肺切除前患者带领的步行计划:关于可行性和对生活质量影响的试点研究
Neelesh Bagrodia1, Kyle Hansotia1, Mahmoud Abdel-Rasoul2
1Thoracic Surgery Division, Department of Surgery, The Ohio State University, Columbus, OH, USA.
Therapeutic advances in respiratory disease
|May 16, 2025
概括
患者带领的步行计使用的步行计划对于一些接受胸部手术的患者来说是可行的. 较高的每日步数与肺部手术前自我感知生活质量的改善相关.
科学领域:
- 胸部外科手术 胸部外科手术
- 提高质量 提高质量
- 患者报告的结果
背景情况:
- 术前调节对胸部手术结果的影响正在调查中.
- 关于患者坚持步行计划和生活质量的数据有限.
- 评估患者主导的数据收集对于术前调节至关重要.
研究的目的:
- 评估患者驱动的步数数据采集使用计步器的可行性.
- 确定手术前调节对患者生活质量的影响.
- 与自我感知的健康结果相关联每日步数.
主要方法:
- 前性,单一机构质量改进研究.
- 167名接受胸部手术的患者在手术前接受了计步仪.
- 在基线和手术前评估的生命质量;从STS数据库中获得的临床数据.
主要成果:
- 步计数据的利用率为26% (43/167名患者).
- 较高的日均步数 (>6000) 与改善的整体健康,生活质量,身体和社会健康以及减少疲劳 (p<0.05) 相联系.
- 根据步数,没有观察到生存,停留时间或呼吸道并发症的显著差异.
结论:
- 通过计步仪引导患者步行计划的可行性有限.
- 术前增加的体力活动,通过更高的步数来表明,与肺部手术患者自我报告的更好的生活质量有关.
- 需要进一步的研究,以优化患者参与手术前调节计划.
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