Clinical Effects of Hospital–Family Collaborative Cardiac Rehabilitation Training on Patients with Heart Failure after Cardiac Valve Prostheses

Authors

  • Linzhong Zhang Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China
  • Meng Wang Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China
  • Hui Song Department of Cardiology, Central Hospital Affiliated to Shandong First Medical University, 250000 Jinan, Shandong, China

DOI:

https://doi.org/10.59958/hsf.7835

Keywords:

heart failure, heart valve disease, surgical procedures, operative, cardiac rehabilitation

Abstract

Background: Affected by factors, such as patients' age, course of disease, and underlying diseases, patients have high complications after cardiac valve replacement. This study applied hospital–family collaborative cardiac rehabilitation training to patients with heart failure undergoing cardiac valve prostheses and explored the clinical effect to provide guidance for postoperative rehabilitation. Methods: The clinical data of 213 patients with heart failure admitted to our hospital from January 2023 to January 2024 were retrospectively analyzed. After 12 cases who did not meet the inclusion criteria were excluded, 201 cases were finally included. In accordance with different nursing methods, patients were divided into reference group (n = 102) and observation group (n = 99). The reference group received routine nursing program, whereas the study group adopted hospital–family collaborative cardiac rehabilitation training on the basis of routine nursing. The levels of cardiac function indices [left ventricular ejection fraction (LVEF), left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV) and stroke volume (SV)], quality of life, cardiovascular risk factors [total cholesterol (TC), triglyceride (TG), and fasting blood glucose (FBG)] and the rehospitalization rate were compared between the two groups. Results: Before management, the levels of LVEF, LVEDV, LVESV, SV, quality-of-life scores, TC, TG, and FBG in the two groups were similar (p > 0.05). After management, the observation group had higher levels of LVEF, LVEDV, LVESV, and SV (p < 0.001); a better quality of life (p < 0.001); lower levels of TC, TG, and FBG (p < 0.001); and a lower rehospitalization rate (p < 0.05) than the reference group. Conclusion: Hospital–family collaborative cardiac rehabilitation training seems to improve the cardiac function indices of patients undergoing cardiac valve prostheses, and it has a certain clinical application value. However, the results should be promoted with caution, and more studies are needed to verify them.

References

Snipelisky D, Chaudhry SP, Stewart GC. The Many Faces of Heart Failure. Cardiac Electrophysiology Clinics. 2019; 11: 11–20.

Tomasoni D, Adamo M, Lombardi CM, Metra M. Highlights in heart failure. ESC Heart Failure. 2019; 6: 1105–1127.

Chen J, Aronowitz P. Congestive Heart Failure. The Medical Clinics of North America. 2022; 106: 447–458.

Crestanello JA. Mitral Valve Surgery for Congestive Heart Failure. Heart Failure Clinics. 2018; 14: 585–600.

Kumar RK, Antunes MJ, Beaton A, Mirabel M, Nkomo VT, Okello E, et al. Contemporary Diagnosis and Management of Rheumatic Heart Disease: Implications for Closing the Gap: A Scientific Statement From the American Heart Association. Circulation. 2020; 142: e337–e357.

Rios S, Li W, Mustehsan MH, Hajra A, Takahashi T, Chengyue J, et al. Impact of Frailty on Outcomes After Transcatheter Edge-to-Edge Repair With MitraClip (from the National Inpatient Sample Database). The American Journal of Cardiology. 2022; 179: 58–63.

Abraham LN, Sibilitz KL, Berg SK, Tang LH, Risom SS, Lindschou J, et al. Exercise-based cardiac rehabilitation for adults after heart valve surgery. The Cochrane Database of Systematic Reviews. 2021; 5: CD010876.

Borregaard B, Dahl JS, Riber LPS, Ekholm O, Sibilitz KL, Weiss M, et al. Effect of early, individualised and intensified follow-up after open heart valve surgery on unplanned cardiac hospital readmissions and all-cause mortality. International Journal of Cardiology. 2019; 289: 30–36.

Isakadze N, Kim CH, Marvel FA, Ding J, MacFarlane Z, Gao Y, et al. Rationale and Design of the mTECH-Rehab Randomized Controlled Trial: Impact of a Mobile Technology Enabled Corrie Cardiac Rehabilitation Program on Functional Status and Cardiovascular Health. Journal of the American Heart Association. 2024; 13: e030654.

Ritchey MD, Maresh S, McNeely J, Shaffer T, Jackson SL, Keteyian SJ, et al. Tracking Cardiac Rehabilitation Participation and Completion Among Medicare Beneficiaries to Inform the Efforts of a National Initiative. Circulation. Cardiovascular Quality and Outcomes. 2020; 13: e005902.

Cardiovascular Disease Prevention and Rehabilitation Committee of the Chinese Society of Rehabilitation Medicine, Chinese Society of Gerontology and Geriatrics, Cardiovascular Disease Committee. Chinese expert consensus on hospital-led home cardiac rehabilitation. Chinese Journal of Internal Medicine. 2021; 60: 207–215. (In Chinese)

World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310: 2191–2194.

Heart Failure Group of the Cardiovascular Disease Branch of the Chinese Medical Association, Heart Failure Specialized Committee of the Chinese Physicians Association, Editorial Committee of the Chinese Journal of Cardiovascular Disease. China heart failure diagnosis and treatment guidelines 2018. Chinese Journal of Cardiovascular Disease. 2018; 46: 760–789. (In Chinese)

Paluch AE, Boyer WR, Franklin BA, Laddu D, Lobelo F, Lee DC, et al. Resistance Exercise Training in Individuals With and Without Cardiovascular Disease: 2023 Update: A Scientific Statement From the American Heart Association. Circulation. 2024; 149: e217–e231.

Ware JE, Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care. 1992; 30: 473–483.

Collado-Mateo D, Lavín-Pérez AM, Peñacoba C, Del Coso J, Leyton-Román M, Luque-Casado A, et al. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review. International Journal of Environmental Research and Public Health. 2021; 18: 2023.

Pennestrì F, Negrini F, Banfi G. La riabilitazione dopo artroplastica di ginocchio. Un approccio multidisciplinare e accelerato [Rehabilitation after knee arthroplasty. An accelerated multidisciplinary approach.]. Recenti Progressi in Medicina. 2020; 111: 82–90. (In Italian)

Ding H, Jayasena R, Chen SH, Maiorana A, Dowling A, Layland J, et al. The Effects of Telemonitoring on Patient Compliance With Self-Management Recommendations and Outcomes of the Innovative Telemonitoring Enhanced Care Program for Chronic Heart Failure: Randomized Controlled Trial. Journal of Medical Internet Research. 2020; 22: e17559.

Taylor JL, Myers J, Bonikowske AR. Practical guidelines for exercise prescription in patients with chronic heart failure. Heart Failure Reviews. 2023; 28: 1285–1296.

Kitzman DW, Whellan DJ, Duncan P, Pastva AM, Mentz RJ, Reeves GR, et al. Physical Rehabilitation for Older Patients Hospitalized for Heart Failure. The New England Journal of Medicine. 2021; 385: 203–216.

Epstein E, Rosander A, Pazargadi A, Taub P. Cardiac Rehab for Functional Improvement. Current Heart Failure Reports. 2020; 17: 161–170.

Liu X, Zou Y, Huang D, Lu H. Effect of evidence-based nursing combined with exercise rehabilitation in patients with acute myocardial infarction after percutaneous coronary intervention. American Journal of Translational Research. 2022; 14: 7424–7433.

Published

2024-10-16

How to Cite

Zhang, L., Wang, M., & Song, H. (2024). Clinical Effects of Hospital–Family Collaborative Cardiac Rehabilitation Training on Patients with Heart Failure after Cardiac Valve Prostheses. The Heart Surgery Forum, 27(10), E1175-E1181. https://doi.org/10.59958/hsf.7835

Issue

Section

Article