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基于计步器的电话干预对未参加心脏康复的心脏病患者增加身体活动的随机对照试验。

Randomised controlled trial of a pedometer-based telephone intervention to increase physical activity among cardiac patients not attending cardiac rehabilitation.

机构信息

South Eastern Sydney and Illawarra Area Health Service, NSW, Australia.

出版信息

Patient Educ Couns. 2010 Aug;80(2):212-8. doi: 10.1016/j.pec.2009.11.012.

DOI:10.1016/j.pec.2009.11.012
PMID:20022201
Abstract

OBJECTIVE

To determine the effectiveness of a pedometer-based telephone intervention on the physical activity levels of cardiac patients who did not attend a CRP.

METHODS

A randomised controlled trial was conducted with 215 patients referred to a CRP but who could not or chose not to attend. The 6-week intervention included self-monitoring of physical activity using a pedometer and step calendar; and behavioural counselling and goal setting sessions. Data were collected at baseline, 6 weeks and 6 months.

RESULTS

Study groups did not differ significantly at baseline. After 6 weeks, improvements in total physical activity time (p=0.027), total physical activity sessions (p=0.003), walking time (p=0.013) and walking sessions (p=0.002) in the intervention group were significantly greater than the control group after adjusting for baseline differences, and remained significant at 6 months.

CONCLUSION

The findings that the pedometer-based telephone intervention was successful in increasing physical activity levels in cardiac patients who did not attend a CRP could result in major health benefits for this group of people.

PRACTICAL IMPLICATIONS

The pedometer-based telephone intervention could be offered as an effective and accessible option for patients not attending a CRP to increase and maintain their physical activity levels after hospitalisation.

摘要

目的

确定基于计步器的电话干预对未参加 CTP 的心脏病患者身体活动水平的有效性。

方法

对 215 名被转诊至 CTP 但无法或选择不参加的患者进行了一项随机对照试验。为期 6 周的干预措施包括使用计步器和步骤日历进行身体活动自我监测;以及行为咨询和目标设定会议。在基线、6 周和 6 个月时收集数据。

结果

研究组在基线时无显著差异。经过 6 周,在调整基线差异后,干预组的总身体活动时间(p=0.027)、总身体活动次数(p=0.003)、步行时间(p=0.013)和步行次数(p=0.002)的改善明显大于对照组,并且在 6 个月时仍然显著。

结论

基于计步器的电话干预成功地提高了未参加 CTP 的心脏病患者的身体活动水平,这可能会为这群人带来重大的健康益处。

实际意义

对于未参加 CTP 的患者,基于计步器的电话干预可以作为一种有效且易于获得的选择,以增加和维持他们在住院后的身体活动水平。

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