周围动脉疾病患者的多模式预康复 间歇性音-试验性随机对照试验
Miquel Coca-Martinez1, Elie Girsowicz2, Robert J Doonan3
1Division of Vascular Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada; Department of Anesthesia and Intensive Care, Universitat de Barcelona, Barcelona, Spain; Department of Anesthesia, McGill University, Montreal, Quebec, Canada.
Annals of vascular surgery
|November 10, 2023
概括
多模式预康复 (MP) 对于间歇性关节障碍患者来说是安全和可行的,改善了行走能力和生活质量. 需要进一步的试验来确认其在减少内血管再血管化 (ER) 需要的有效性.
科学领域:
- 血管外科 血管外科
- 康复医学 康复医学 康复医学
- 临床试验 临床试验
背景情况:
- 间歇性音显著影响患者的生活质量和功能能力.
- 内血管再血管化 (ER) 是一种常见的治疗方法,但预康复可能提供一种替代或补充的方法.
- 需要试点数据来评估多模式预康复 (MP) 的可行性,安全性和初步有效性.
研究的目的:
- 确定一个为期12周的多式预康复 (MP) 计划的可行性和安全性.
- 获取关于生活质量和功能性行走能力变化的试点数据.
- 探索MP对接受内血管再血管化 (ER) 的决定的影响.
主要方法:
- 试验性随机对照试验将12周的MP与50岁以上中度至严重间歇性音患者的标准护理 (无监督行走建议) 进行比较.
- MP包括监督炼,家庭炼,营养支持,戒烟和心理社会支持.
- 通过招聘/保留率评估可行性;通过不良事件评估安全性;通过6分钟步行测试和生活质量得分的变化评估有效性.
主要成果:
- 招聘和保留率分别为73%和92%,高度遵守MP组件 (70-90%).
- 与标准护理相比,MP组在功能能力 (6分钟步行测试) 和生活质量 (VascuQol) 中呈现出统计学上显著的改善.
- 没有报告任何不良事件;主要的坚持障碍包括疼痛和难以进行规定的炼.
结论:
- 多模式预康复 (MP) 是一种安全且可行的干预措施,用于间歇性关节障碍患者.
- 一个为期12周的MP计划显示了改善功能性行走能力和生活质量的承诺.
- 需要进行更大规模的试验来证实MP的有效性及其对ER率和长期结果的影响.
相关概念视频
01:27Peripheral Artery Disease III: Interprofessional Care
11
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
11
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
14
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14
01:23Peripheral Artery Disease V: Postoperative Nursing Management
11
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
11
01:26Peripheral Artery Disease IV: Nursing Management
11
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
11
01:30Peripheral Artery Disease I: Introduction
9
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
9