Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients

Abstract Objective To observe how cognitive behavioral intervention affects physical symptoms, B-type Natriuretic Peptide (BNP), Red Cell Distribution Width (RDW), and C-reactive Protein (CRP) in elderly patients with heart failure. Methods Convenient sampling method was used to select 98 elderly he...

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Main Authors: Xiaoyan Li, Meixia Zhang, Zepeng Ren, Junfen Deng
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-024-03315-4
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author Xiaoyan Li
Meixia Zhang
Zepeng Ren
Junfen Deng
author_facet Xiaoyan Li
Meixia Zhang
Zepeng Ren
Junfen Deng
author_sort Xiaoyan Li
collection DOAJ
description Abstract Objective To observe how cognitive behavioral intervention affects physical symptoms, B-type Natriuretic Peptide (BNP), Red Cell Distribution Width (RDW), and C-reactive Protein (CRP) in elderly patients with heart failure. Methods Convenient sampling method was used to select 98 elderly heart failure patients who visited our hospital from January 2022 to December 2020. Patients were divided into a control group and an observation group using the red and blue ball method, with 49 cases in each group. Control group received routine intervention, while observation group received cognitive behavioral intervention on the basis of control group. The changes in the somatosensory scale scores of patients with heart failure before and after routine treatment were recorded. The changes in blood BNP, RDW, and CRP levels were measured before and within 4 weeks, 8 weeks after intervention. Results After intervention, the dimensions and total scores of DHFq scale in observation group were lower than control group’s during the same period (P < 0.05). The total DHFq scale score in observation group improved faster (P < 0.05). Both groups of patients showed a decrease in BNP after intervention compared to before (P < 0.05). The levels of DNP, RDW, and CRP in observation group after intervention were lower than control group’s (P < 0.05). Conclusion Cognitive behavioral intervention for elderly patients with heart failure can alleviate their physical symptoms, promote the improvement of vascular function indicators BNP and RDW, and reduce inflammatory factor CRP in the body, reducing the burden on the healthcare system.
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spelling doaj-art-e69e38df82204d4d87cfdac0826f4ce52025-01-26T12:51:56ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-0120111010.1186/s13019-024-03315-4Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patientsXiaoyan Li0Meixia Zhang1Zepeng Ren2Junfen Deng3Cardiovascular Department 2, Ordos School of Clinical Medicine, I.M.M.UDepartment of Medicine, Ordos Institute of TechnologyCardiovascular Department 2, Ordos School of Clinical Medicine, I.M.M.UDepartment of Medicine, Ordos Institute of TechnologyAbstract Objective To observe how cognitive behavioral intervention affects physical symptoms, B-type Natriuretic Peptide (BNP), Red Cell Distribution Width (RDW), and C-reactive Protein (CRP) in elderly patients with heart failure. Methods Convenient sampling method was used to select 98 elderly heart failure patients who visited our hospital from January 2022 to December 2020. Patients were divided into a control group and an observation group using the red and blue ball method, with 49 cases in each group. Control group received routine intervention, while observation group received cognitive behavioral intervention on the basis of control group. The changes in the somatosensory scale scores of patients with heart failure before and after routine treatment were recorded. The changes in blood BNP, RDW, and CRP levels were measured before and within 4 weeks, 8 weeks after intervention. Results After intervention, the dimensions and total scores of DHFq scale in observation group were lower than control group’s during the same period (P < 0.05). The total DHFq scale score in observation group improved faster (P < 0.05). Both groups of patients showed a decrease in BNP after intervention compared to before (P < 0.05). The levels of DNP, RDW, and CRP in observation group after intervention were lower than control group’s (P < 0.05). Conclusion Cognitive behavioral intervention for elderly patients with heart failure can alleviate their physical symptoms, promote the improvement of vascular function indicators BNP and RDW, and reduce inflammatory factor CRP in the body, reducing the burden on the healthcare system.https://doi.org/10.1186/s13019-024-03315-4Cognitive behavioral interventionElderly heart failureBNPRDWCRP
spellingShingle Xiaoyan Li
Meixia Zhang
Zepeng Ren
Junfen Deng
Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
Journal of Cardiothoracic Surgery
Cognitive behavioral intervention
Elderly heart failure
BNP
RDW
CRP
title Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
title_full Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
title_fullStr Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
title_full_unstemmed Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
title_short Effect of cognitive behavioral intervention on physical symptoms, B-type natriuretic peptide, red cell distribution width, C-reactive protein in elderly heart failure patients
title_sort effect of cognitive behavioral intervention on physical symptoms b type natriuretic peptide red cell distribution width c reactive protein in elderly heart failure patients
topic Cognitive behavioral intervention
Elderly heart failure
BNP
RDW
CRP
url https://doi.org/10.1186/s13019-024-03315-4
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