穿皮冠状动脉干预后冠状动脉疾病的老年患者的身体活动,不活动和睡眠:一项纵向的观察性研究
Sarah J Charman1,2, Alasdair P Blain1, Michael I Trenell3
1Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University.
Coronary artery disease
|June 19, 2023
概括
冠状动脉疾病 (CAD) 的老年患者在经皮冠状动脉干预 (PCI) 后表现出增加的体力活动,尽管长时间不活动. 这种积极的行为转变发生在手术后的一年内.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 身体活动对于治疗冠状动脉疾病 (CAD) 患者在皮肤穿冠状动脉干预 (PCI) 后的治疗至关重要.
- 专注于患有CAD的老年人及其PCI后的身体活动水平的研究仍然有限.
- 了解不同CAD患者群体 (STEMI,NSTEMI,稳定性胸痛) 的活动模式对于量身定制的护理至关重要.
研究的目的:
- 在PCI后12个月内评估老年CAD患者的身体活动,不活动和睡眠模式.
- 为了在患有ST段升高心肌梗塞 (STEMI),非STEMI (NSTEMI) 和稳定性胸痛的患者中比较这些模式.
- 识别PCI后恢复和行为趋势和差异.
主要方法:
- 这是一项观察性纵向研究,涉及58名老年CAD患者 (STEMI,NSTEMI,稳定性胸痛).
- 使用手腕穿戴的加速度计,对身体活动,不活动和睡眠进行7天的监测.
- 在PCI后的排放,3,6和12个月的重复测量.
主要成果:
- 在PCI后12个月内,CAD患者通常会增加轻度和中度至强度的体力活动.
- 不活动仍然很高,但下降了,而睡眠时间和效率是一致的.
- 与STEMI和稳定性胸痛组相比,NSTEMI患者的睡眠减少,不活动增加和体力活动减少,随着时间的推移,小组间的差异很小.
结论:
- 老年CAD患者经历了PCI后长时间的不活动,但在第一年内表现出增加身体活动的积极趋势.
- 观察到的轻度和中度至强度活动的增加表明干预后有益的行为变化.
- 这些发现强调了监测和鼓励PCI后老年CAD患者体育活动的重要性.
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