Quality of life in heart failure patients undergoing hybrid comprehensive telerehabilitation versus usual care – results of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomized Clinical Trial

Autor: Ewa Piotrowicz, Anna Mierzyńska, Maciej Banach, Izabela Jaworska, Michał Pencina, Ilona Kowalik, Sławomir Pluta, Dominika Szalewska, Grzegorz Opolski, Wojciech Zaręba, Renata Glowczynska, Robert Irzmański, Piotr Orzechowski, Zbigniew Kalarus, Ryszard Piotrowicz
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Archives of Medical Science, Vol 17, Iss 6, Pp 1599-1612 (2020)
Druh dokumentu: article
ISSN: 1734-1922
1896-9151
42747015
DOI: 10.5114/aoms.2020.98350
Popis: Introduction Hybrid comprehensive telerehabilitation (HCTR) consisting of telecare (with psychological telesupport), telerehabilitation and remote monitoring of implantable devices might be an innovative option improving heart failure (HF) patients’ quality of life (QoL) and emotional health. The aim of the study was to investigate the influence of HCTR on various facets of QoL in HF patients in comparison with usual care (UC) alone. Material and methods The present analysis formed part of a multicenter, randomized trial that enrolled 850 HF patients (NYHA I–III, LVEF ≤ 40%). Patients were randomized 1 : 1 to HCTR plus UC or UC only. Patients underwent either an HCTR program or UC with observation. The psychological intervention in the HCTR group included supportive psychological counseling via mobile phone. The Medical Outcome Survey Short Form 36 Questionnaire was used to assess QoL. Measurements were made before and after a 9-week intervention (HCTR group)/observation (UC group). Results After the intervention, the HCTR group showed significant improvement in overall QoL, physical domain (PD) of QoL, and 4 areas of QoL (physical functioning (PhF), role functioning related to physical state (RF), general health (GH), vitality (VI)). A significant positive change in QoL in the UC group was observed only in VI and social functioning. There were also significant differences in QoL after 9-week intervention/observation between the two groups. The results showed greater improvement in HCTR for overall QoL (p = 0.009), PD of QoL (p = 0.0003) and three specific areas of QoL: PhF (p = 0.001), RF (p = 0.003), bodily pain (BP) (p = 0.015). Conclusions In comparison to UC, HCTR resulted in improvement in overall QoL, PD of QoL and 3 specific areas of QoL: PhF, RF and BP.
Databáze: Directory of Open Access Journals
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