Hospitalization
Conditions
Interventions
Crossover Clinical Trial that will be carried out in an emergency unit of a hospital in the interior of the state of São Paulo, which will evaluate a convenience sample of around 30 individuals, of bo
F04.754.137.506.662
N02.278.216.500.968.336
Sponsors
Universidade do Oeste Paulista
Universidade do Oeste Paulista
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 43 years or over, of both genders, with heart failure, admitted to the emergency room and with a prescription for motor and respiratory physiotherapy will be included.
Exclusion criteria
Exclusion criteria: Patients with mean arterial pressure 120 millimeters of mercury (mmHg), heart rate 140 beats per minute (bpm), need for vasoactive medication, respiratory rate > 35 inspiration per minute (ipm) will be excluded from the study , acute clinical worsening, sleepy, uncooperative or unable to follow commands, individuals in contact precaution and in orotracheal intubation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The following hemodynamic parameters will be evaluated before and after (1st, 3rd, 5th and 10th minute) both interventions: Heart rate will be determined by Polar heart rate monitor model S810i (Polar Electro, Finland). Systolic and diastolic blood pressure will be checked by Premium® sphygmomanometer (Wenzhou, Zhejiang China) and Littiman® stethoscope (class III model, St. Paul, Minnesota, USA), according to the VII Brazilian Guidelines on Hypertension. Partial oxygen saturation will be analyzed using a Quanta OX-201 digital finger oximeter. The double product will be obtained by multiplying the heart rate (measured in bpm) by the systolic blood pressure (measured in mmHg). | — |
Secondary
| Measure | Time frame |
|---|---|
| Will be evaluated before and after both interventions the mood and levels of anxiety and depression. Mood state will be assessed using the Brunel Mood Scale (BRUMS), validated in Brazil by Rohlfs and designed to provide rapid measurement of mood for cardiovascular rehabilitation programs to detect overtraining syndrome. This instrument comprises 24 mood indicators, divided into six subscales: anger, confusion, depression, fatigue, tension and vigor, and the sum of each subscale results in a score that can range from 0 to 16. The patient responds as experience such sensations through a 5-point scale (from 0=nothing and 4=extremely). The condition is set in the question “How do you feel now”, although other ways: “How have you been feeling for the last week, including today” or “How do you normally feel” can be used. The levels of anxiety and depression will be assessed using the Hospital Anxiety and Depression Scale (HADS), translated and validated by Botega, Bio, Zomignani, Garcia Jr. and Pereira (1995). It has 14 items with 7 for anxiety (HADS-A) and 7 for depression (HADS-D), with each item scoring from 0 to 3 for a total of 21 points for the scale. The cutoff value for each scale is = 9. | — |
Countries
Brazil
Contacts
Public ContactClynton Correa
Outcome results
None listed