インターミッタント・クラウディケーションの患者における最大無痛歩行距離に対する自宅での歩行運動プログラムの有効性
Aruchamy Santhipriya1, Venkatesan Selvanayaki2
1Ph.D (Nursing) Scholar, Department of Medical Surgical Nursing, Vinayaka Mission's Research Foundation (Deemed to be University), Salem, Tamil Nadu, India.
Journal of pharmacy & bioallied sciences
|August 27, 2025
まとめ
家庭でのウォーキングプログラムは,外周動脈疾患 (PAD) の患者の足首-腕指数 (ABI) と無痛歩行距離 (PFWD) を有意に改善しました. このアクセシブルな介入は PADの患者の機能的成果と生活の質を向上させます
科学分野:
- 血管医学
- 運動 生理学
- 公衆衛生
背景:
- 周辺動脈疾患 (PAD) は,動脈硬化に関連した一般的な疾患で,中断性閉塞 (IC),移動能力の低下,生活の質の低下などの症状をもたらします.
- 監督された運動プログラムは PADに有効ですが,家庭での介入は,特にリソースが限られた環境では,より高いアクセシビリティを提供します.
研究 の 目的:
- 家庭での歩行運動プログラムの有効性を評価する.
- PAD患者の足首-腕指数 (ABI) と最大無痛歩行距離 (PFWD) の改善を決定する.
主な方法:
- 100人のPAD患者に準実験的なテスト前/テスト後の設計が使用されました.
- 参加者 (40~70歳) は対照群と実験群に分けられました.
- 実験グループは4週間のホームベースウォーキングプログラム (毎日30分,週5日) で,電話によるモニタリングを行いました.
主要な成果:
- 両群ともABIとPFWDの有意な改善を示した (P < 0. 05).
- 実験グループでは,ABIが0.633から0.941に,PFWDは145mから265.5mに増加しました.
- 対照群はより小さな改善を示した (ABI: 0. 624 から 0. 841; PFWD: 130. 5 から 190. 5 m).
結論:
- 家庭でのウォーキングプログラムは PAD患者のABIとPFWDを効果的に改善します.
- この介入は 機能的成果と生活の質を改善するための 実行可能でアクセス可能な選択肢です
- 長期にわたる遵守に関するより広範な実施と研究が推奨されています.
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