Acute decompensated heart failure
Conditions
Interventions
Control group:Routine care (including health education, psychological support, and exercise guidance from the Rehabilitation Department)
follow-up via telephone or outpatient visit at one and three months after discharge.
Experimental group:Integrated Care Plan: Routine Care + PERMA-Based Early Rehabilitation Intervention for Exercise Fear in ADHF Patients
P (Positive Emotion): Psychoeducation, relaxation training, min
Sponsors
Zunyi Medical University Affiliated Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >=18 years. 2. Meet the clinical and guideline diagnostic criteria for Acute Decompensated Heart Failure (ADHF). 3. Score > 37 points on the Tampa Scale for Kinesiophobia-Heart (TSK-H) or a validated cardiac-specific fear of movement questionnaire. 4. Normal limb function, classified as New York Heart Association (NYHA) Functional Class II–IV, and in a clinically stable condition. 5. Clinically stable for 24 hours following optimized medical therapy. 6. Ability to independently perform basic activities of daily living prior to hospital admission, including independent walking (with or without assistive devices). 7. Clear consciousness and adequate literacy skills. 8. Absence of psychiatric disorders or cognitive impairment. 9. Provision of informed consent and voluntary participation in the study.
Exclusion criteria
Exclusion criteria: 1.Patients with severe diseases such as respiratory failure, chronic renal failure or tumors; 2.Acute coronary syndrome within 2 days; 3. Chest pain within 8 hours, or combined with mechanical complications; 4. Lethal arrhythmia, high-level atrioventricular block, new-onset atrial fibrillation or atrial flutter; 5. Patients requiring cardiac pacemakers, implantable cardioverter defibrillators (ICD) or ventricular assist devices, or those waiting for heart transplantation within the next 6 months; 6. Death during hospitalization; 7. Severe language expression, hearing, vision or limb function disorders.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of kinesiophobia; perceived self-efficacy;quality of life;Readmission Rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac function(6-Minute Walk Test,6MWT/NTProBNP Test);Risk of Thrombosis(D-dimer Test);Anxiety (ANX);Depression (DEP);Average Length of Stay (ALOS); | — |
Countries
China
Contacts
Public ContactMei Lu
Zunyi Medical University Affiliated Hospital
Outcome results
None listed