跨导管大动脉置换后身体活动的障碍和促进因素:一种混合方法研究
Zhiyun Shen1, Xiaojue Qian1, Chenxu Huang1
1Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai, China.
Journal of rehabilitation medicine
|February 24, 2025
概括
大多数透气管大动脉置换 (TAVR) 后的患者不参与定期的体力活动. 干预措施应提高运动参与的动机,能力和触发因素.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
背景情况:
- 过导管大动脉置换 (TAVR) 改善了生存率,但手术后的体力活动往往是不理想的.
- 了解影响TAVR后身体活动的因素对于患者的康复和长期健康至关重要.
研究的目的:
- 为了评估TAVR后患者的体力活动水平.
- 确定影响TAVR后体育活动参与的障碍和促进因素.
主要方法:
- 一项混合方法研究,结合了量化调查 (IPAQ-SF) 和以福格行为模型为指导的定性访谈.
- 在上海接受TAVR的195名患者进行了评估.
- 波桑回归确定了初步因素,随后进行了有针对性的采访,以探索行为决定因素.
主要成果:
- 大多数TAVR后患者 (93.33%) 报告缺乏定期体育活动.
- 确定了14个障碍和促进因素,分为动机,能力和触发因素.
- 关键因素包括健康期望,运动恐惧症,自我调节挑战以及社会和环境支持的影响.
结论:
- 在TAVR后的患者中,对定期体育活动的坚持仍然很低.
- 未来的干预措施应侧重于增强患者的动力,提高身体活动能力,并利用适当的环境和社会触发因素.
相关概念视频
Exercise and Cardiovascular Response
700
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
700
Physiological Barriers
3.4K
Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
3.4K
Exercise and Cardiac Output
877
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
877


