Tokushima University Graduate School of Health Sciences, Doctor Course Student, Tokushima, Japan.
Department of Nursing, Tokushima University Graduate School of Biomedical Sciences, Tokushima, Japan.
J Med Invest. 2020;67(1.2):124-133. doi: 10.2152/jmi.67.124.
This study aimed that we were classification of physical activity in patients with heart failure categorized as New York Heart Association (NYHA) class I or II. We were a survey using a researcher- administered questionnaire, SF-8, the Specific Activity Scale (SAS), and the Scale to Measure Self-Care Behavior of Patients with Heart Disease. We included 70 patients who were treated in the Department of Cardiovascular Medicine at Hospital A. Regarding patient characteristics and clinical information after the cluster analysis, there were significant differences in the NYHA class (p = 0.001), BNP level (p = 0.012), self-management of medication adherence (p = 0.000), and exercise habits (p = 0.005). We summarized characteristics of each group as follows : Group A showed high tolerance to physical activity and near-perfect self-management; Group B showed moderate tolerance to physical activity but was not willing to commit to daily exercise and self-management; and Group C showed low tolerance to physical activity and often requested others to handle medication management. We needed that tolerance to physical activity and proposals for tailored instruction according to patient conditions, and needed that instructions tailored to the characteristics of heart failure patients in groups A-C. J. Med. Invest. 67 : 124-133, February, 2020.
本研究旨在将心力衰竭患者的体力活动分类为纽约心脏协会（NYHA）I 或 II 级。我们使用研究者管理的问卷、SF-8、特定活动量表（SAS）和心脏病患者自我护理行为量表进行了一项调查。我们纳入了在医院 A 心血管医学科接受治疗的 70 名患者。在聚类分析后，关于患者特征和临床信息，NYHA 分级（p=0.001）、BNP 水平（p=0.012）、药物依从性自我管理（p=0.000）和运动习惯（p=0.005）存在显著差异。我们总结了每个组的特征如下：组 A 表现出对体力活动的高耐受性和近乎完美的自我管理；组 B 表现出对体力活动的中等耐受性，但不愿意每天进行运动和自我管理；组 C 对体力活动的耐受性较低，经常要求他人处理药物管理。我们需要根据患者情况对体力活动的耐受性和个性化指导建议，并根据组 A-C 心力衰竭患者的特点提供个性化指导。J. Med. Invest. 67 : 124-133, February, 2020.
