Adherence of Heart Failure Patients to Exercise
Adherence of Heart Failure Patients to Exercise
Motivational factors are those which cause someone to behave or act in either a goal-seeking or satisfying manner. There is only limited literature describing factors that increase the motivation for physical activity. These are mainly related to the factors associated with the patients themselves, the social interaction during exercise, the condition of the patient, and the therapy. In a small qualitative study of 22 HF patients (seven women) in New York Heart Association (NYHA) functional class I–III, patients who were self-motivated to be more active were better able to describe tangible benefits of exercise such as maintaining autonomy, or reducing dizziness. Interestingly, they seldom mentioned benefits specifically related to their HF.
Cardiac patients in general report different motivational aspects related to following the advice to exercise such as increasing self-confidence, to 'sorting your life out', to improving performance of tasks at home, enjoyment of exercise, or to improve appearance. The factors might be motivating to HF patients, since regular exercise might increase their abilities to do more daily activities and tasks at home, leading to a more highly valued independence.
Another motivating factor might be a higher social interaction either with family members or with others. Although HF patients do not always have a strong social support system, they might be motivated to be active in an exercise group or with family members in order to be less isolated.
In general, motivational factors reported by men and women differed. Men's motivational factors were often related to getting physically fit (health, weight loss) and professional support, whereas women reported factors related to social interaction, social support, and prevention of osteoporosis.
Motivation
Motivational factors are those which cause someone to behave or act in either a goal-seeking or satisfying manner. There is only limited literature describing factors that increase the motivation for physical activity. These are mainly related to the factors associated with the patients themselves, the social interaction during exercise, the condition of the patient, and the therapy. In a small qualitative study of 22 HF patients (seven women) in New York Heart Association (NYHA) functional class I–III, patients who were self-motivated to be more active were better able to describe tangible benefits of exercise such as maintaining autonomy, or reducing dizziness. Interestingly, they seldom mentioned benefits specifically related to their HF.
Cardiac patients in general report different motivational aspects related to following the advice to exercise such as increasing self-confidence, to 'sorting your life out', to improving performance of tasks at home, enjoyment of exercise, or to improve appearance. The factors might be motivating to HF patients, since regular exercise might increase their abilities to do more daily activities and tasks at home, leading to a more highly valued independence.
Another motivating factor might be a higher social interaction either with family members or with others. Although HF patients do not always have a strong social support system, they might be motivated to be active in an exercise group or with family members in order to be less isolated.
In general, motivational factors reported by men and women differed. Men's motivational factors were often related to getting physically fit (health, weight loss) and professional support, whereas women reported factors related to social interaction, social support, and prevention of osteoporosis.
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