伴侣共同参与健康干预对身体活动和健康饮食行为的影响：一项试点研究。
Effects of partners together in health intervention on physical activity and healthy eating behaviors: a pilot study.
作者信息
Yates Bernice C, Norman Joseph, Meza Jane, Krogstrand Kaye Stanek, Harrington Susana, Shurmur Scott, Johnson Matthew, Schumacher Karen
机构信息
Bernice C. Yates, PhD, RN Professor, College of Nursing, University of Nebraska Medical Center, Omaha. Joseph Norman, PhD, PT Professor and Program Director of Physical Therapy, School of Allied Health Professions, University of Nebraska Medical Center, Omaha. Jane Meza, PhD Professor, College of Public Health, University of Nebraska Medical Center, Omaha. Kaye Stanek Krogstrand, PhD, RD Emeritus Associate Professor, Department of Nutrition and Health Sciences, University of Nebraska, Lincoln. Susana Harrington, APRN Cardiothoracic Surgery Nurse Practitioner, Nebraska Methodist Hospital, Omaha. Scott Shurmur, MD Associate Professor, Internal Medicine Division of Cardiology, College of Medicine, University of Nebraska Medical Center, Omaha. Matthew Johnson, MD Cardiologist, Bryan LGH Heart Institute, Lincoln, Nebraska. Karen Schumacher, PhD, RN Associate Professor, College of Nursing, University of Nebraska Medical Center, Omaha.
出版信息
J Cardiovasc Nurs. 2015 Mar-Apr;30(2):109-20. doi: 10.1097/JCN.0000000000000127.
BACKGROUND
Despite proven efficacy of cardiac rehabilitation (CR) in helping patients initiate physical activity and healthy eating changes, less than 50% of CR participants maintain changes 6 months later.
OBJECTIVE
The objective of this feasibility study was to test the Partners Together in Health (PaTH) intervention versus usual care in improving physical activity and healthy eating behaviors in coronary artery bypass graft surgery patients and their spouses.
METHODS
An experimental, 2-group (n = 17 couples/group), repeated-measures design was used. Coronary artery bypass surgery patients in both groups participated in phase II outpatient CR. Spouses in the PaTH group attended CR with the patient and were asked to make the same physical activity and healthy eating changes as patients did. Spouses in the usual care attended educational classes with patients. It was theorized that "2 persons would be better than 1" at making changes and sticking with them in the long-term. Physical activity behavior was measured using the Actiheart accelerometer; the activity biomarker was an exercise tolerance test. Eating behavior was measured using 3-day food records; the biomarker was the lipid profile. Data were collected at baseline (entrance in CR), at 3 months (post-CR), and at 6 months. Changes over time were examined using Mann-Whitney U statistics and effect sizes.
RESULTS
The PaTH intervention was successful primarily in demonstrating improved trends in healthy eating behavior for patients and spouses. No differences were found between the PaTH and usual care patients or spouses at 3 or 6 months in the number of minutes per week of physical activity. By 6 months, patients in both groups were, on average, below the national guidelines for PA recommendations (≥150 min/wk at >3 metabolic equivalents).
CONCLUSIONS
The couple-focused PaTH intervention demonstrated promise in offsetting the decline in dietary adherence typically seen 6 months after CR.
背景
尽管心脏康复（CR）在帮助患者开始体育活动和改变健康饮食方面已证实具有疗效，但不到50%的CR参与者在6个月后仍能保持这些改变。
目的
本可行性研究的目的是测试“健康伙伴同行”（PaTH）干预措施与常规护理相比，在改善冠状动脉搭桥手术患者及其配偶的体育活动和健康饮食行为方面的效果。
方法
采用实验性、两组（每组n = 17对夫妇）、重复测量设计。两组冠状动脉搭桥手术患者均参加了II期门诊CR。PaTH组的配偶与患者一起参加CR，并被要求与患者做出相同的体育活动和健康饮食改变。常规护理组的配偶与患者一起参加教育课程。理论上认为，两人一起做出改变并长期坚持会比一人更好。使用Actiheart加速度计测量体育活动行为；活动生物标志物是运动耐量测试。使用3天食物记录测量饮食行为；生物标志物是血脂谱。在基线（进入CR时）、3个月（CR后）和6个月时收集数据。使用曼-惠特尼U统计量和效应量检查随时间的变化。
结果
PaTH干预主要成功地显示了患者和配偶在健康饮食行为方面有改善趋势。在3个月或6个月时，PaTH组与常规护理组的患者或配偶在每周体育活动分钟数方面没有差异。到6个月时，两组患者平均低于国家PA建议指南（≥150分钟/周，代谢当量>3）。
结论
以夫妇为重点的PaTH干预措施在抵消CR后6个月通常出现的饮食依从性下降方面显示出前景。
Zotero 插件