians = 44.16%, non-octogenarians = 55.83%). Both groups showed lower well-being and performed less PA during confinement than before ( p < 0.001). Octogenarians reported lower well-being ( p = 0.02), higher sedentary time ( p = 0.03), and lower levels of moderate PA ( p = 0.04) during confinement. Most individuals in the sample considered their well-being to have decreased during confinement, 30% reported decreased social support, 50% increased their attention to symptoms, and 60% were not satisfied with the assistance received. Octogenarians were more severely impacted during confinement than non-octogenarians in terms of well-being, attention to symptoms, and assistance needs. Conclusions: Well-being and PA decreased during confinement, although octogenarians were more affected than non-octogenarians. Remote monitoring strategies are needed in elders with HF to control health outcomes in critical periods, especially in octogenarians.
Databáze:	MEDLINE
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