{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T04:13:42Z","timestamp":1748492022659,"version":"3.41.0"},"reference-count":34,"publisher":"Baishideng Publishing Group Inc.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Psychiatry"],"abstract":"<jats:p>BACKGROUND<\/jats:p>\n          <jats:p>As the aging process has accelerated, psychological problems in older patients with chronic heart failure (CHF) have become increasingly prominent, significantly affecting their quality of life and prognosis. This study explored a sports rehabilitation program based on the concept of medical care-family integration to provide patients with comprehensive and effective rehabilitation interventions and improve their health status.<\/jats:p>\n          <jats:p>AIM<\/jats:p>\n          <jats:p>To explore the effects of medical care-family integration-based exercise rehabilitation in older patients with CHF and psychological problems.<\/jats:p>\n          <jats:p>METHODS<\/jats:p>\n          <jats:p>Data from 118 older patients with CHF and psychological problems were retrospectively analyzed. Patients were divided into conventional (n  = 56) and exercise rehabilitation groups (n  = 62). The results of the 6-min walking distance (6 MWD), N-terminal B-type natriuretic peptide (NT-proBNP), left ventricular end-diastolic diameter (LVEDD), left ventricular ejection fraction (LVEF), Minnesota living with heart failure questionnaire (MLHFQ), generalized anxiety disorder-7 (GAD-7) scale, 9-item patient health questionnaire (PHQ-9) and Athens insomnia scale (AIS) were compared before and after intervention.<\/jats:p>\n          <jats:p>RESULTS<\/jats:p>\n          <jats:p>After intervention, there were significant differences in the number of patients with depression and anxiety between the two groups. There was also a significant difference in the distribution of sleep disorders. The PHQ-9 score, GAD-7 score, AIS score, NT-proBNP value, LVEDD value, physical field, emotional field, other fields, and MLHFQ total scores were lower in the exercise rehabilitation group compared to the conventional rehabilitation group, while the 6 MWD and LVEF values were higher compared to the conventional rehabilitation group (P  &lt; 0.05). During the intervention period, the readmission rate of the exercise rehabilitation group (1.61%) was significantly lower than that of the conventional rehabilitation group (12.50%) (\u03c7 2 = 3.930, P  = 0.047).<\/jats:p>\n          <jats:p>CONCLUSION<\/jats:p>\n          <jats:p>This exercise rehabilitation program with medical care-family integration can improve cardiac function and quality of life, alleviate psychological problems, and reduce readmission rates in older patients with CHF.<\/jats:p>","DOI":"10.5498\/wjp.v15.i6.105855","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T02:07:01Z","timestamp":1748484421000},"source":"Crossref","is-referenced-by-count":0,"title":["Exercise rehabilitation based on medical care-family integration in older patients with chronic heart failure and psychological problems"],"prefix":"10.5498","volume":"15","author":[{"given":"Can","family":"Ao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu","family":"Zhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2874"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-020-09987-z"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1306150"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1097\/JXX.0000000000000701"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15657"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1055\/a-1198-5573"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-70371-0"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-018-1465-y"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1200\/OP.20.00958"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2304144"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.cn112148-20231101-00405"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.09.131"},{"key":"B13","unstructured":"Locke AB, Kirst N, Shultz CG. 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