基于网络的心身干预 (正念步骤) 促进慢性心肺疾病的行走:从定性研究的见解
Kristen M Kraemer1,2, Karen Kilgore3, Daniel Litrownik1,4
1Division of General Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.
Global advances in integrative medicine and health
|December 5, 2023
概括
整合心身实践的"正念步骤"计划对慢性阻塞性肺病 (COPD) 和心力衰竭 (HF) 患者的行走行为产生了积极的影响. 参与者发现计步器和课程等组件很有帮助,报告了改善的健康和持续的策略使用.
科学领域:
- 促进健康 促进健康
- 行为医学是一种行为医学.
- 慢性疾病管理 慢性疾病管理
背景情况:
- 身体不活动会对患有慢性阻塞性肺病 (COPD) 和心力衰竭 (HF) 的人产生负面影响.
- 在这些人群中,需要进行促进长期日常体育活动的干预措施.
- 意识步骤计划是一个多元组件干预,将心身内容与自我调节策略相结合,以鼓励步行行为.
研究的目的:
- 为了质量地探索参与者与正念步骤干预的经验.
- 了解正念步骤对COPD和HF患者的行走习惯和整体健康的感知影响.
主要方法:
- 使用半结构面试与试点随机对照可行性试验参与者的定性描述性研究.
- 干预后6个月和12个月进行了采访,录音,转录,并使用常数比较方法进行分析.
- 随机分配到干预组的19名参与者完成了6个月的访谈,17人完成了12个月的访谈.
主要成果:
- 参与者将步数计与反,现场小组课程和心身视频确定为最有益的组件.
- 参与者学习并应用了呼吸调节,身体意识和节奏等策略,报告了增加走路的乐趣和内部动机.
- 报告的好处包括身体和心理健康的改善,许多人在12个月后继续使用学会的策略,尽管有些人指出影响有限.
结论:
- 意识步骤的身心组成部分似乎对COPD和HF患者的行走行为产生了积极的影响.
- 参与者的经验为改进未来的干预代提供了洞察力.
- 建议进行进一步的定量研究,以证实这些发现,并评估干预措施对身体活动的长期疗效.
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