Heart Failure. Heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged between 18 and 65 years clinical diagnosis of HF levels 1, 2 and 3 according to the New York Heart Association classification system (NYHA) by a cardiologist and left ventricular ejection fraction less than 40% based on echocardiography Have acute coronary artery syndrome for the past 2 weeks or coronary artery bypass graft disease or medical surgery based on a diagnosis made by a cardiologist be able to read, write and fill out questionnaires not having severe depression based on the CDS questionnaire (scoring less than 100) having good cognitive function (score above 22 in MMSE test) having a score less than 70 in self-care behavior scale
Exclusion criteria
Exclusion criteria: History of claudication, clinical instability, ventricular arrhythmia, primary valve disease, congenital heart disease, hypertrophic or restrictive cardiomyopathy, myocarditis, COPD and pericardial effusion, and history of myocardial infarction in the previous month, acute coronary artery syndrome during the last 2 weeks or patients with coronary artery bypass graft or heart surgery, , , , i Being a recipient of other occupational therapy services Having vision and hearing problems that prevent communication Hospitalization at the time of implementing the intervention, Living in maintenance institutions Having unstable angina or high blood pressure Having any psychiatric disorder treated based on medical documentation Having any neurological or psychological disorders that impair the ability to walk or cognitive function Infection with COVID-19 at the time of intervention Having myocarditis, severe COPD and pericardial effusion and a history of myocardial infarction in the previous month and uncontrolled diabetes and kidney failure based on medical documentation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Self-care Behavior. Timepoint: Before the intervention, after the end of the intervention and in the follow-up, one month after the end of the intervention. Method of measurement: self-care of heart failure index.;Participation. Timepoint: Before the intervention, after the end of the intervention and in the follow-up, one month after the end of the intervention. Method of measurement: Canadian Occupational Performance Measure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-efficacy. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Cardiovascular Management Self Efficacy Scale.;Quality of life. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Minnesota Living with Heart Failure Questionnaire.;Physical Functional Capacity. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: 6 Minute Walk Test.;Activity of Daily Living. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Lawton questionnaires.;Fatigue. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Fatigue Severity Scale.;Depression. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Beck Depression Inventory-II.;Cognition level. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Mini Mental Status Examination.;Social Support. Timepoint: Before the intervention, after the end of the intervention and in the follow-up period one month after the end of the intervention. Method of measurement: Social Support Scale. | — |
Countries
Iran (Islamic Republic of)
Contacts
Iran University of Medical Sciences