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Below is what I was expecting so this is a presentation should be 5 minutes long about my
journal down below on how it was, answering the questions.
1.Message is exceptionally appropriate for the purpose, occasion, and audience, and has a
clear and identified purpose.
2.Uses specific professional nursing sources to support main points that are high quality
and varied.
3. Uses excellent organizational structure and smooth transitions between main points.
4.Speaker uses language that is exceptionally clear, vivid, and appropriate.
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Impact of lock-down on patients with congestive heart failure during the coronavirus
disease 2019 pandemic.
In general, physical and social isolation, psychological discomfort, poor adherence to
medication, and the rise of poor lifestyle choices have been linked to the COVID-19
pandemic and subsequent lock-down. Congestive heart failure (CHF), in addition to other
cardiovascular co-morbidities, significantly changes the outcome of coronavirus illness
(COVID-19). Psychological distress is commonly linked to negative behaviors in CHF
patients, including decreased physical activity, poor food intake, decreased treatment
adherence, and substance use, which is exacerbated worse with the isolation and loneliness,
according to (Chague, F. et al., 2021). Stress can cause the sympathetic nervous system to
react in a way that can lead to instability. Drinking alcohol has the potential to damage heart
health and lead to dangerous arrhythmias. Additionally, some media advertisements
implied the benefits of tobacco usage and the drawbacks of SRI use, which might have
affected drug compliance and smoking-related behaviors. However, individuals with
chronic diseases may be more affected by the particular stress brought on by the epidemic
(Chague, F., et al, 2021).
Aims and Methods
The purpose of this study was to examine how a community of CHF outpatients' health
indicators and behaviors were affected by the COVID-19 outbreak and lock-down. This
questionnaire had previously been tested on ten people (members of our research group)
as part of an internal procedure to assess compliance (understanding, coherence, and
dependability. , and this led to adjustments to the questions about drug and nicotine use

2. (Chague, F. et al., 2021). This internal procedure was conducted during the sixth and
seventh weeks when the country was on lock-down. 150 CHF patients at random from the
cohort (45.0%) of the heart failure clinic at Dijon University Hospital received the
anonymous questionnaire. Eight HF outpatients who weren't receiving care in our clinic
were used to telephone-test the questionnaire, and no revisions were determined to be
necessary (Chague, F, et al, 2021). Interquartile ranges (IQRs) or means and standard
deviation were used to express continuous variables (SD). When comparing dichotomous
data, Fisher's tests were employed, and when comparing continuous variables, Student's t
tests or Mann-Whitney tests were applied, as necessary (Chague, F, et al, 2021).
Additionally, the respondents had a mean age of 71.0 years and 14.0 years, lived in
metropolitan regions, and were male (60.5%). (EF). Women and men were separated by six
years. Patients who reported complying with the national lock-down policies made up
120,96.8% of the total. Moreover, a fifth (n=27), mostly women, said they felt worse than
they did before the lock-down. The typical K6score was 2, (IQR:0-3). 10% of respondents
said they have changed their HF medications, but only after getting a doctor's prescription.
According to seven individuals, increased use of diuretics was linked to an increase in
symptoms, which tended to be more common in women than in men (P=0.074) (Chague, F.
et al., 2021). 16.1% of patients had a medical checkup during the lock-down. 16 of the 23
patients who participated in a phone teleconsultation originally intended to receive an in-
person physical examination but changed their plans as a result of the situation.
Results and Limitations
The majority of patients (70.2%) and those with HF who had a lower ejection fraction
(38.7%) underwent therapy. 18.5% of people reported having mental discomfort (Kessler 6
score of 5), and 21.8% said they felt worse than they did prior to the lockdown. Only a small
number of patients (n=10) who regularly followed a doctor's prescription for HF
medications changed their dosage. The prevalence of decreased physical activity was
41.9%, and it was more common among women (P=0.025) and city dwellers (P=0.009).
Only a small minority (4.0%) of respondents (50%) said they drank more alcohol, while the
majority (46.0%) said they spent more time on screens. 27.4% of persons put on weight,
while 44.4% of smokers who were already regulars upped their intake. Less participants
(14.5%) adhered to the suggested salt or fluid intake restrictions. The prevalence of
increased HF symptoms was high (21.8%), and women were more likely than men to report
having them (P=0.074). During the outbreak, 16 of the 23 patients who underwent phone
teleconsultations had previously scheduled in-person consultations. Access to care issues
could make it harder to manage CHF and have a negative impact on the lifestyle decisions,
dietary routines, and medication compliance that are the cornerstones of CHF therapy
(Chague, F, et al, 2021).
Conclusion
Our findings showed a major fall in health, which was attributed to psychological distress as
well as a rise of clinical symptoms of HF instability. Furthermore, as indicated by our
interviews, which were conducted more than 5 weeks after the lock-down started, the
detrimental impacts of the present epidemic are going to be long-lasting. (Chague, F, et al,
2021) revealed that more than 40% of our patients with CHF acknowledged that they had

3. developed harmful habits including smoking more frequently and engaging in less physical
activity. It's interesting to note that people who live in rural areas are less likely to limit
their exercise, which may be due to easier access to environments that encourage fitness.
Only 5% of participants said they were drinking more, compared to 15% of patients who
said they were drinking less. These findings could be explained by the difficulty in finding
bars and the drop in drinking out with friends or family. It's noteworthy to note that one
patient in every seven acknowledged to deviating from the recommended dietary limits for
salt and/or fluids. For CHF patients, following dietary advice is a vital concern that is usually
challenging in daily life. In conclusion, CHF outpatients appear to follow lock down
protocols and drug compliance to a considerable extent. But as dangerous lifestyle practices
grow, our data demonstrate reductions in well-being and cardiovascular health indicators.
Long-term illness severity may be significantly impacted by these changes. According to our
research, the COVID-19 outbreak may speed up the adoption of telemedicine, a resource-
effective approach to treating CHF patients. However, an encouraging rise in telemedicine
use helped to somewhat offset the lock down-related hurdles to healthcare access.
References
Chague, F., Boulin, M., Eicher, J. C., Bichat, F., Saint-Jalmes, M., Cransac-Miet, A., Soudry, A.,
Danchin, N., Laurent, G., Cottin, Y., & Zeller, M. (2021). Impact of lock down in patients with
congestive heart failure during the covid-19 pandemic. European Journal of Preventive
Cardiology, 28(Supplement_1). https://doi.org/10.1093/eurjpc/zwab061.031