Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2025 Jun 19;15(6):105855.
doi: 10.5498/wjp.v15.i6.105855.

Exercise rehabilitation based on medical care-family integration in older patients with chronic heart failure and psychological problems

Can Ao  1 , Shu Hu  2 , Lu Zhan  3
Affiliations

Exercise rehabilitation based on medical care-family integration in older patients with chronic heart failure and psychological problems

Can Ao et al. World J Psychiatry. .

Abstract

Background: As the aging process has accelerated, psychological problems in older patients with chronic heart failure (CHF) have become increasingly prominent, significantly affecting their quality of life and prognosis. This study explored a sports rehabilitation program based on the concept of medical care-family integration to provide patients with comprehensive and effective rehabilitation interventions and improve their health status.

Aim: To explore the effects of medical care-family integration-based exercise rehabilitation in older patients with CHF and psychological problems.

Methods: Data from 118 older patients with CHF and psychological problems were retrospectively analyzed. Patients were divided into conventional (n = 56) and exercise rehabilitation groups (n = 62). The results of the 6-min walking distance (6 MWD), N-terminal B-type natriuretic peptide (NT-proBNP), left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), Minnesota living with heart failure questionnaire (MLHFQ), generalized anxiety disorder-7 (GAD-7) scale, 9-item patient health questionnaire (PHQ-9) and Athens insomnia scale (AIS) were compared before and after intervention.

Results: After intervention, there were significant differences in the number of patients with depression and anxiety between the two groups. There was also a significant difference in the distribution of sleep disorders. The PHQ-9 score, GAD-7 score, AIS score, NT-proBNP value, LVEDD value, physical field, emotional field, other fields, and MLHFQ total scores were lower in the exercise rehabilitation group compared to the conventional rehabilitation group, while the 6 MWD and LVEF values were higher compared to the conventional rehabilitation group (P < 0.05). During the intervention period, the readmission rate of the exercise rehabilitation group (1.61%) was significantly lower than that of the conventional rehabilitation group (12.50%) (χ 2 = 3.930, P = 0.047).

Conclusion: This exercise rehabilitation program with medical care-family integration can improve cardiac function and quality of life, alleviate psychological problems, and reduce readmission rates in older patients with CHF.

Keywords: Chronic heart failure; Exercise rehabilitation; Family integration; Medical care; Psychological problems.

PubMed Disclaimer

Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
Distribution of depression between the two groups before and after intervention. A: Before intervention; B: After intervention. aP < 0.001.
Figure 2
Figure 2
Distribution of anxiety between the two groups before and after intervention. A: Before intervention; B: After intervention. aP < 0.001.
Figure 3
Figure 3
Readmission rates between the two groups. aP < 0.05.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Metra M, Tomasoni D, Adamo M, Bayes-Genis A, Filippatos G, Abdelhamid M, Adamopoulos S, Anker SD, Antohi L, Böhm M, Braunschweig F, Gal TB, Butler J, Cleland JGF, Cohen-Solal A, Damman K, Gustafsson F, Hill L, Jankowska EA, Lainscak M, Lund LH, McDonagh T, Mebazaa A, Moura B, Mullens W, Piepoli M, Ponikowski P, Rakisheva A, Ristic A, Savarese G, Seferovic P, Sharma R, Tocchetti CG, Yilmaz MB, Vitale C, Volterrani M, von Haehling S, Chioncel O, Coats AJS, Rosano G. Worsening of chronic heart failure: definition, epidemiology, management and prevention. A clinical consensus statement by the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2023;25:776–791. - PubMed
    1. Triposkiadis F, Xanthopoulos A, Parissis J, Butler J, Farmakis D. Pathogenesis of chronic heart failure: cardiovascular aging, risk factors, comorbidities, and disease modifiers. Heart Fail Rev. 2022;27:337–344. - PubMed
    1. Chen Y, Peng W, Pang M, Zhu B, Liu H, Hu D, Luo Y, Wang S, Wu S, He J, Yang Y, Peng D. The effects of psychiatric disorders on the risk of chronic heart failure: a univariable and multivariable Mendelian randomization study. Front Public Health. 2024;12:1306150. - PMC - PubMed
    1. Wilhelm EAB, Davis LL, Sharpe L, Waters S. Assess and address: Screening and management of depression in patients with chronic heart failure. J Am Assoc Nurse Pract. 2022;34:769–779. - PubMed
    1. Xiong J, Qin J, Gong K. Association between fear of progression and sleep quality in patients with chronic heart failure: A cross-sectional study. J Adv Nurs. 2023;79:3082–3091. - PubMed