J Assoc Nurses AIDS Care. 2019 Mar-Apr;30(2):176-185. doi: 10.1097/JNC.0000000000000005.
We investigated feasibility and preliminary effects of telerehabilitation for people living with HIV (PLWH) and taking antiretroviral therapy. We randomized 25 PLWH to either an endurance and resistance training exercise (ERTE) group or a control group. Endurance and resistance training exercise sessions occurred in a public fitness center, with online guidance and weekly telephone advice. The primary outcome was feasibility (recruitment and retention rates and safety). Secondary outcomes were assessed at baseline and 6 weeks according to the three International Classification of Functioning, Disability, and Health domains. Nine patients completed the ERTE program. Recruitment and retention rates were 93% and 69%, respectively. No adverse events occurred. After 6 weeks, percentage change in D-dimer was lower in the ERTE group, but not significantly after the Bonferroni correction. Other parameters were not different between the groups. Therefore, telerehabilitation is feasible in PLWH taking antiretroviral therapy; however, the performance of the program is still questioned, and future research is warranted.
我们研究了远程康复对接受抗逆转录病毒治疗的艾滋病毒感染者(PLWH)的可行性和初步效果。我们将 25 名 PLWH 随机分为耐力和抗阻训练组(ERTE 组)或对照组。耐力和抗阻训练在公共健身中心进行,同时提供在线指导和每周电话咨询。主要结局是可行性(招募和保留率及安全性)。次要结局根据国际功能、残疾和健康分类的三个领域在基线和 6 周时进行评估。9 名患者完成了 ERTE 计划。招募和保留率分别为 93%和 69%。未发生不良事件。6 周后,ERTE 组 D-二聚体的百分比变化较低,但经 Bonferroni 校正后无显著差异。组间其他参数无差异。因此,远程康复在接受抗逆转录病毒治疗的 PLWH 中是可行的;然而,该方案的执行情况仍存在疑问,需要进一步研究。