电子最佳实践咨询对患者体育活动和心血管风险概况的影响
The Journal of cardiovascular nursing
|July 19, 2023
概括
使用决策支持工具实施体育活动 (PA) 咨询改善了心脏病患者自我报告的PA和心肺呼吸能力. 这种干预措施有望改善成人心血管健康. 关键词:身体活动,心血管健康,干预.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗卫生技术 技术 技术
背景情况:
- 定期体力活动 (PA) 对心血管健康至关重要,但许多美国成年人不符合目前的PA建议.
- 低体力活动是心血管疾病 (CVD) 的重要危险因素.
研究的目的:
- 在预防性心脏病诊所使用临床决策支持工具实施PA咨询.
- 在接受干预的患者中,对12周的PA监测评估心血管疾病风险因素的变化.
主要方法:
- 嵌入电子健康记录的一年试点干预包括PA评估,提供者提示咨询和基于Fitbit的患者监测.
- 评估的心血管疾病风险因素包括血压,体重指数,血压,脂质,心肺呼吸能力 (6分钟步行测试),抑郁和生活质量.
- 双对t测试用于分析12周监测期内心血管疾病风险因素的变化.
主要成果:
- 这项研究包括59名主要是女性的白人成年人 (平均年龄为61.13岁).
- 自我报告的PA显著改善 (P = .005),而Fitbit步骤没有显著改善 (P = .07).
- 心肺健康状况显著改善 (P = .0034),其中42%的参与者实现了临床上有意义的改善.
结论:
- 与决策支持工具相结合的PA咨询可以提高患者的心肺呼吸能力.
- 进一步的研究可能会探索基于活动数据的自动化消息,以维持PA改进.
- 这种干预表明了在临床环境中改善心血管健康的潜力.
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