在心脏康复期间和之后的身体活动和久坐行为变化:可以将患者聚集在一起吗?
Marlou M Limpens1, Rita J G Van den Berg2, Iris Den Uijl3
1Department of Epidemiology.
Journal of rehabilitation medicine
|July 12, 2023
概括
根据心脏康复期间的身体活动变化确定了三个患者群. 基线活动水平是集群成员的主要预测因素,较高的初始活动与水平恶化有关.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 心脏康复计划旨在改善患者在急性冠状动脉综合征后的结果.
- 了解康复期间和之后的身体行为变化对于个性化护理至关重要.
- 以前的研究往往将患者广泛分类,缺乏详细的轨迹分析.
研究的目的:
- 根据他们在12周心脏康复计划期间和之后的身体行为轨迹来识别不同的患者群.
- 根据基线特征预测患者将属于哪个集群.
- 分析轻度体力活动,中度至强度体力活动,步数和久坐行为的变化.
主要方法:
- 研究了一组533名急性冠状动脉综合征患者,他们接受了为期12周的心脏康复计划.
- 在四个时间点使用加速度计测量物理行为.
- 隐性类轨迹建模用于识别集群,并使用多项逻辑回归预测会员资格.
主要成果:
- 对于所有物理行为结果,出现了三个不同的集群:稳定,改善和恶化的水平.
- 大多数患者 (68-83%) 表现出稳定的身体行为.
- 基线物理行为是主要预测因素;较高的初始水平与轨迹恶化有关.
结论:
- 在心脏康复期间和之后,可以识别出明显的身体行为变化集群.
- 患者的身体行为轨迹在很大程度上取决于他们的基线活动水平.
- 这些发现强调了在心脏康复中考虑基线身体行为的重要性.
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