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心脏手术后患者居家呼吸锻炼的自我报告体验:一项基于问卷的前瞻性队列研究。

Patient-Reported Experiences of Home-Based Breathing Exercises After Cardiac Surgery: A Prospective Questionnaire-Based Cohort Study.

作者信息

Westerdahl Elisabeth, Urell Charlotte, Johansson Henrik, Brocki Barbara Cristina, Jonsson Marcus

机构信息

University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.

Department of Women's and Children's Health, Physiotherapy, Uppsala University, Uppsala, Sweden.

出版信息

J Patient Exp. 2025 Jun 4;12:23743735251348849. doi: 10.1177/23743735251348849. eCollection 2025.

Abstract

This study assessed patient-reported experiences and perceived respiratory outcomes of home-based deep breathing exercises 3 months after cardiac surgery. A postal questionnaire was sent to 120 patients at a Swedish university hospital, with 92 respondents (77%). The majority (89%) performed breathing exercises after discharge, with 77% reporting them as very easy to perform. Most patients continued the exercises for 2 to 4 weeks (41%) or 1 to 2 months (20%), typically practicing 3 times per day. The exercises were well tolerated, with 87% experiencing no discomfort. Motivation was generally high-43% felt very motivated, and 78% found the exercises useful. While chest pain was reported as low and 56% experienced improved breathing, nearly half of the respondents reported difficulties with coughing, and 10% sought medical care for respiratory infections. Overall, home-based deep breathing exercises were perceived as beneficial and well accepted. However, engagement and adherence varied, highlighting the need for tailored support to encourage sustained participation.

摘要

本研究评估了心脏手术后3个月患者报告的居家深呼吸练习体验及感知到的呼吸相关结果。向瑞典一家大学医院的120名患者发送了邮政调查问卷,有92名受访者(77%)回复。大多数(89%)患者在出院后进行了呼吸练习,其中77%的患者表示这些练习非常容易进行。大多数患者持续练习2至4周(41%)或1至2个月(20%),通常每天练习3次。这些练习耐受性良好,87%的患者没有不适感。积极性普遍较高——43%的患者感觉积极性很高,78%的患者认为这些练习有用。虽然胸痛发生率较低,56%的患者呼吸有所改善,但近一半的受访者报告咳嗽困难,10%的患者因呼吸道感染寻求医疗护理。总体而言,居家深呼吸练习被认为是有益的且易于接受。然而,参与度和依从性各不相同,这凸显了需要提供量身定制的支持以鼓励持续参与。

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