Volume 27, Issue 3 (Autumn-In Press 2026)
jrehab 2026, 27(3): 0-0 |
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Ethics code: IR.MAZUMS.REC.1402.386
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alizadeh saravi Z, Bagheri – Nesami M, Madani Z, Ranjbar M, Hosseinnataj A. The Effect of Cardiac Rehabilitation Program on Severity of Dyspnea and the Indicators Amount of 6-minute Walking Test in Patients with Heart Failure. jrehab 2026; 27 (3)
URL: http://rehabilitationj.uswr.ac.ir/article-1-3635-en.html
URL: http://rehabilitationj.uswr.ac.ir/article-1-3635-en.html
Zahra Alizadeh saravi1 
, Masoumeh Bagheri – Nesami *2 , Zahra Madani3 , Maryam Ranjbar4 , Abolfazl Hosseinnataj5
, Masoumeh Bagheri – Nesami *2 , Zahra Madani3 , Maryam Ranjbar4 , Abolfazl Hosseinnataj5
1- Student Research Committee, Mazandaran University of Medical Sciences, Sari, Iran.
2- Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran. & World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China. ,ann3043@gmail.com
3- Department of Sports Medicine, Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
4- Department of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
5- Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
2- Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran. & World Federation of Acupuncture-Moxibustion Societies (WFAS), Beijing, China. ,
3- Department of Sports Medicine, Traditional and Complementary Medicine Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
4- Department of Cardiology, Cardiovascular Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
5- Department of Biostatistics and Epidemiology, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.
Abstract: (18 Views)
Background and Aim: Regarding to the high prevalence of heart failure and its complications on various aspects of life, including decreased exercise tolerance and dyspnea, this study goaled to determine the influence of a cardiac rehabilitation program on the severity of dyspnea and the 6-minute walk test indices in patients with heart failure.
Methods: In this randomized controlled clinical trial, 74 patients with heart failure hospitalized in cardiac intensive care units were studied. In the intervention group, 37 patients underwent a one-month cardiac rehabilitation program for three sessions once a week, each session continuing one hour, in the control group (37 patients) they received only conventional drug treatments. Demographic and medical information forms, the modified Medical Research Council (mMRC) dyspnea scale, and 6-minute walk test indices (systolic and diastolic blood pressure, heart rate, SpO2, corridor length) were used. Data were measured before and one month after the intervention in two groups. Data analysis was done using SPSS version 22.
Results: There was no statistically significant difference in the mean severity of dyspnea before the study in the intervention and control groups (p=0.366). After a month of intervention, a statistically significant difference was observed in the comparison of the two groups and before and after the intervention in each team (p<0.001). In the study of the 6-minute walk test indicators, there was no statistically significant difference between the two teams in the intervention and control before the intervention (p<0.05). However, after a month of intervention, a statistically significant difference was observed between the two teams only in the corridor length variable (p<0.001).
Conclusion: The results showed that performing a combined aerobic and resistance exercise program reduced the severity of dyspnea and improved corridor length in patients with heart failure after discharge. Therefore, training in these exercises is recommended as a complementary treatment alongside drug treatment during discharge from the hospital.
Keywords: Cardiac Rehabilitation; Dyspnea; Six-Minute Walk Test; Heart Failure
Methods: In this randomized controlled clinical trial, 74 patients with heart failure hospitalized in cardiac intensive care units were studied. In the intervention group, 37 patients underwent a one-month cardiac rehabilitation program for three sessions once a week, each session continuing one hour, in the control group (37 patients) they received only conventional drug treatments. Demographic and medical information forms, the modified Medical Research Council (mMRC) dyspnea scale, and 6-minute walk test indices (systolic and diastolic blood pressure, heart rate, SpO2, corridor length) were used. Data were measured before and one month after the intervention in two groups. Data analysis was done using SPSS version 22.
Results: There was no statistically significant difference in the mean severity of dyspnea before the study in the intervention and control groups (p=0.366). After a month of intervention, a statistically significant difference was observed in the comparison of the two groups and before and after the intervention in each team (p<0.001). In the study of the 6-minute walk test indicators, there was no statistically significant difference between the two teams in the intervention and control before the intervention (p<0.05). However, after a month of intervention, a statistically significant difference was observed between the two teams only in the corridor length variable (p<0.001).
Conclusion: The results showed that performing a combined aerobic and resistance exercise program reduced the severity of dyspnea and improved corridor length in patients with heart failure after discharge. Therefore, training in these exercises is recommended as a complementary treatment alongside drug treatment during discharge from the hospital.
Keywords: Cardiac Rehabilitation; Dyspnea; Six-Minute Walk Test; Heart Failure
Type of Study: Original |
Subject:
Nursing
Received: 15/05/2025 | Accepted: 28/06/2026 | Published: 23/09/2026
Received: 15/05/2025 | Accepted: 28/06/2026 | Published: 23/09/2026
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This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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