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一项基于证据的结构化一年期计划,以维持初级保健中心力衰竭患者的体力活动:一项非随机纵向可行性研究。

An evidence-based structured one-year programme to sustain physical activity in patients with heart failure in primary care: A non-randomized longitudinal feasibility study.

作者信息

Nordgren Lena, Söderlund Anne

机构信息

Centre for Clinical Research Sörmland Uppsala University Mälarsjukhuset Eskilstuna SE Sweden.

Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.

出版信息

Nurs Open. 2020 May 15;7(5):1388-1399. doi: 10.1002/nop2.510. eCollection 2020 Sep.

DOI:10.1002/nop2.510
PMID:32802359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7424435/
Abstract

AIM

The primary objective of this non-randomized feasibility study was to test a 1-year model programme for sustaining/increasing patients' motivation to perform daily physical activity.

DESIGN

Non-randomized longitudinal feasibility study with a one-group repeated measures design.

METHODS

The study took place at a primary care centre in mid-Sweden in 2017-2018. The model programme included individual and group-based support, individualized physical activity prescriptions, a wrist-worn activity tracker and an activity diary. The main outcomes were the participants' perceptions of programme feasibility and scores on the Exercise Self-Efficacy Scale.

RESULTS

Seven patients were recruited. Six patients completed the programme that was perceived to imply learning, motivation and support. Compared with baseline, the median score of the Exercise Self-Efficacy Scale improved 3 months after participants completed the programme.

摘要

目的

这项非随机可行性研究的主要目的是测试一个为期一年的示范项目,以维持/提高患者进行日常体育活动的积极性。

设计

采用单组重复测量设计的非随机纵向可行性研究。

方法

该研究于2017 - 2018年在瑞典中部的一个初级保健中心进行。示范项目包括个体和基于小组的支持、个性化的体育活动处方、一个腕戴式活动追踪器和一本活动日记。主要结果是参与者对项目可行性的看法以及运动自我效能量表的得分。

结果

招募了7名患者。6名患者完成了该项目,他们认为该项目带来了学习、动力和支持。与基线相比,参与者完成项目3个月后,运动自我效能量表的中位数得分有所提高。

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本文引用的文献

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Medicine (Baltimore). 2019 Apr;98(17):e15344. doi: 10.1097/MD.0000000000015344.
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One-year cost-effectiveness of supervised center-based exercise training in addition to a post-discharge disease management program for patients recently hospitalized with acute heart failure: The EJECTION-HF study.急性心力衰竭近期出院患者接受监督中心为基础的运动训练与出院后疾病管理项目联合治疗的一年成本效益:EJECTION-HF 研究。
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Exercise-based cardiac rehabilitation for adults with heart failure.针对成年心力衰竭患者的运动心脏康复治疗。
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Motivators and barriers for participation in aquatic and land-based exercise training programs for people with stable heart failure: A mixed methods approach.稳定心力衰竭患者参与水上和陆地运动训练计划的动机和障碍:混合方法研究。
Heart Lung. 2019 Jul-Aug;48(4):287-293. doi: 10.1016/j.hrtlng.2018.11.004. Epub 2018 Dec 4.
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Introducing nurse-led heart failure clinics in Swedish primary care settings.在瑞典基层医疗环境中引入护士主导的心力衰竭诊所。
Eur J Heart Fail. 2019 Jan;21(1):103-109. doi: 10.1002/ejhf.1329. Epub 2018 Oct 19.
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Walking with controlled breathing improves exercise tolerance, anxiety, and quality of life in heart failure patients: A randomized controlled trial.控制呼吸步行可改善心力衰竭患者的运动耐量、焦虑状况及生活质量:一项随机对照试验。
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Circulation. 2018 Apr 10;137(15):1549-1560. doi: 10.1161/CIRCULATIONAHA.117.030617. Epub 2018 Jan 8.
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