减少轻缺血性卒中患者久坐行为的方法对其久坐行为的影响：一项随机对照试验。

Effects on sedentary behaviour of an approach to reduce sedentary behaviour in patients with minor ischaemic stroke: A randomised controlled trial.

机构信息

Department of Rehabilitation, Seirei Mikatahara General Hospital, Hamamatsu, Japan.

Division of Rehabilitation Science, Seirei Christopher University Graduate School, Hamamatsu, Japan.

出版信息

Clin Rehabil. 2023 Apr;37(4):545-556. doi: 10.1177/02692155221135412. Epub 2022 Nov 10.

DOI:10.1177/02692155221135412

PMID:36357967

Abstract

OBJECTIVES

To determine the effects on sedentary behaviour of an approach that promotes reduction in sedentary behaviour in patients with minor ischaemic stroke after intervention and at follow-up.

DESIGN

A randomised controlled trial.

SETTING

During hospitalisation and after hospital discharge.

SUBJECTS

In total, 86 patients with minor ischaemic stroke admitted to an acute care hospital were assigned to the intervention (n = 43) and control (n = 43) groups.

INTERVENTION

An intervention group that received an approach to reduce sedentary behaviour upon hospital admission until 3 months after discharge (education, self-monitoring, phone calls, etc.) and a control group that received the usual care during hospitalisation. From 3 to 6 months after discharge, no group received any intervention.

MAIN OUTCOME

The primary outcome was the change (%) in sedentary behaviour from baseline to post-intervention (3 months after discharge) and follow-up (6 months after discharge). Sedentary behaviour was measured at baseline (upon hospital admission), post-intervention, and at follow-up using accelerometers.

RESULTS

At the post-intervention stage, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, -22.7%; control group, -14.9%; = 0.013; effect size = 0.58). At follow-up too, the intervention group showed a significantly greater change in sedentary behaviour from baseline than that shown by the control group (sedentary behaviour: intervention group, -20.4%; control group, -13.6%; = 0.025; effect size = 0.54).

CONCLUSIONS

An approach to reduce sedentary behaviour in patients with minor ischaemic stroke effectively reduces sedentary behaviour, which is sustained up to follow-up.

TRIAL REGISTRATION

This study is registered at www.umin.ac.jp/ctr/index/htm UMIN000038616.

摘要

目的

确定在干预后和随访期间，通过促进减少轻度缺血性卒中患者的久坐行为，对其久坐行为产生的影响。

设计

随机对照试验。

设置

住院期间和出院后。

受试者

共 86 名入住急性护理医院的轻度缺血性卒中患者被分配至干预组（n=43）和对照组（n=43）。

干预

干预组在入院时接受减少久坐行为的方法，直到出院后 3 个月（教育、自我监测、电话等），对照组在住院期间接受常规护理。出院后 3 至 6 个月，两组均未接受任何干预。

主要结局

主要结局是从基线到干预后（出院后 3 个月）和随访（出院后 6 个月）期间久坐行为的变化（%）。使用加速度计在基线（入院时）、干预后和随访时测量久坐行为。

结果

在干预后阶段，与对照组相比，干预组的久坐行为从基线到干预后阶段的变化显著更大（久坐行为：干预组，-22.7%；对照组，-14.9%； = 0.013；效应量 = 0.58）。在随访时，与对照组相比，干预组的久坐行为从基线到随访阶段的变化也显著更大（久坐行为：干预组，-20.4%；对照组，-13.6%； = 0.025；效应量 = 0.54）。