The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure

Autor: Dai-Mei Chen, 陳岱玫
Rok vydání: 2014
Druh dokumentu: 學位論文 ; thesis
Popis: 103
The purpose of this study was to examine the effects of a simple traditional exercise programme(Baduanjin exercise) on fatigue and quality of life of patients with heart failure. The study used randomized control trial research design. Subjects were recruited using convenience sampling from two medical centers in northern Taiwan. Participants were randomly assigned into the intervention(n = 39) or control group(n = 41). Patients in the intervention group received a 12-week Baduanjin exercise program. It consisted of a 35-min Baduanjin exercise demonstration videotape, a picture-based educational brochure, and a performance record form. The intervention group recervied the Baduanjin exercise training for two weeks, three times a week with the demonstration videotape and a educational brochure by the researcher.Then the participants were led by the demonstration videotape to perform the Baduanjin exercise at home for 10 weeks(total 12weeks). The control group had no any intervention. Data were collected by a structural questionnaire including demographic information, the modified Piper Fatigue Scale, Minnesota Living with Heart Failure Questionnaire, symptomatic distress index and the Hospital Anxiety and Depression Scale (HADS) at baseline, 4 weeks, 8 weeks, and 12 weeks after intervention. The physiological measures including blood pressure, heart rate, respiratory rate, hemoglobin, oxygen saturation were taken only at baseline and 12 weeks. Data were analyzed using SPSS, including descriptive statistics, Pearson correlation coefficient, independent t-test, chi-square test, repeated measures analysis of variance, and generalized estimating equation (GEE). This study found that 77.6% of patients with heart failure experienced fatigue, and most having mild fatigue. The impact of heart failure on quality of life of patients ranged from very slight to slight. The greatest impact was on the physical quality of life. Subjects in the Baduanjin exercise group had significantly improved fatigue(F = 5.083, p < .01) and quality of life(F = 9.108, p = .001) since 4 weeks to 12 weeks, while those in control group showed significantly worse in fatigue(F = 3.464, p < .05), and no diference in quality of life(F = 0.701, p > .05). GEE revealed that compared to the control group, exercise group had significantly greater improvement on fatigue(p
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