'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin

Introduction: Progressive Muscle Relaxation Therapy (PMRT) and Energy conservation technique (ECT) has been used among chronic illness patients to reduce symptoms burden and improve quality of life. However, data regarding these therapies among advanced heart failure patients remain limited. This st...

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Main Author:	Zainal Abidin, Mohd Zhafran
Format:	Thesis
Language:	English
Published:	2017
Subjects:	Diseases of the circulatory (Cardiovascular) system
Online Access:	https://ir.uitm.edu.my/id/eprint/61927/1/61927.pdf
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id	my-uitm-ir.61927
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spelling	my-uitm-ir.619272022-06-22T03:45:43Z 'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin 2017-10 Zainal Abidin, Mohd Zhafran Diseases of the circulatory (Cardiovascular) system Physical medicine. Physical therapy. Including massage, exercise, occupational therapy, hydrotherapy, phototherapy, radiotherapy, thermotherapy, electrotherapy Introduction: Progressive Muscle Relaxation Therapy (PMRT) and Energy conservation technique (ECT) has been used among chronic illness patients to reduce symptoms burden and improve quality of life. However, data regarding these therapies among advanced heart failure patients remain limited. This study aimed to evaluate the effects of PMRT and ECT on functional capacity, symptoms assessment scores and quality of life amongst advanced heart failure patients. Methods: This was a 12-week, two-arm, parallel, non-blinded, randomized control trial in a single centre. The study compared 42 patients receiving standard care (SC) against 48 patients receiving “Patient-Empowerment Programme (PEP)” (SC+PMRT+ECT). 90 advanced heart failure patients were enrolled. The intervention group received two PEP reinforcement sessions four weeks apart. Patients were asked to implement the programme at least three times a week at home, using an audio-visual aid. Assessment tools comprised of questionnaires on demographics, 6-minute walking test (6MWT), New York Heart Association (NYHA) classifications, Revised version of the Edmonton Symptoms Assessment System (ESAS-r), Brief Fatigue Inventory (BFI), New York Heart Association (NYHA) Classification and McGill Quality-of-Life Questionnaire (MQOL-R) administered on recruitment and upon study completion. Result: 76 (84.4%) were male. Mean age was 59.93 years (+ 11.16) and majority was from the lower income group. There was a 11.99m (95%CI: 5.99, 15.98) (p <0.05) improvement in the 6MWT between intervention and standard group. All symptoms showed improvement after intervention, however, only the depression and anxiety items were significant. There was improvement in the fatigue scale, functional status and quality of life in the intervention group however it is not statistically significant. Conclusion: ECT and PMRT are useful in reducing depression and anxiety scores, and improve the 6MWT distance. A larger sample size and longer study duration should be conducted to validate this result 2017-10 Thesis https://ir.uitm.edu.my/id/eprint/61927/ https://ir.uitm.edu.my/id/eprint/61927/1/61927.pdf text en public masters Universiti Teknologi MARA (Kampus Sg. Buloh) Faculty of Medicine Katiman, Diana Zainal Abidin, Hafisyatul Aiza Isa, Mohamad Rodi Ahmad Ainuddin, Husna
institution	Universiti Teknologi MARA
collection	UiTM Institutional Repository
language	English
advisor	Katiman, Diana Zainal Abidin, Hafisyatul Aiza Isa, Mohamad Rodi Ahmad Ainuddin, Husna
topic	Diseases of the circulatory (Cardiovascular) system Diseases of the circulatory (Cardiovascular) system
spellingShingle	Diseases of the circulatory (Cardiovascular) system Diseases of the circulatory (Cardiovascular) system Zainal Abidin, Mohd Zhafran 'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
description	Introduction: Progressive Muscle Relaxation Therapy (PMRT) and Energy conservation technique (ECT) has been used among chronic illness patients to reduce symptoms burden and improve quality of life. However, data regarding these therapies among advanced heart failure patients remain limited. This study aimed to evaluate the effects of PMRT and ECT on functional capacity, symptoms assessment scores and quality of life amongst advanced heart failure patients. Methods: This was a 12-week, two-arm, parallel, non-blinded, randomized control trial in a single centre. The study compared 42 patients receiving standard care (SC) against 48 patients receiving “Patient-Empowerment Programme (PEP)” (SC+PMRT+ECT). 90 advanced heart failure patients were enrolled. The intervention group received two PEP reinforcement sessions four weeks apart. Patients were asked to implement the programme at least three times a week at home, using an audio-visual aid. Assessment tools comprised of questionnaires on demographics, 6-minute walking test (6MWT), New York Heart Association (NYHA) classifications, Revised version of the Edmonton Symptoms Assessment System (ESAS-r), Brief Fatigue Inventory (BFI), New York Heart Association (NYHA) Classification and McGill Quality-of-Life Questionnaire (MQOL-R) administered on recruitment and upon study completion. Result: 76 (84.4%) were male. Mean age was 59.93 years (+ 11.16) and majority was from the lower income group. There was a 11.99m (95%CI: 5.99, 15.98) (p <0.05) improvement in the 6MWT between intervention and standard group. All symptoms showed improvement after intervention, however, only the depression and anxiety items were significant. There was improvement in the fatigue scale, functional status and quality of life in the intervention group however it is not statistically significant. Conclusion: ECT and PMRT are useful in reducing depression and anxiety scores, and improve the 6MWT distance. A larger sample size and longer study duration should be conducted to validate this result
format	Thesis
qualification_level	Master's degree
author	Zainal Abidin, Mohd Zhafran
author_facet	Zainal Abidin, Mohd Zhafran
author_sort	Zainal Abidin, Mohd Zhafran
title	'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
title_short	'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
title_full	'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
title_fullStr	'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
title_full_unstemmed	'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin
title_sort	'patient-empowerment programme’ against standard care in advanced heart failure patients - a randomized controlled trial / mohd zhafran zainal abidin
granting_institution	Universiti Teknologi MARA (Kampus Sg. Buloh)
granting_department	Faculty of Medicine
publishDate	2017
url	https://ir.uitm.edu.my/id/eprint/61927/1/61927.pdf
_version_	1783735239777976320

'Patient-Empowerment Programme’ against standard care in advanced heart failure patients - a randomized controlled trial / Mohd Zhafran Zainal Abidin

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