在外围动脉疾病中进行家庭步行炼干预:一项随机临床试验
Mary M McDermott1, Kiang Liu, Jack M Guralnik
1Northwestern University Feinberg School of Medicine Department of Medicine, Chicago, Illinois 60611, USA. mdm608@northwestern.edu
JAMA
|July 4, 2013
概括
一个基于家庭的行走计划改善了周围动脉疾病 (PAD) 患者的行走耐力和身体活动. 这种干预为那些无法或不愿意参加监督炼的个人提供了一个可行的选择.
科学领域:
- 心血管医学 心血管医学
- 康复科学 康复科学 康复科学
- 行为医学是一种行为医学.
背景情况:
- 临床指导方针缺乏证据表明,在外周动脉疾病 (PAD) 中,基于家庭的步行计划是有效的.
- 许多PAD患者无法或宁愿不参与监督运动.
研究的目的:
- 通过小组介导的认知行为干预来评估基于家庭的步行计划.
- 为了比较其与健康教育对照组在改善PAD患者的功能表现方面的有效性.
主要方法:
- 这是一项随机对照试验,涉及194名PAD患者 (72.2%没有经典音症状).
- 参与者被分配到基于家庭的认知行为步行干预或注意力控制组.
- 主要结局是6个月后6分钟步行表现的变化.
主要成果:
- 干预组在6分钟的步行距离,最大跑步机步行时间和身体活动水平上显著改善.
- 患者报告的结果,包括走路障碍问卷 (WIQ) 距离和速度得分,也显著改善.
- 6分钟步行距离的平均差异为53.5米 (P < .001).
结论:
- 在家进行的步行计划有效地提高了PAD患者的步行耐力和体力活动.
- 这种干预措施还可以改善人们对行走的耐力和速度,而不管是否有音症状.
- 这种方法为无法获得监督计划的患者提供了有价值的替代方案.
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