新的康复方案对老年充血性心力衰竭女性的安全性和坚持度预测因素。
Safety and predictors of adherence of a new rehabilitation program for older women with congestive heart failure.
机构信息
Geriatric Assessment Unit, Ottawa Hospital, Civic Campus 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9, Canada.
出版信息
J Geriatr Cardiol. 2012 Sep;9(3):243-6. doi: 10.3724/SP.J.1263.2011.12211.
OBJECTIVES
To assess the safety of a cardiac rehabilitation program for older women with Congestive Heart Failure (CHF) and determine if certain factors influence adherence.
METHODS
Women over the age of 65 with CHF attended an exercise program supervised by a physiotherapist. Quality of life was measured by the Minnesota Living with Heart Failure Questionnaire (MLHFQ) and severity of disease by the New York Heart Association (NYHA) Class. Subjects were classified into those who attended 90% or more of the sessions and those who attended less than 90% of the sessions.
RESULTS
Fifty-one subjects were studied. Eight subjects did not attend any sessions. Of the 43 attendees, the average percentage of sessions attended was 87%. There were no significant differences between the two groups in age, MLHFQ or NYHA Class. There was only one adverse event out of 280 participant attendances.
CONCLUSIONS
The program had a high level of adherence in this population. Age, MLHFQ or NYHA Class did not impact on session attendance. Our data suggests this program is safe for this population. Further research is needed to determine other predictors of attendance and the examination of safety issues and long-term adherence to exercise in this population.
目的
评估充血性心力衰竭（CHF）老年女性心脏康复计划的安全性，并确定某些因素是否会影响其坚持性。
方法
年龄在 65 岁以上的 CHF 女性参加了由物理治疗师监督的运动计划。生活质量通过明尼苏达州充血性心力衰竭生活质量问卷（MLHFQ）进行衡量，疾病严重程度通过纽约心脏协会（NYHA）分级进行衡量。将受试者分为参加 90%或以上课程的组和参加不到 90%课程的组。
结果
研究了 51 名受试者。8 名受试者未参加任何课程。在 43 名参加者中，参加课程的平均百分比为 87%。两组在年龄、MLHFQ 或 NYHA 分级方面无显著差异。在 280 次参与者就诊中仅发生了 1 例不良事件。
结论
该计划在该人群中具有很高的坚持性。年龄、MLHFQ 或 NYHA 分级均不会影响课程出勤率。我们的数据表明，该计划对该人群是安全的。需要进一步研究以确定其他出勤率预测因素，并检查该人群中安全性问题和长期坚持锻炼的情况。
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