Adherencia al ejercicio mediante telerehabilitación cardíaca en pacientes con insuficiencia cardíaca

Abstract

Following the SARS-CoV-2 outbreak, healthcare systems were impacted by the outbreak of SARS-CoV-2, which had an impact on care models. Because of these interruptions in care, the implementation of a cardiac telerehabilitation program was sought through video calls. For this reason, the aim of the present study was to determine adherence to exercise through cardiac telerehabilitation in patients with heart failure. This vision seeks for older adults to benefit, through exercise, by reducing or controlling cardiovascular risk factors, thus improving their quality of life and survival. Methodologically, a quali-quantitative approach was applied, the Morisky-Green test; and the results that we measured in Phase I, of the total sample, 5 patients presented low adherence, answering 3 and 4 questions affirmatively, 45.5% of the sample; 4 patients presented moderate adherence, 1 or 2 positive answers, 36.4% of the sample; and 2 patients with high adherence, 4 negative answers equivalent to 18.2%. And at the end of the Phase III intervention, 11 patients answered 4 questions negatively, high adherence, which corresponds to 100% of the sample. When processing with xvii

Wilcoxon signed Rank test, if the null hypothesis was rejected, defining that the treatment is adhered for the elderly; And to confirm the benefits of the program, in a cross-sectional and descriptive type, the results of the SPPB test are correlated, when processing with MannWhitney

U we point out that it is false since it did not present significance in the scores obtained accepting the nullity of the hypothesis denoting that when starting the program 2 elderly adults are qualified as frail with great limitations, equivalent to 18. 2% and moderate frailty presented 9 which corresponds to 81.8%; and in Phase III adults with mild frailty 2 adults corresponding to 18.2% and without frailty 9 adults corresponding to 9%; And when describing the results of the M6M, at the beginning of the program 11 patients presented bad performance, 100% and at the end of the program 8 patients presented bad performance, 72.7%; 1 patient presented moderate performance, 9.1% and 2 patients reached meters that were considered good performance, which is equivalent to 18.2%.