The Relationship between Cognitive Appraisal and Adherence to Medical Regimens in Type 2 Diabetic Patients

Effective Strategies for Physical Activity Adherence in Heart Failure Patients: An Umbrella Review

Background

Despite the importance of physical activity in heart failure treatment, physical activity adherence in heart failure patients is low. The purpose of this umbrella review was to obtain the best strategies for enhancing physical activity adherence among HF patients.

Methods

Databases were investigated from 2010 to Jan 2022. The full text of the papers was investigated in terms of inclusion and exclusion criteria. Eventually, out of 74 relevant papers, 7-review study with 20977 patients were eligible and included in the study.

Results

Five key effective approaches were identified in two subsets for enhancing physical activity adherence as follows: 1) exercise-based approaches including 1.1) Exergames, whereby the extent of adherence to exergames was between 84 and 98%. 1.2) Tele-rehabilitation with 70%-100% adherence the intervention groups 1.3) Tai chi and Qigong practices (TQPs), whereby the exercise adherence in TQP groups was 67-100%, 2. Theoretical-behavioral approaches 2.1) approaches based on behavioral and psychological theories, which were a combination of an exercise program alongside a behavior modification intervention, 2.2) Self-efficacy.

Conclusion

Approaches that are based on exercise alongside behavioral and theoretical interventions could enhance physical activity adherence among HF patients. It is suggested to evaluate mix methods of exercise-based approaches and theoretical-behavioral approaches mentioned in this study in future clinical trial studies. Use of capacity of TR programs improve to physical activity adherence should receive more attention.

Experiences of what influences physical activity adherence in Iranian patients with heart failure: A qualitative study

BACKGROUND

Heart failure (HF) is becoming one of the important health care problems around the world. Physical activity as the foundation of the cardiac rehabilitation program is poorly adhered by patients with HF. This study aimed to understand the experiences of patients with HF in terms of adherence to physical activity.

MATERIALS AND METHODS

This study was conducted using conventional qualitative content analysis. Data were collected by semistructured telephone interviews with 25 patients with HF through open-ended questions. Data were collected from patients with HF in Birjand and Mashhad hospitals and heart departments from December 2021 to March 2022. Data were analyzed using Max-QDA10 and data analysis was continuous, comparative, and simultaneous with data collection.

RESULTS

After data analysis, three main categories were identified: (1) patient-related barriers and facilitators, (2) support system-related barriers and facilitators, and (3) environmental barriers and facilitators. These categories were subdivided into two main themes: (1) threatening disease and (2) challenging disease.

CONCLUSION

The results showed that beyond patient-related, support system-related, and environmental categories, perceiving the disease as a challenge or a threat is crucial in the activity of patients with HF. Nurses and other health care providers can train problem-solving behaviors to patients with HF to improve their physical and mental well-being. It is suggested that theoretical-behavioral approaches can be used in future clinical trials to improve adherence to physical activity.

The relationship between cognitive perception of self-concept and coping styles in heart failure patients

Aim

To determine the relationship between self-concept and coping styles in patients with heart failure in an Iranian population.

Design

This study had a correlational design.

Methods

In this study, 100 HF patients hospitalized in the CCU and cardiac ward of Vali-Asr Hospital of Birjand, Iran were selected by convenience sampling method. Two validated and reliable questionnaires including Cognitive Perception of Self-Concept and the Coping Styles questionnaires were completed by each patient.

Results

There were significant associations between emotion-oriented and threat to self-concept in total and physical sensation and self-consistency dimensions. Also, a significant association was observed between avoidance-oriented and threat to self-concept in total and body sensation dimension (p < .05). There was no significant association between the problem-oriented component and the threat to self-concept in total and none of its dimensions. The challenge to self-concept and its dimensions were not significantly related to any component of coping styles.