Factores relacionados con la no adherencia a la rehabilitación cardiaca en pacientes con insuficiencia cardiaca / Factors related to non-adherence to cardiac rehabilitation in patients with heart failure
Rev. clín. esp. (Ed. impr.)
; 224(1): 24-34, ene. 2024. ilus, tab
Article
in Es
| IBECS
| ID: ibc-EMG-527
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
RESUMEN
Introducción En la insuficiencia cardiaca (IC) se ha recomendado la rehabilitación cardiaca como estrategia de intervención que mejora la capacidad funcional, la calidad de vida relacionada con la salud y la supervivencia. No obstante, la adherencia a dichos programas es escasa. El objetivo fue determinar los factores relacionados con la no adherencia a la rehabilitación cardiaca en pacientes con IC en Colombia. Método Estudio observacional y retrospectivo. Se vincularon pacientes con IC en una clínica de Colombia, y la adherencia a la rehabilitación cardiaca se midió con ≥80% de las sesiones programadas. Se tuvieron en cuenta variables sociodemográficas, clínicas, capacidad aeróbica funcional (Sit to Stand y test de caminata de los 6minutos), Duke Activity Status Index (DASI), calidad de vida Minnesota Living with Heart Failure Questionnaire (MLFHQ) y depresión Patient health Questionnaire9 (PHQ-9). Resultados Se vincularon 300 pacientes con IC con edad 63,16±12,87; 194 (64,7%) eran hombres. La adherencia a la rehabilitación cardiaca fue del 66,67%, hubo diferencias estadísticamente significativas entre los grupos en la hipertensión arterial, FEVI, colesterol, LDL, triglicéridos, PAS, PAD, distancia recorrida, VO2e, METs, DASI y PHQ-9, p≤0,05. El modelo de regresión logística ajustado por sexo y edad mostró OR para la no adherencia a la RC hipertensión arterial 2,23 [1,22-4,07], LDL fuera de metas 2,15 [1,20-3,88], triglicéridos fuera de metas 2,34 [1,35-4,07], DASI<4METs 2,38 [1,04-5,45] y PHQ-9 1,06 [1,00-1,12]. Conclusión La hipertensión arterial, LDL, triglicéridos, DASI y depresión con el cuestionario PHQ-9 son factores relacionados para no presentar adherencia a la rehabilitación cardiaca en pacientes con IC. (AU)
ABSTRACT
Introduction In heart failure, cardiac rehabilitation has been recommended as an intervention strategy that improves functional capacity, health-related quality of life and survival. However, adherence to these programs is low. The objective was to determine the factors related to non-adherence to cardiac rehabilitation in patients with heart failure in Colombia. Method Observational and retrospective study. Patients with heart failure were linked in a clinic in Colombia, adherence to cardiac rehabilitation was measured with ≥80% of scheduled sessions. Sociodemographic and clinical variables, functional aerobic capacity (Sit to Stand and 6-minute walk test), Duke Activity Status Index (DASI), quality of life Minnesota Living with Heart Failure Questionnaire (MLFHQ) and depression Patient health questionnaire 9 (PHQ-9) were taken into account. Results 300 patients were linked with heart failure with age 63.16±12.87; men 194 (64.7%). Adherence to cardiac rehabilitation was 66.67%, there were statistically significant differences between the groups in arterial hypertension, LVEF, cholesterol, LDL, triglycerides, SBP, DBP, distance traveled, VO2e, METs, DASI and PHQ-9 P≤.05. The logistic regression model adjusted for sex and age showed OR for non-adherence to CR arterial hypertension 2.23 [1.22-4.07], LDL outside of goals 2.15 [1.20-3.88], triglycerides outside goals 2.34 [1.35-4.07], DASI<4METs 2.38 [1.04-5.45] and PHQ-9 1.06 [1.00-1.12]. Conclusion High blood pressure, LDL, triglycerides, DASI and depression with the PHQ-9 questionnaire are related factors for not having adherence to cardiac rehabilitation in patients with heart failure. (AU)
Key words
Search on Google
Full text:
1
Collection:
06-national
/
ES
Database:
IBECS
Main subject:
Risk Factors
/
Exercise Tolerance
/
Depression
/
Cardiac Rehabilitation
/
Treatment Adherence and Compliance
/
Heart Failure
/
Hypertension
/
Pericardium
/
Thrombosis
/
Nursing Diagnosis
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Humans
/
Male
/
Aged
/
Female
/
Adult
Country/Region as subject:
America do sul
/
Colombia
/
Europa
Language:
Es
Journal:
Rev. clín. esp. (Ed. impr.)
/
Arch. bronconeumol. (Ed. impr.)
/
Emergencias (Sant Vicenç dels Horts)
/
Enferm. glob
/
Gac. sanit. (Barc., Ed. impr.)
/
Galicia clin
/
Med. intensiva (Madr., Ed. impr.)
Year:
2022
/
2021
/
2024
/
2023
Document type:
Article