Robert Wood Johnson Foundation Nurse Faculty Scholar, College of Nursing, University of Arizona, Tucson, AZ, United States.
Eur J Cardiovasc Nurs. 2012 Mar;11(1):34-43. doi: 10.1016/j.ejcnurse.2010.11.001.
Cardiac rehabilitation improves physical, cognitive and psychosocial functioning, yet services are greatly underutilized with increasing patterns of attrition over time. Tai Chi has been suggested as a possible adjunct to cardiac rehabilitation exercise training.
To describe differences in physical, cognitive and psychosocial functioning among adults ≥ 45 years old attending phase III cardiac rehabilitation, who have or have not self-selected Tai Chi exercise as an adjunct physical activity.
A cross-sectional design compared subjects attending group-based Wu style Tai Chi classes plus cardiac rehabilitation, with cardiac rehabilitation only. Subjects had a battery of physical and cognitive functioning tests administered to examine aerobic endurance, balance, strength, and flexibility, verbal retrieval/recall, attention, concentration and tracking. Subjects completed a health survey to ascertain cardiac event information, medical history, and psychosocial functioning (i.e. health-related quality of life, stress, depressive symptoms, social support, and Tai Chi self-efficacy).
A total of 51 subjects (75% married, 84% college-educated, 96% White/European-American) participated. Subjects were on average 70 (± 8) years old and had attended cardiac rehabilitation for 45 (± 37) months. Approximately 45% (n = 23) attended Tai Chi classes plus cardiac rehabilitation, while 55% (n = 28) attended cardiac rehabilitation only. Subjects attending Tai Chi plus cardiac rehabilitation had better balance, perceived physical health, and Tai Chi self-efficacy compared to those attending cardiac rehabilitation only (p ≤ 0.03).
Tai Chi can be easily implemented in any community/cardiac rehabilitation facility, and may offer adults additional options after a cardiac event.
心脏康复可以改善身体、认知和心理社会功能，但服务的利用率非常低，而且随着时间的推移，流失率不断增加。太极拳被认为是心脏康复运动训练的一种可能的辅助手段。
描述参加第三阶段心脏康复的 45 岁及以上成年人中，选择将太极拳作为辅助身体活动的参与者与未选择太极拳的参与者在身体、认知和心理社会功能方面的差异。
采用横断面设计，将参加集体式吴式太极拳课程加心脏康复的受试者与仅参加心脏康复的受试者进行比较。受试者接受了一系列身体和认知功能测试，以检查有氧运动耐力、平衡、力量和柔韧性、言语检索/回忆、注意力、集中力和跟踪能力。受试者完成了健康调查，以确定心脏事件信息、病史和心理社会功能（即健康相关生活质量、压力、抑郁症状、社会支持和太极拳自我效能感）。
共有 51 名受试者（75%已婚，84%受过大学教育，96%为白种人/欧洲裔美国人）参与了研究。受试者平均年龄为 70（±8）岁，参加心脏康复治疗的时间为 45（±37）个月。大约 45%（n=23）参加了太极拳加心脏康复课程，而 55%（n=28）仅参加了心脏康复治疗。与仅参加心脏康复治疗的受试者相比，参加太极拳加心脏康复治疗的受试者平衡能力更好，感知身体健康状况更好，太极拳自我效能感更高（p≤0.03）。
太极拳可以很容易地在任何社区/心脏康复机构实施，并且可以为心脏事件后的成年人提供更多的选择。
