The effect of self-efficacy program for cardiac rehabilitation combined with applied qigong on dyspnea in persons with congestive heart failure

Authors

  • Suttilak Sricharernchaiyasit Faculty of Nursing, Thammasat University, Pathumthani, Thailand
  • Borwarnluck Thongthawee Faculty of Nursing, Thammasat University, Pathumthani, Thailand
  • Adisai Buakhamsri Faculty of Medicine, Thammasat University, Pathumthani, Thailand

Keywords:

self-efficacy, applied gigong, dyspnea, congestive heart failure

Abstract

This study was quasi-experimental research, using a two-group, pre-test/post-test design. The objective was to study the effect of a self-efficacy program for cardiac rehabilitation in combination with applied Qigong effects on dyspnea in patients with congestive heart failure. The sample group is patients diagnosed with left ventricular heart failure admitted to the internal medicine and/or cardiac intensive care unit at a supra-tertiary hospital, 64 patients selected a purposive, 32 people in the control group received normal nursing care, and the experimental group, who received a self-efficacy program to rehabilitate the heart with applied qigong, designed for 10 weeks in a group of 32 people. The research tools consisted of a self-efficacy program to rehabilitate the heart with applied qigong, designed for 10 weeks, the personal information questionnaire, the dyspnea symptom scale, and the self-efficacy scale in heart failure patients. Data were analyzed using descriptive statistics and t-test.

The study found that after participating in the self-efficacy program for cardiac rehabilitation combined with applied qigong, the mean scores of dyspnea in the experimental group (Mean=1.84, SD=1.08) were lower than the control group (Mean=23.28, SD=2.65) (P<0.001).   

The study suggests for healthcare providers who take care of patients with heart failure, this program may be considered for use in caring for heart failure patients to reduce dyspnea.

References

Tsao CW, Aday AW, Almaizooq ZI, Anderson CAM, Arora P, Avery CL, et al. Heart disease and Stroke statistics-2023 update: a report from the American Heart Association. Circulation. 2023; 147(8): e93-e621. doi: 10.1161/CIR.0000000000001123.

Chaimongkol O, Puwanant S, Phumivadhana S. Nurses's role in caring for patients with heart failure at ambulatory care. Vajira Nursing Journal. 2022; 24(1): 75-95. (in Thai).

Maharak C. Mortality rate and readmission rate of heart failure patients in Phang Nga Hospital. Region 11 Medical Journal. 2022; 33(2): 311-325. (in Thai).

Heart Failure Council of Thailand (HFCT) 2019 heart failure guideline. [homepage on the Internet]. 2019 [cited 2021 Jun 30]; Available from: http://www.thaiheart.org. (in Thai).

Haynes A, Henry P. In: Urden LD, Stacy KM, Lought M.E. Cardiovascular disorder. Critical care nursing: diagnosis and management. 9th Edition. Canada: Elsevier; 2022. p.298-368.

Yancy CW, Jessup M, Bozkurt B, Butler J, Casey Jr DE, Drazner MH, et al. 2013 ACCF/AHA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. 2013; 128(16): 1810-52.

Dubé BP, Agostoni P, Laveneziana P. Exertional dyspnea in chronic heart failure: the role of the lung and respiratory mechanical factors. Eur Respir Rev. 2016; 25(141): 317-332. doi: 10.1183/16000617.0048-2016.

Boonyarat A. Rehabilitation exercise in persons with stable heart failure. Rama Nurse Journal. 2018; 24(1): 13-24. (in Thai).

Al-Khatib SM, Gentile FF, Birtcher KK, Gidding AS, Bozkurt FB, Hlatky FMA, et al. ACC/AHA/HFSA Focused update of the 2013 ACCF/AHA guideline for the management of heart failure. 2016; 22(9): 659-69. doi: 10.1016/j.cardfail.2016.07.001. PMID: 27394189.

Bozkurt B, Fonarow GC, Goldberg LR, Guglin M, Josephson RA, Forman DE, et al. Cardiac rehabilitation for patients with heart failure: JACC Expert Panel. J Am Coll Cardiol. 2021; 77(11): 1454-69. doi: 10.1016/j.jacc.2021. 01.030. PMID: 33736829.

Pandey A, Parashar A, Kumbhani D, Agarwal S, Garg J, Kitzman D, et al. Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials. Circ Heart Fail. 2015; 8(1): 33-40. doi: 10.1161/CIRCHEARTFAILURE.114.001615.

Chen X, Savarese G, Cai Y, Ma L, Lunaborg C, Jiang W, et al. Tai Chi and Qigong Practices for Chronic Heart Failure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2020; 2020 2034625. doi: 10.1155/2020/2034625. PMID: 33381195; PMCID: PMC7755480.

Peisen Y. Healthy by Qigong: easy Guang-Im-Ju-Jai-Gomg. 7th Edition. Bangkok: Best graphic press; 2012. (in Thai).

Jemrod P. Qigong for health care. Thai Red Cross Nursing Journal. 2017; 10(1): 44-54. (in Thai).

Bandura A. Self-efficacy: the exercise of control. New York: Freeman and Company; 1997.

Rajati F, Sadeghi M, Feizi A, Sharifirad G, Hasandokht T, Mostafavi F. Self-efficacy strategies to improve exercise in patients with heart failure: a systematic review. ARYA atheroscler. 2014; 10(6): 319-333.

Information Technology. Thammasat University Hospital Inpatient Statistics. 2019 [homepage on the Internet]. [cited 2019 May 15]. Available from: http://www.hospital.tu.ac.th/it-tuh/.

Klinmai S. The effect of promoting self-efficacy and outcome expectancy in qigong exercise program on functional capacity in heart failure patients. [Master Thesis of Nursing Science]. Bangkok: Chulalongkorn University; 2011. (in Thai).

Polit DF, Beck CT. Nursing Research: principle and methods. Philadelphia: Lippincott Williams, Wilkins; 2012.

Sarai A. Effect of an integrated program of discharge planning and symptom experience on dyspnea management ability and dyspnea status of patients with chronic obstructive pulmonary disease. Songkhla: Prince of Songkhla University; 2016. (in Thai).

Gift AG. Validation of a vertical visual analogue scale as a measure of clinical dyspnea. Rehabil Nurs.1989; 14(6): 323-5.

Thai Heart Association. Guideline cardiac rehabilitation. Bangkok: Thai Heart Association; 2010.

Naunjan A, Thongthawee B, Matchim Y, Saiphoklang N. The effect of perceived self-efficacy in respiratory muscle training with modified Qigong program on duration of weaning from mechanical ventilator in patients with respiratory failure. Thai Journal of Cardio-Thoracic Nursing. 2021; 32(1): 152-65. (in Thai).

Magalhaes AA, Oliveira L, Pereira MG, Menezes CB. Dose meditation alter brain responses to negative stimuli? A systematic review. Front Hum Neurosci.2018; 13(12): 1-16.

Downloads

Published

2024-01-22

How to Cite

1.
Sricharernchaiyasit S, Thongthawee B, Buakhamsri A. The effect of self-efficacy program for cardiac rehabilitation combined with applied qigong on dyspnea in persons with congestive heart failure. Thai J Cardio-Thorac Nurs. [Internet]. 2024 Jan. 22 [cited 2024 Nov. 5];34(2):56-69. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/263305

Issue

Section

Research Articles