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我们应该如何向心力衰竭患者提供运动方面的建议,又该告诉他们什么呢?

How should we advise heart failure patients on exercise and what should we tell them?

作者信息

Piotrowicz Ewa, Orzechowski Piotr, Chrapowicka Agnieszka, Piotrowicz Ryszard

机构信息

Telecardiology Center, Institute of Cardiology, Alpejska 42, 04-628, Warszawa, Poland,

出版信息

Curr Heart Fail Rep. 2014 Sep;11(3):274-80. doi: 10.1007/s11897-014-0204-x.

DOI:10.1007/s11897-014-0204-x
PMID:24890900
Abstract

The article discusses the problem of motivating and encouraging patients with heart failure to perform regular exercise training. Firstly, the benefits of exercise training are presented, and rational and convincing arguments justifying its implementation in heart failure patients are provided. Secondly, the issue of overcoming barriers to exercise training implementation is considered. Finally, the role of the medical team and family members in supporting patients with heart failure in long-term adherence to recommendations is defined and analyzed. In addition, the article presents various ways of performing exercise training easily.

摘要

本文讨论了激励和鼓励心力衰竭患者进行定期运动训练的问题。首先,介绍了运动训练的益处,并提供了合理且有说服力的论据来证明在心力衰竭患者中实施运动训练的合理性。其次,考虑了克服运动训练实施障碍的问题。最后,明确并分析了医疗团队和家庭成员在支持心力衰竭患者长期遵循建议方面的作用。此外,本文还介绍了轻松进行运动训练的各种方法。

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How should we advise heart failure patients on exercise and what should we tell them?我们应该如何向心力衰竭患者提供运动方面的建议,又该告诉他们什么呢?
Curr Heart Fail Rep. 2014 Sep;11(3):274-80. doi: 10.1007/s11897-014-0204-x.
2
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Int J Cardiol. 2017 Jun 1;236:65-70. doi: 10.1016/j.ijcard.2017.02.051. Epub 2017 Feb 21.
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"I Just Can't Do It Anymore" Patterns of Physical Activity and Cardiac Rehabilitation in African Americans with Heart Failure: A Mixed Method Study.“我再也做不到了”:非裔美国心力衰竭患者的身体活动模式与心脏康复:一项混合方法研究
Healthcare (Basel). 2015 Oct 15;3(4):973-86. doi: 10.3390/healthcare3040973.
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Influence of home-based telemonitored Nordic walking training on autonomic nervous system balance in heart failure patients.

本文引用的文献

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Factors influencing physical activity in older adults.影响老年人身体活动的因素。
J Exerc Rehabil. 2014 Feb 28;10(1):45-52. doi: 10.12965/jer.140089. eCollection 2014 Feb.
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Exercise standards for testing and training: a scientific statement from the American Heart Association.测试与训练的运动标准:美国心脏协会的科学声明。
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Exercise training in chronic heart failure: mechanisms and therapies.慢性心力衰竭的运动训练:机制与治疗。
家庭远程监测的北欧式健走训练对心力衰竭患者自主神经系统平衡的影响。
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Creatinine excretion rate, a marker of muscle mass, is related to clinical outcome in patients with chronic systolic heart failure.肌酸酐排泄率,肌肉量的标志物,与慢性收缩性心力衰竭患者的临床预后相关。
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ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC.《2012年欧洲心脏病学会急性和慢性心力衰竭诊断与治疗指南》:欧洲心脏病学会2012年急性和慢性心力衰竭诊断与治疗特别工作组编著。与欧洲心脏病学会心力衰竭协会(HFA)合作制定。
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ECG telemonitoring during home-based cardiac rehabilitation in heart failure patients.基于家庭的心力衰竭患者心脏康复中的心电图远程监测。
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Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology.心力衰竭患者运动依从性:障碍及可能的解决办法:欧洲心脏病学会心力衰竭协会运动训练工作组的立场声明。
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The effect of weight loss and exercise training on flow-mediated dilatation in coronary heart disease: a randomized trial.减肥和运动训练对冠心病血流介导扩张的影响:一项随机试验。
Chest. 2011 Dec;140(6):1420-1427. doi: 10.1378/chest.10-3289. Epub 2011 Jul 21.
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Exercise training in congestive heart failure: risks and benefits.充血性心力衰竭的运动训练:风险与获益。
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Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation.心力衰竭的运动训练:从理论到实践。心力衰竭协会和欧洲心血管预防与康复协会的共识文件。
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