在瑞典,为患有慢性阻塞性肺病的参与者提供健康指导的家庭体育活动计划:一项概念验证试点研究
Maria V Benzo1, Maria Hagströmer2,3, Malin Nygren-Bonnier2,4
1Mindful Breathing Laboratory, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Innovations, quality & outcomes
|October 9, 2023
概括
这项试点研究表明,对于慢性阻塞性肺病 (COPD) 患者来说,家庭体育活动计划是可行的. 观察到很高的坚持,大多数患者每天增加步数,尽管生活质量没有显著改善.
科学领域:
- 肺部康复治疗 肺部康复治疗
- 基于家庭的健康干预措施
- 慢性呼吸道疾病 慢性呼吸道疾病
背景情况:
- 在医疗保健中,家庭干预越来越重要.
- 将肺部康复转化为家庭环境是一个关键需求.
- 慢性阻塞性肺病 (COPD) 管理需要可访问的程序.
研究的目的:
- 评估瑞典COPD患者在家进行为期8周的体育活动计划的可行性.
- 评估对计划组件的遵守,包括运动,健康指导和步骤监测.
- 探索身体活动水平和生活质量的变化.
主要方法:
- 试点研究涉及13名临床稳定的慢性肺炎患者 (年龄≥40岁).
- 该计划包括健身追踪器来计步数,每周的动机健康指导电话和视频引导的正念运动.
- 结果指标:通过慢性呼吸道问卷进行炼坚持 (视频观看),辅导呼叫坚持,步数 (每日/每月) 和生活质量 (QoL).
主要成果:
- 报告的高度坚持:12/13名参与者完成了指导电话和步骤监控;643次视频练习观看超过了最低标准.
- 观察到月度步数的积极趋势 (平均差异为47,039步,P=.06).
- 8名患者获得了每天500步的最小临床改善;没有发现显著的QoL或心理健康改善.
结论:
- 基于家庭的体育活动计划证明了COPD患者的可行性.
- 患者对程序组件的高度坚持表明了更广泛采用的潜力.
- 虽然QOL没有改善,但该计划在COPD管理中增加日常体育活动的前景很有希望.
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