行为管理对轻度心力衰竭患者生活质量的影响：一项随机对照试验。
Effect of behavioral management on quality of life in mild heart failure: a randomized controlled trial.
作者信息
Shively Martha, Kodiath Mary, Smith Tom L, Kelly Ann, Bone Patricia, Fetterly Lizz, Gardetto Nancy, Shabetai Ralph, Bozzette Samuel, Dracup Kathleen
机构信息
Veterans Affairs San Diego Healthcare System, Department of Nursing (118), 3350 La Jolla Village Dr., San Diego, CA 92161-4189, USA.
出版信息
Patient Educ Couns. 2005 Jul;58(1):27-34. doi: 10.1016/j.pec.2004.06.007.
There has been a lack of research regarding nonpharmacologic interventions in heart failure. The objective was to determine the effect of behavioral management on health related quality of life (HRQL) in patients with heart failure. Participants (N = 116) were randomly assigned to one of two groups: usual care for heart failure (n = 58) and the 15-week behavioral management program (n = 58). Outcomes included exercise performance (6-min walk), physical and mental functioning (SF-36), general health perceptions (SF-36), and disease specific HRQL (Minnesota Living with Heart Failure Questionnaire-MLHF). Outcomes were assessed at baseline, 4, 10 and 16 months. Participants were mostly male (95%) and Caucasian (75%), with a mean age of 67 years (S.D. = 10). Intervention patients showed significantly improved self-reported disease specific HRQL (MLHF physical dimension scores) over time compared to control patients. There were no group differences in exercise performance, physical functioning, mental functioning or general health perceptions.
关于心力衰竭的非药物干预措施，目前缺乏相关研究。本研究的目的是确定行为管理对心力衰竭患者健康相关生活质量（HRQL）的影响。参与者（N = 116）被随机分为两组：一组接受心力衰竭常规护理（n = 58），另一组接受为期15周的行为管理计划（n = 58）。研究结果包括运动能力（6分钟步行试验）、身体和心理功能（SF-36量表）、总体健康认知（SF-36量表）以及特定疾病的HRQL（明尼苏达心力衰竭生活问卷-MLHF）。在基线、4个月、10个月和16个月时对研究结果进行评估。参与者大多为男性（95%）和白种人（75%），平均年龄为67岁（标准差 = 10）。与对照组患者相比，随着时间推移，干预组患者自我报告的特定疾病HRQL（MLHF身体维度得分）有显著改善。在运动能力、身体功能、心理功能或总体健康认知方面，两组之间没有差异。
Zotero 插件