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Physical Exercise in Patients with Acute Heart Failure: Skills Development of the Rehabilitation Nurse Specialist
Session:
Sessão de Posters 58 - Otimizar os cuidados cardiovasculares: perspetivas de enfermagem e de técnicos de cardiopneumologia
Speaker:
Pedro Guerra Silva
Congress:
CPC 2026
Topic:
M. Cardiovascular Nursing
Theme:
32. Cardiovascular Nursing
Subtheme:
32.3 Cardiovascular Nursing - Other
Session Type:
Posters Eletrónicos
FP Number:
---
Authors:
Pedro Guerra; Inês Rocha; José Miguel Padilha
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Cambria,serif"><span style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif">Acute heart failure (AHF) is a major cause of hospitalisation in adults over 65 years of age, being associated with high morbidity, functional dependence, and risk of relapse. Evidence supports the early integration of cardiac rehabilitation, highlighting exercise training as a safe and effective intervention. In this context, the Specialist Nurse in Rehabilitation Nursing (SERN) plays a central role, although difficulties in standardisation and some resistance to its implementation persist.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Cambria,serif"><span style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif">This project aimed to develop competencies among SERN for the planning and delivery of exercise training in individuals with AHF. Conducted in the Cardiology Department of a local health unit in northern Portugal, it followed a Quality Improvement Project methodology, supported by an integrative literature review. For the baseline assessment, a knowledge questionnaire was administered to all SERN in the unit, covering five domains: AHF pathophysiology and symptomatology; cardiac rehabilitation; exercise planning (FITT-VP); safety criteria; and discharge planning. Based on the identified needs, a training session was implemented, after which the questionnaire was reapplied to assess changes in knowledge.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Cambria,serif"><span style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif">An overall improvement in knowledge was observed, most notably in exercise planning (mean increase of 18.57%), followed by AHF pathophysiology/symptomatology and the fundamentals of cardiac rehabilitation (both +10%). Safety criteria showed a gain of 3.3%, while discharge planning demonstrated a slight decrease. These results reflect effective gains in the technical-scientific knowledge required for the safe and individualised delivery of exercise training during the acute phase.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:12.0pt"><span style="font-family:"Calibri",sans-serif">The intervention achieved the proposed objectives, strengthening clinical decision-making and the safety of rehabilitation practices. Despite limitations such as the small sample size and the density of the content addressed, the methodology used shows potential for adaptation and replication in other specialised care contexts, emphasising the importance of continuous training and scientific updating in Rehabilitation Nursing, particularly when caring for individuals with AHF.</span></span></p>
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