Modern Approaches To Primary Prevention In Chronic Heart Failure From The Point Of View Of Evidence-Based Medicine.
DOI:
https://doi.org/10.58676/sjmas.v2i5.73Keywords:
Rehabilitation Program, Disability Recovery, Mixed-Methods Approach, Physical and Psychological Therapy, Social IntegrationAbstract
Background: Disability communities face significant challenges, both medically and socially. Chronic health conditions often lead to prolonged periods of disability, affecting individuals' social status and overall well-being. Rehabilitation programs are essential in mitigating these effects, promoting faster recovery, and improving the quality of life for people with disabilities. This study investigates the impact of a comprehensive rehabilitation program that encompasses medical treatment, therapy, counseling, and vocational training.
Methods and Materials: A mixed-methods approach was used to evaluate the effectiveness of the rehabilitation program. Quantitative data were collected from 500 participants through medical assessments and progress reports. Additionally, qualitative data were gathered via interviews and surveys with participants and their families to understand their experiences and perceptions. The program included physical therapy, psychological support, vocational training, and social integration activities. Statistical analysis and thematic analysis were employed to analyze the data.
Results: The results demonstrate that the rehabilitation program significantly improved participants' recovery and overall well-being. Approximately 73.55% of participants showed a speedy recovery, 14.67% experienced a natural recovery rate, and the remaining participants had slow or no recovery. The qualitative data revealed high satisfaction levels among participants, although some expressed concerns about the duration of visible improvements. The program's holistic approach addressed various physical, mental, and social aspects, contributing to its success.
Conclusion: The rehabilitation program successfully achieved its goals of aiding participants in their recovery journey, fostering personal growth, and enhancing their quality of life. The findings highlight the importance of a comprehensive and integrated approach to rehabilitation that includes medical treatment, therapy, counseling, and vocational training. Future recommendations include expanding vocational training options, strengthening community partnerships, and increasing mental health resources to further support individuals with disabilities.
References
Butler J. (2012). Primary prevention of heart failure. ISRN cardiology, 2012, 982417. https://doi.org/10.5402/2012/982417
Kim M. A. (2020). Heart Failure Awareness in the General Population: What Should We Do Next?. Korean circulation journal, 50(7), 596–598. https://doi.org/10.4070/kcj.2020.0165
Savarese, G., Becher, P. M., Lund, L. H., Seferovic, P., Rosano, G. M. C., & Coats, A. J. S. (2023). Global burden of heart failure: a comprehensive and updated review of epidemiology. Cardiovascular research, 118(17), 3272–3287. https://doi.org/10.1093/cvr/cvac013
Ziaeian, B., & Fonarow, G. C. (2016). Epidemiology and aetiology of heart failure. Nature reviews. Cardiology, 13(6), 368–378. https://doi.org/10.1038/nrcardio.2016.25
Ong, S. C., & Low, J. Z. (2023). Financial burden of heart failure in Malaysia: A perspective from the public healthcare system. PloS one, 18(7), e0288035. https://doi.org/10.1371/journal.pone.0288035
Yip, F., Lai, B., & Yang, D. (2023). Role of Coxsackievirus B3-Induced Immune Responses in the Transition from Myocarditis to Dilated Cardiomyopathy and Heart Failure. International journal of molecular sciences, 24(9), 7717. https://doi.org/10.3390/ijms24097717
Del Gobbo, L. C., Kalantarian, S., Imamura, F., Lemaitre, R., Siscovick, D. S., Psaty, B. M., & Mozaffarian, D. (2015). Contribution of Major Lifestyle Risk Factors for Incident Heart Failure in Older Adults: The Cardiovascular Health Study. JACC. Heart failure, 3(7), 520–528. https://doi.org/10.1016/j.jchf.2015.02.009
Martens, C. R., & Accornero, F. (2021). Viruses in the Heart: Direct and Indirect Routes to Myocarditis and Heart Failure. Viruses, 13(10), 1924. https://doi.org/10.3390/v13101924
Jafari, L. A., Suen, R. M., & Khan, S. S. (2020). Refocusing on the Primary Prevention of Heart Failure. Current treatment options in cardiovascular medicine, 22(7), 13. https://doi.org/10.1007/s11936-020-00811-3
Bayerle, P., Beyer, S., Tegtbur, U., Kück, M., Adel, J., Kwast, S., Pökel, C., Kerling, A., & Busse, M. (2022). Exercise Capacity, Iron Status, Body Composition, and Mediterranean Diet in Patients with Chronic Heart Failure. Nutrients, 15(1), 36. https://doi.org/10.3390/nu15010036
Aggarwal, M., Bozkurt, B., Panjrath, G., Aggarwal, B., Ostfeld, R. J., Barnard, N. D., Gaggin, H. K., Freeman, A. M., Allen, K., Madan, S., Massera, D., & Litwin, S. E. (2018, November 1). Lifestyle Modifications for Preventing and Treating Heart Failure. Journal of the American College of Cardiology. https://doi.org/10.1016/j.jacc.2018.08.2160
Whelton, P. K., Appel, L. J., Sacco, R. L., Anderson, C. A., Antman, E. M., Campbell, N., Dunbar, S. B., Frohlich, E. D., Hall, J. E., Jessup, M., Labarthe, D. R., MacGregor, G. A., Sacks, F. M., Stamler, J., Vafiadis, D. K., & Van Horn, L. V. (2012). Sodium, blood pressure, and cardiovascular disease: further evidence supporting the American Heart Association sodium reduction recommendations. Circulation, 126(24), 2880–2889. https://doi.org/10.1161/CIR.0b013e318279acbf
Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., Allen, N. B., de Lemos, J. A., Carnethon, M., Greenland, P., & Berry, J. D. (2017). Relationship Between Physical Activity, Body Mass Index, and Risk of Heart Failure. Journal of the American College of Cardiology, 69(9), 1129–1142. https://doi.org/10.1016/j.jacc.2016.11.081
Ambrosy, A. P., Fonarow, G. C., Butler, J., Chioncel, O., Greene, S. J., Vaduganathan, M., Nodari, S., Lam, C. S. P., Sato, N., Shah, A. N., & Gheorghiade, M. (2014). The global health and economic burden of hospitalizations for heart failure: lessons learned from hospitalized heart failure registries. Journal of the American College of Cardiology, 63(12), 1123–1133. https://doi.org/10.1016/j.jacc.2013.11.053
Hammond, M. M., Everitt, I. K., & Khan, S. S. (2022). New strategies and therapies for the prevention of heart failure in high-risk patients. Clinical cardiology, 45 Suppl 1(Suppl 1), S13–S25. https://doi.org/10.1002/clc.23839
Schwinger R. H. G. (2021). Pathophysiology of heart failure. Cardiovascular diagnosis and therapy, 11(1), 263–276. https://doi.org/10.21037/cdt-20-302
Whitman, I. R., Agarwal, V., Nah, G., Dukes, J. W., Vittinghoff, E., Dewland, T. A., & Marcus, G. M. (2017). Alcohol Abuse and Cardiac Disease. Journal of the American College of Cardiology, 69(1), 13–24. https://doi.org/10.1016/j.jacc.2016.10.048
Correction to: 2023 Focused Update of the 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. (2023, November 23). European Heart Journal, 45(1), 53–53. https://doi.org/10.1093/eurheartj/ehad613
Valika, A., & Costanzo, M. R. (2017). Sleep-Disordered Breathing During Congestive Heart Failure: To Intervene or Not to Intervene?. Cardiac failure review, 3(2), 134–139. https://doi.org/10.15420/cfr.2017:7:1
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., McEvoy, J. W., Michos, E. D., Miedema, M. D., Muñoz, D., Smith, S. C., Virani, S. S., Williams, K. A., Yeboah, J., & Ziaeian, B. (2019, September). 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary. Journal of the American College of Cardiology, 74(10),1376–1414. https://doi.org/10.1016/j.jacc.2019.03.009
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Hannah Sally Dominic Abraham, Dr. Ghassan Salibi , Prof Nikolaos Tzenios
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.