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Learning Objective 1: Evaluation of the effects of a home walking exercise program on functional performance in pateint with heart failure
Learning Objective 2: to evaluate the effects of a home walking exercise program on QOLin pateint with heart failure
Introduction: Dyspnoea and fatigue are main clinical symptoms in HF patients that lead to limitation in activities of daily living.
Methods: This study was qusie-xperimental trial that assesses efficacy of home-based exercise program on the functional performance and quality of life in patients with HF. In this study 60 patients with NYHA class II and III heart failure will be. Determination quality of life groups at entry and after 8 weeks. Also 6 minute walking tests measures by Minnesota check list will be perform allocated, then divided to two groups training (n = 30) and control (n = 30). A mean age patient in two groups was respectively 60.76 and 61.76 years. Material was demographic characteristics form, Minnesota quality of life check list and timed exercise program form. Exercise training in the patients will be perform tree day per week for 8 weeksin both the training and control groups at entry and after 8 weeks.
The results show that significant difference exists between mean walking distance on the 6MWT at entry and after 8 weeks in the training group (373.86 to 412.30 m, P<0.001), that no significance was seen between control group (376.79 to 377.63 m, P = 0.351). Also results showed significant different between mean quality of life scores at entry and after 8 weeks in the training group (52.32 to 43.80), that no significance was seen between control group (52.43 to 52.50).
Discussion and conclusion: Home-based exercise program effect on functional performance and quality of life in HF patients, its accepted. Therefore exercise training must be used as a therapeutic approach in these patients, because not only promots quality of life but also improve the functional performance.