术前个性化运动计划对心脏手术患者特定恢复变量的影响：一项试点研究。
Effects of a preoperative individualized exercise program on selected recovery variables for cardiac surgery patients: A pilot study.
作者信息
Tung Heng-Hsin, Shen Shu-Fen, Shih Chun-Che, Chiu Kuan-Ming, Lee Jyun-Yi, Liu Chieh-Yu
机构信息
Tungs' Taichung MetroHabor Hospital, National Taipei University of Nursing and Health Science, 365 Ming Te Road PeiTou, Taipei 112.
出版信息
J Saudi Heart Assoc. 2012 Jul;24(3):153-61. doi: 10.1016/j.jsha.2012.03.002. Epub 2012 Mar 9.
OBJECTIVE
Research on preoperative individualized exercise prescription (PIEP) for heart surgery patients in Taiwan is lacking. Thus, the purpose of this study was to examine the feasibility of a PIEP in the Taiwanese population.
METHOD
A quasi-experimental design, using purposive sampling, was conducted. Thirty-five patients were recruited, of whom 15 chose to participate in the experimental (PIEP training plus usual care) group, and 20 chose to participate in the control (usual care) group. The effects of the intervention were determined by pulmonary complication-related parameters and quality of life.
RESULTS AND CONCLUSION
The development and process of PIEPs suitable for cardiac patients was described in this study. The results reveal that the two-week exercise-training program contributed to a decreased peak respiratory exchange ratio (RER) after the surgery and earlier ambulation. The effectiveness of PIEPs in improving the quality of life in cardiac surgery patients was validated. This study may also contribute as a reference of the PIEP effect on patients to the healthcare providers.
目的
台湾地区针对心脏手术患者术前个性化运动处方（PIEP）的研究尚缺。因此，本研究旨在探讨PIEP在台湾人群中的可行性。
方法
采用目的抽样法进行准实验设计。招募了35名患者，其中15名选择参加实验（PIEP训练加常规护理）组，20名选择参加对照（常规护理）组。通过与肺部并发症相关的参数和生活质量来确定干预效果。
结果与结论
本研究描述了适合心脏病患者的PIEP的制定和过程。结果显示，为期两周的运动训练计划有助于降低术后的峰值呼吸交换率（RER）并促进更早下床活动。验证了PIEP在改善心脏手术患者生活质量方面的有效性。本研究也可为医疗服务提供者提供PIEP对患者效果的参考。
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