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IRCT201306297531N2 IRCT 2013-09-13 Shiraz University of Medical Sciences The effects of cardiac rehabilitation on elderly with congestive heart failure The effects of Cardiac Rehabilitation on Quality of Life and Self-care management based on Orem’s theory in Elderly with CHF referring to Shiraz hospitals- 2013 2013-03-20 anticipated 90 Complete https://irct.ir/trial/8028 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Other, Purpose: Treatment. N/A Congestive heart failure. Intervention 1: The case groups participate in cardiac rehabilitation therapy in 8 weeks consecutive, 3 sessions in each week that takes 1 hour. At the same time, in each session the researcher give them necessary education based on primary needs evaluation & Orem’s theory by face to face training then a booklet that Prepared by researcher containing the definition of heart failure , signs & symptoms ,causes of disease ,risk factors & the ways of control, treatment, medication, pain management and non-pharmacological management of heart failure, how to control body weight, diet, smoking cessation , traveling, social interaction, activity and rest, exercise, when consult their doctor or nurse, identifying sign & symptoms of worsening condition and the need to visit physician, proper use of assistive devices and healthy lifestyle. Intervention 2: Control group: they will receive only routine care after discharge from the hospital or outpatient departments.
public Maryam Rasti
School of Nursing and Midwifery Hazrat Fatemeh, Namazi Square, Shiraz, Iran.
Shiraz Iran (Islamic Republic of) +98 78 2452 7455 rasti_ma@sums.ac.ir Shiraz University of Medical Sciences scientific Iran Jahanbin
School of Nursing and Midwifery Hazrat Fatemeh, Namazi Square, Shiraz, Iran.
Shiraz Iran (Islamic Republic of) 13119–71936 +98 71 1647 4251 jahanbii@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: 1. Patients with congestive heart failure admitted in hospitals affiliated to Shiraz University of Medical Sciences that diagnosis of disease are confirmed by cardiologists & based on heart failure classification (NYHA) in class 1 to 3 with left ventricular ejection fraction less than 40 %. 2) Physical therapist or cardiologist allowed them for participates in rehabilitation program. 3) Must be aged 60 years old or older. 4) The patient doesn’t participate in the same study in the same time. 5) The ability to communicate & Perception in Persian. 6) The patient doesn’t have other known problems such as orthopedic disorders, physical or cognitive disorders that limited physical or learning activities. 7) Willingness to participate in the intervention, and written informed consent form is completed. Exclusion criteria: 1) Lack of willingness to cooperate to participate in the study. 2) Absence in more than 2sessions in rehabilitation programs. 3) Worsening of the patient's condition for continued participation in the study, so that makes it impossible. 4) Cognitive and mental diseases. 5) Extremities weakness whatever the reason, any disorder or defect so that the desired activities could be limited. 6) Death of the patient, Recurrence or hospitalization. 60 years no limit Both 150.0 Congestive heart diseaseRight ventricular failure (secondary to left heart failure) Rehabilitation N/A The case groups participate in cardiac rehabilitation therapy in 8 weeks consecutive, 3 sessions in each week that takes 1 hour. At the same time, in each session the researcher give them necessary education based on primary needs evaluation & Orem’s theory by face to face training then a booklet that Prepared by researcher containing the definition of heart failure , signs & symptoms ,causes of disease ,risk factors & the ways of control, treatment, medication, pain management and non-pharmacological management of heart failure, how to control body weight, diet, smoking cessation , traveling, social interaction, activity and rest, exercise, when consult their doctor or nurse, identifying sign & symptoms of worsening condition and the need to visit physician, proper use of assistive devices and healthy lifestyle. Control group: they will receive only routine care after discharge from the hospital or outpatient departments. Quality of life. Timepoint: Before interventions, after the end of interventions. Method of measurement: SF36 QOL questionnaire. Self Care Ability. Timepoint: Befor interventions,After the end of interventions. Method of measurement: EHFScB Questionnaire (Self Care Scale). Shiraz University of Medical Sciences Approved 2013-05-14 Shiraz University of Medical Sciences Shiraz University of Medical Sciences, Zand Boulevard, Shiraz, Iran. Shiraz Iran (Islamic Republic of)