The effect of cardiorehabilitation on the quality of life by congestive heart failure patients

Type of funding sources: None.

To examine selected parameters of quality of life in patients with cardiac failure after cardiorehabilitation in outpatient and inpatient form and to compare the effect with each other.

Methods and methodology: The survey included 64 respondents without age restrictions with chronic heart failure NYHA I. - III. after undergoing inpatient or outpatient cardiorehabilitation, polymorbid, oncology and psychiatric patients were excluded. The questionnaire with 20 questions focused on 12 quality of life domains. Statistical processing: t-test, ANOVA, Chi-square test, Spearman correlation coefficient (p <0.05).

35 men (54.7%) and 29 women (45.3%) were included, with a mean age of 58.07 years, with a mean duration of CHF treatment of 3.99 years, subgroups (internal 25, cardiology 21 and institute 18 probands) did not differ in age. We found that cardiorehabilitation has a positive effect on the quality of life of patients with CHF, if it is associated with social support, appropriate education and meets the conditions of a comprehensive approach. Patients rated their quality of life better compared to their quality of life a year ago. Outpatients are more satisfied with their health than patients in inpatient treatment, patients with a more severe manifestation of CHF have a greater anxiety from physical activity and therefore less motivation to move. All patients expressed dissatisfaction with their sex lives. Patients in outpatient treatment experience more depression. There were no differences between the subgroups in the evaluation of the degree of education by the nurse and the effect of the exercise on the subjective condition. All subgroups perceived the other person"s help more valuable than medical help. Patients from inpatient treatment have been more motivated to change their lifestyle on their own initiative and through the influence of information from healthcare professionals.

Comprehensive cardiovascular rehabilitation of patients with heart failure improves many of the prognostic indicators of heart failure, reduces mortality and the frequency of rehospitalizations, reduces treatment costs, improves quality of life. nevertheless, rehabilitation programs for chronic heart failure are being promoted only very slowly. The reason may be the absence of standard procedures, as well as organizational, economic and personnel demands.