Adherence of heart failure patients to exercise: barriers and possible solutions A position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology

被引：259

作者：

Conraads, Viviane M. ^{[1
,2
]}

Deaton, Christi ^{[3
,4
]}

Piotrowicz, Ewa ^{[5
]}

Santaularia, Nuria ^{[6
]}

Tierney, Stephanie ^{[3
]}

Piepoli, Massimo F. ^{[7
]}

Pieske, Burkert ^{[8
]}

Schmid, Jean-Paul ^{[9
,10
]}

Dickstein, Kenneth ^{[11
,12
]}

Ponikowski, Piotr P. ^{[13
]}

Jaarsma, Tiny ^{[14
]}

机构：

[1] Univ Antwerp Hosp, Dept Cardiol, B-2650 Edegem, Belgium

[2] Univ Antwerp, B-2020 Antwerp, Belgium

[3] Univ Manchester, Sch Nursing Midwifery & Social Work, Manchester, Lancs, England

[4] Cent Manchester NHS Fdn Trust, Manchester, Lancs, England

[5] Inst Cardiol, Dept Cardiac Rehabil & Noninvas Electrocardiol, Warsaw, Poland

[6] Xarxa Assistencial Univ Manresa, Dept Rehabil, Barcelona, Spain

[7] AUSL Piacenza, G da Saliceto Hosp, Dept Cardiac, Heart Failure Unit, Piacenza, Italy

[8] Med Univ Graz, Dept Cardiol, Graz, Austria

[9] Univ Hosp Bern, Dept Cardiol Cardiovasc Prevent & Rehabil, Bern, Switzerland

[10] Univ Bern, CH-3012 Bern, Switzerland

[11] Univ Bergen, Bergen, Norway

[12] Stavanger Univ Hosp, Stavanger, Norway

[13] Mil Hosp, Med Acad, Dept Heart Dis, Wroclaw, Poland

[14] Linkoping Univ, Fac Hlth Sci, Dept Social & Welf Studies, Norrkoping, Sweden

来源：

EUROPEAN JOURNAL OF HEART FAILURE | 2012年 / 14卷 / 05期

关键词：

Adherence; Exercise training; Barriers; Heart failure; CARDIAC REHABILITATION PROGRAM; PHYSICAL-ACTIVITY; SOCIAL SUPPORT; SELF-EFFICACY; WOMEN; HOME; PREDICTORS; MANAGEMENT; PREVENTION; GUIDELINES;

D O I：

10.1093/eurjhf/hfs048

中图分类号：

R5 [内科学];

学科分类号：

100201 [内科学];

摘要：

The practical management of heart failure remains a challenge. Not only are heart failure patients expected to adhere to a complicated pharmacological regimen, they are also asked to follow salt and fluid restriction, and to cope with various procedures and devices. Furthermore, physical training, whose benefits have been demonstrated, is highly recommended by the recent guidelines issued by the European Society of Cardiology, but it is still severely underutilized in this particular patient population. This position paper addresses the problem of non-adherence, currently recognized as a main obstacle to a wide implementation of physical training. Since the management of chronic heart failure and, even more, of training programmes is a multidisciplinary effort, the current manuscript intends to reach cardiologists, nurses, physiotherapists, as well as psychologists working in the field.

引用

页码：451 / 458

页数：8

共 62 条

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