基于理论的、技术辅助的冠心病混合心脏康复计划中的干预措施：一项可行性研究。

A Theory-Based, Technology-Assisted Intervention in a Hybrid Cardiac Rehabilitation Program for Patients with Coronary Heart Disease: A Feasibility Study.

机构信息

The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.

Department of Rehabilitation Medicine, University Malaya Medical Centre, Malaysia.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2023 Aug;17(3):180-190. doi: 10.1016/j.anr.2023.06.004. Epub 2023 Jun 22.

DOI:10.1016/j.anr.2023.06.004

PMID:37355035

Abstract

PURPOSE

To assess the feasibility of a technology-assisted intervention in a hybrid cardiac rehabilitation program among patients with coronary heart disease.

METHODS

This study was a two-arm parallel randomized controlled trial. Twenty-eight patients with coronary heart disease were randomly assigned to either the intervention group, receiving a 12-week technology-assisted intervention (n = 14), or the control group (n = 14), receiving usual care. Guided by the Health Belief Model, the intervention group received three center-based, supervised exercise training sessions, a fitness watch that served as a cue to action, six educational videos, and a weekly video call. The Self-efficacy for Exercise, exercise capacity, and Health Promoting Lifestyle Profile II were assessed at baseline and immediately post-intervention (12-weeks).

RESULTS

Among the 28 patients who participated in this study, 85.7% completed the program, with a relatively low attrition rate (14.3%). The number of exercise training sessions accomplished by the participants in the intervention group was 51.27 ± 19.41 out of 60 sessions (85.5%) compared to 36.46 ± 23.05 (60.8%) in the control group. No cardiac adverse events or hospitalizations were reported throughout the study. Participants in the intervention group showed greater improvement in health-promoting behaviors when compared with the control group at 12 weeks. Within-group effects demonstrated improvement in exercise self-efficacy and exercise capacity among participants in the intervention group. A participant satisfaction survey conducted immediately post-intervention revealed that participants were "very satisfied" (23.1%) and "satisfied" (76.9%) with the technology-assisted intervention.

CONCLUSIONS

The findings demonstrated that technology-assisted intervention in a hybrid cardiac rehabilitation program was feasible and suggested to be beneficial in improving exercise self-efficacy, exercise capacity, and health promoting behavior among patients with coronary heart disease. A full-scale study is needed to determine its effectiveness in the long term.

TRIAL AND PROTOCOL REGISTRATION

ClinicalTrials.gov NCT04862351. https://clinicaltrials.gov/ct2/show/NCT04862351.

摘要

目的

评估一项技术辅助干预措施在冠心病混合心脏康复计划中的可行性。

方法

这是一项双臂平行随机对照试验。将 28 例冠心病患者随机分为干预组（n=14）和对照组（n=14），分别接受 12 周的技术辅助干预和常规护理。以健康信念模式为指导，干预组接受 3 次中心监督的运动训练课程、一个健身手表作为行动提示、6 个教育视频和每周一次的视频通话。在基线和干预后（12 周）评估自我效能感、运动能力和健康促进生活方式量表 II。

结果

在参加这项研究的 28 名患者中，85.7%的患者完成了治疗方案，失访率相对较低（14.3%）。与对照组（60.8%）相比，干预组的患者完成了 60 次运动训练课程中的 51.27±19.41 次（85.5%）。在整个研究过程中，没有报告心脏不良事件或住院治疗。与对照组相比，干预组患者的健康促进行为在 12 周时改善更为明显。组内效应显示，干预组患者的运动自我效能感和运动能力均有所提高。干预后即刻进行的一项参与者满意度调查显示，参与者对技术辅助干预“非常满意”（23.1%）和“满意”（76.9%）。