Xueyu Li1, Shunlin Xu, Lijuan Zhou, Rongbin Li, Jianrong Wang. 1. Xueyu Li, RN, PhD, is Student, Department of Nursing, General Hospital of Chinese People's Liberation Army, Beijing, China, and is Assistant Nursing Director, Department of Nursing, General Hospital of Shenyang Military Command, China. Shunlin Xu, PhD, is Research Coordinator, Department of Cardiovascular Medicine, Peking University Third Hospital, Beijing, China. Lijuan Zhou, RN, MD, is Research Coordinator, Department of Nursing, General Hospital of Shenyang Military Command, China. Rongbin Li, MD, is Research Coordinator, Department of Cardiovascular Medicine, General Hospital of Chinese People's Liberation Army, Beijing, China. Jianrong Wang, RN, MD, is Professor, Department of Nursing, General Hospital of Chinese People's Liberation Army, Beijing, China.
Abstract
BACKGROUND: Exercise is important for fitness and recovery of older adults after hospitalization for treatment of cardiovascular disease. Home-based, nurse-led exercise programs may be beneficial. OBJECTIVE: The aim of this study was to test the effects of a low-intensity, home-based exercise protocol led by an advanced practice nurse on health-related quality of life (HRQOL), physical fitness, and left ventricular ejection fraction (LVEF) in older adults after hospital discharge with a cardiovascular disease diagnosis. METHODS: The study was randomized and single blinded. Seventy-seven older adults (≥75 years old, mean = 80.68 years old) were included; 32 subjects in the intervention and 29 in the control group completed the study. The low-intensity, home-based exercise protocol is composed of 14-type joint exercises and walking for 12 weeks. The main outcome measures were assessments on the Medical Outcomes Study Short-Form-36, the Senior Fitness Test, and LVEF at baseline and 12 weeks after hospital discharge. RESULTS: After 12 weeks, the intervention group showed significant improvements in HRQOL (physical functioning, role-physical, bodily pain, and vitality; p < .05) as well as on the Senior Fitness Test (chair stands, arm curls, Timed Up and Go, and 6-minute walk distance; p < .05); there was no significant improvement in LVEF (p = .56). CONCLUSIONS: The low-intensity, home-based exercise led by an advanced practice nurse was effective in improving HRQOL and physical fitness. Adherence was high, and there were no adverse events related to exercise.
RCT Entities:
BACKGROUND: Exercise is important for fitness and recovery of older adults after hospitalization for treatment of cardiovascular disease. Home-based, nurse-led exercise programs may be beneficial. OBJECTIVE: The aim of this study was to test the effects of a low-intensity, home-based exercise protocol led by an advanced practice nurse on health-related quality of life (HRQOL), physical fitness, and left ventricular ejection fraction (LVEF) in older adults after hospital discharge with a cardiovascular disease diagnosis. METHODS: The study was randomized and single blinded. Seventy-seven older adults (≥75 years old, mean = 80.68 years old) were included; 32 subjects in the intervention and 29 in the control group completed the study. The low-intensity, home-based exercise protocol is composed of 14-type joint exercises and walking for 12 weeks. The main outcome measures were assessments on the Medical Outcomes Study Short-Form-36, the Senior Fitness Test, and LVEF at baseline and 12 weeks after hospital discharge. RESULTS: After 12 weeks, the intervention group showed significant improvements in HRQOL (physical functioning, role-physical, bodily pain, and vitality; p < .05) as well as on the Senior Fitness Test (chair stands, arm curls, Timed Up and Go, and 6-minute walk distance; p < .05); there was no significant improvement in LVEF (p = .56). CONCLUSIONS: The low-intensity, home-based exercise led by an advanced practice nurse was effective in improving HRQOL and physical fitness. Adherence was high, and there were no adverse events related to exercise.
Authors: Lindsey Anderson; Georgina A Sharp; Rebecca J Norton; Hasnain Dalal; Sarah G Dean; Kate Jolly; Aynsley Cowie; Anna Zawada; Rod S Taylor Journal: Cochrane Database Syst Rev Date: 2017-06-30
Authors: Carolina Santiago de Araújo Pio; Gabriela Ss Chaves; Philippa Davies; Rod S Taylor; Sherry L Grace Journal: Cochrane Database Syst Rev Date: 2019-02-01