The Development of Physical Activity Protocol in Patients With Congestive Heart Failure in the Hospital Inpatient Wards

Abstract

Background: Patients with congestive heart failure need a comprehensive rehabilitative program to restore post-attack physical ability and prevent re-attacks, therefore, it is necessary to develop physical activity protocols for these patients.
 Objective: This study aims to develop physical activity protocols for patients with congestive heart failure in the inpatient wards of the Level II Putri Hijau Hospital, Indonesia.
 Methods: This was an action research with 3 cycles consisting of four stages, namely: (1) reconnaissance, (2) planning, (3) action and observation, and (4) reflection. Data were collected quantitatively and qualitatively. Qualitative data were collected using in-depth interview, focus group discussion, and self-report, while quantitative data were collected using nursing knowledge questionnaire to 35 nurses selected using total sampling, and self-efficacy questionnaire about physical activity exercise to 9 patients with congestive heart failure selected using accidental sampling. Qualitative data were analyzed using content analysis, while quantitative data using descriptive statistical test.
 Results: Findings showed the completed compilation of physical activity protocols for patients with congestive heart failure. The results of observation showed a decrease in blood pressure of patients with congestive heart failure on the average of 3.12 mmHg after given physical activity protocol by nurses.
 Conclusion: The physical activity protocols for patients with congestive heart failure have been developed, and it has an impact on the increase of nurses' knowledge concerning physical activity exercise for CHF patients as well as the improvement of patients' self-efficacy or self-confidence in doing the physical activities.

Blood cholesterol and its related factors among Indonesian blood donors

“…Moreover, our study did not explore the medication history and physical activity among respondents, which could be a compensation in reducing cholesterol level. Physical exercise is proven to be effective and safe for reducing the risk of cholesterol diseases [48]. In addition, supplement consumption was diminishing the risk of mortality because of heart failure related to the dyslipidemia [49].…”

“…This study is better supported by qualitative and quantitative studies. Further studies need to assess the other factors influencing cholesterol level towards blood donors, such as body weight, history of cholesterol diseases, and physical exercise [48], [50].…”