Desveaux Laura, Harrison Samantha, Lee Annemarie, Mathur Sunita, Goldstein Roger, Brooks Dina
Rehabilitation Science Institute, Faculty of Medicine, University of Toronto, 160-500 University Ave., Toronto, ON, M5G 1V7, Canada; Department of Respiratory Medicine, West Park Healthcare Centre, 82 Buttonwood Avenue, Toronto, ON M6M 2J5, Canada.
Department of Respiratory Medicine, West Park Healthcare Centre, 82 Buttonwood Avenue, Toronto, ON M6M 2J5, Canada.
Heart Lung. 2017 Jul-Aug;46(4):308-312. doi: 10.1016/j.hrtlng.2017.04.008. Epub 2017 May 17.
Despite well-established improvements following rehabilitation, functional gains often diminish following discharge.
To explore the attitudes of older adults with HF and COPD, who have completed rehabilitation, toward community-based exercise maintenance.
Semi-structured interviews were conducted with 11 individuals with HF or COPD.
Deductive thematic analysis uncovered three themes: 1) transitioning to community exercise is challenging, highlighting participants' struggle with unstructured maintenance and a lack of appropriate programs; 2) a structured, group-based program tailored to functional ability facilitates adherence, describing participants views on the importance of routine, and accountability; and 3) "We are all there for the same purpose" - participant support for integrated exercise, including the benefit of multiple perspectives and sustainability.
A motivating program leader and access to appropriate facilities are key features to support adherence to prescribed activity. Tailored programs can be delivered consecutively to older adults with HF and COPD.
尽管康复后已有明确的改善，但功能增益在出院后往往会减弱。
探讨完成康复的心力衰竭和慢性阻塞性肺疾病老年患者对社区运动维持的态度。
对11名心力衰竭或慢性阻塞性肺疾病患者进行了半结构化访谈。
演绎主题分析揭示了三个主题：1）向社区运动过渡具有挑战性，突出了参与者在无组织的维持和缺乏适当计划方面的挣扎；2）根据功能能力量身定制的结构化、基于小组的计划有助于坚持，描述了参与者对常规和问责制重要性的看法；3）“我们都为了同一个目的而来”——参与者对综合运动的支持，包括多种观点和可持续性的益处。
积极的项目负责人和获得适当的设施是支持坚持规定活动的关键特征。可以为心力衰竭和慢性阻塞性肺疾病老年患者连续提供量身定制的项目。
