基于可穿戴设备的干预措施,以促进肺癌手术后患者的身体活动:非随机临床试验
Junghee Lee1, Sunga Kong2,3, Sumin Shin4
1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
JAMA network open
|September 20, 2024
概括
可穿戴设备改善了手术后肺癌患者的体力活动,并减少了呼吸障碍. 这种个性化康复方法与通常的护理相比,可以提高康复率.
科学领域:
- 在瘤学瘤学.
- 康复医学 康复医学 康复医学
- 数字健康数字健康
背景情况:
- 可穿戴设备显示出对肺癌患者监测身体活动的前景.
- 可穿戴设备对这些患者手术后恢复的影响尚不清楚.
研究的目的:
- 评估可穿戴设备干预对身体活动,心肺功能和肺癌手术后生活质量的影响.
主要方法:
- 一项非随机临床试验将使用可穿戴设备进行个性化炼的患者与接受通常护理的历史对照组进行了比较.
- 干预包括一个由可穿戴设备监控的三阶段 (手术前,手术后和手术后) 运动方案.
- 结果包括体力活动 (每日步行,中度至强度体力活动[MVPA]),心肺功能 (6分钟步行距离 [6MWD]) 和与健康相关的生活质量 (HRQOL).
主要成果:
- 与对照组相比,干预组在手术后2周的每日步骤下降幅度较小,并且在6个月内显著增加.
- 在6个月后,干预组的每日步骤和MVPA比对照组多得多.
- 干预组在2周后报告了更好的身体功能,更少的呼吸障碍和更少的疼痛,并在手术后6个月内减少呼吸障碍.
结论:
- 使用可穿戴设备的外科手术期间的运动干预可以增强身体活动,并减少肺癌患者手术后呼吸障碍.
- 可穿戴设备在肺癌护理中提供了个性化的术后康复的有希望的策略.
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