PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
November 30, 2025Jurnal NERS2 citationsOpen Access

Associations of physical activity and mental well-being with resilience in patients with heart failure: a cross-sectional

BKBeti KristinawatiNANavian Fauzi ArifudinRPRafi Abrar Pratama

Key Result

Mental well-being and physical activity were positively but weakly associated with resilience in heart failure patients, together accounting for 12.6% of the variance in resilience.

Study Design

Type

Cross-Sectional (n=140)

Multicenter

No

Structured PICO

Are physical activity and mental well-being associated with resilience in patients with heart failure?

P
Population
140 adults aged 18 to 69 with heart failure (NYHA classes I-IV) attending a cardiac outpatient clinic in Indonesia.
E
Exposure
Physical activity and mental well-being (assessed via IPAQ-SF and DASS-42)
O
Outcome
Resilience (assessed via Adult Resilience Measure-Revised)patient reported

Physical activity and mental well-being are weakly but positively associated with resilience in heart failure patients, suggesting a potential role for combined physical and psychological rehabilitation programs.

Main Result

Effect estimate: R² 0.126

p-value: p=0.001

Limitations

  • Cross-sectional design precludes causal inference.
  • Reliance on self-reported questionnaires (DASS-42 and IPAQ-SF) is susceptible to recall and social-desirability bias.
  • Low R² indicates a substantial proportion of variance in resilience remains unexplained, suggesting unmeasured confounders.
  • Single-centre, purposively sampled cohort limits generalisability to broader populations.

Abstract

Introduction: Heart failure is a common chronic condition that significantly impairs the physical and mental well-being of individuals impacted. Resilience is a dynamic occurrence involving constructive responses to adversity. The researcher aims to investigate the relationship between physical activity and mental health on resilience in heart failure patients. Methods: This study employed a quantitative, cross-sectional design. The population comprised 186 patients with heart failure at the cardiac outpatient department of Surakarta Regional General Hospital. A total of 140 participants were selected from this population using purposive sampling, based on specific criteria. The dependent variable is resilience, and the independent variables are physical activity and mental well-being. The data were gathered through the Adult Resilience Measure-Revised (ARM-R), the Mental Health Questionnaire incorporating the Depression, Anxiety, Stress Scale (DASS-42), and the Physical Activity Questionnaire derived from the International Physical Activity Questionnaire-Short Form (IPAQ-SF). The analyses used were the chi-square test and multiple linear regression analysis. Results: This study found a weak, positive relationship between mental well-being, physical activity, and resilience, with a combined R-value of 0.355. The R² value of 0.126 indicates that mental well-being and physical activity together account for 12.6% of the variance in resilience. The remaining 87.4% of the variance is due to other undetermined factors. Conclusions: Physical activity and mental well-being are positively, though weakly, related to resilience in heart failure patients. Both still contribute to improving resilience. Therefore, rehabilitation programs combining moderate physical activity and psychological support are recommended to enhance resilience and quality of life.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Kristinawati et al. (2025) conducted a cross-sectional in Heart failure (n=140). Physical activity and mental well-being was evaluated on Resilience (measured by Adult Resilience Measure-Revised) (R² 0.126, p=0.001). Mental well-being and physical activity were positively but weakly associated with resilience in heart failure patients, together accounting for 12.6% of the variance in resilience.

synapsesocial.com/papers/6aa2b18681c14275e1240ddfhttps://doi.org/10.20473/jn.v20i4.71838
Ask AI
Helpful
Bookmark
Share
View Full Paper