Kim Young Joo, Joshi Vicky, Wu Qiang
600 Moye Blvd, MS668, HSB3305, Department of Occupational Therapy, College of Allied Health Sciences, East Carolina University, Greenville, NC, 27834, USA.
Danish Knowledge Centre for Rehabilitation and Palliative Care (REHPA), University of Southern Denmark, and Odense University Hospital, Denmark.
Resusc Plus. 2020 Dec 15;5:100057. doi: 10.1016/j.resplu.2020.100057. eCollection 2021 Mar.
This study aimed to examine the associations between participation in physical activities and objective and subjective factors modifiable by rehabilitation in cardiac arrest survivors with fatigue.
Participants in a clinical feasibility study (N = 19) completed several subjective (patient-reported) and objective outcome measures on one occasion only. The associations between an individual's level of participation in physical activities (Participation Objective Participation Subjective) and their levels of cognition (Computer Assessment of Mild Cognitive Impairment), body movement (Keitel Functional Test), depressive symptoms (Center for Epidemiologic Studies Depression Scale), ambulation and pain (Health Utilities Index Mark 3), and fatigue impact (Modified Fatigue Impact Scale) were explored. Pearson's correlation coefficient was calculated for all associations, except for body movement (Spearman's correlation coefficient ).
As hypothesized, we found weak-to-moderate, positive associations between participation in physical activities and objective factors of cognition ( = 0.370) and body movement ( = 0.414) and a subjective factor of ambulation ability ( = 0.501). We found moderate, negative associations between participation in physical activities and subjective factors of depressive symptoms (=-0.590), pain (=-0.495), physical fatigue impact (=-0.629), cognitive fatigue impact (=-0.591), and psychosocial fatigue impact (=-0.557).
The moderate, negative and positive associations between participation in physical activities and subjective factors suggest that subjective complaints of depressive symptoms, ambulation ability, pain, and fatigue impact may be important factors when seeking to improve participation in physical activities. In particular, addressing physical and cognitive endurance as well as perceptions of fatigue may hold the key to increasing physical activity in cardiac arrest survivors with fatigue.
本研究旨在探讨心脏骤停后伴有疲劳的幸存者参与体育活动与康复可改变的客观和主观因素之间的关联。
一项临床可行性研究的参与者（N = 19）仅在某一时刻完成了几项主观（患者报告）和客观结局指标。探讨了个体体育活动参与水平（客观参与度、主观参与度）与认知水平（轻度认知障碍计算机评估）、身体运动（凯特尔功能测试）、抑郁症状（流行病学研究中心抑郁量表）、步行与疼痛（健康效用指数第3版）以及疲劳影响（改良疲劳影响量表）之间的关联。除身体运动外，计算所有关联的皮尔逊相关系数（身体运动计算斯皮尔曼相关系数）。
如假设的那样，我们发现体育活动参与度与认知客观因素（r = 0.370）、身体运动（r = 0.414）以及步行能力主观因素（r = 0.501）之间存在弱至中度的正相关。我们发现体育活动参与度与抑郁症状主观因素（r = -0.590）、疼痛（r = -0.495）、身体疲劳影响（r = -0.629）、认知疲劳影响（r = -0.591）和心理社会疲劳影响（r = -0.557）之间存在中度负相关。
体育活动参与度与主观因素之间的中度正负相关表明，在寻求提高体育活动参与度时，抑郁症状、步行能力、疼痛和疲劳影响的主观主诉可能是重要因素。特别是，解决身体和认知耐力以及疲劳感可能是增加伴有疲劳的心脏骤停幸存者体育活动的关键。
