在多模式预康复计划中坚持运动训练:对影响因素的探索性研究
Raquel Risco1, Raquel Sebio-García2,3, Rubèn González-Colom2,4
1Anesthesiology Department, Hospital Clínic de Barcelona, 08036 Barcelona, Spain.
Journal of clinical medicine
|June 13, 2025
概括
坚持预康复计划受到各种因素的影响,包括运动类型和吸烟状况. 识别这些预测因素可以帮助改善患者参与大手术多模式预康复.
科学领域:
- 外科手术 手术手术
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 康复前疗法的疗效差距影响其现实世界的影响.
- 计划的消耗和坚持是预康复有效性的关键挑战.
- 了解坚持因素对于优化大手术患者的预康复至关重要.
研究的目的:
- 确定影响多模式预康复计划遵守的因素.
- 探索在现实生活中的临床环境中实施预康复.
- 为了确定在接受重大手术的患者中粘附的预测因素.
主要方法:
- 对559名接受重大手术的患者进行前性试验分析.
- 评估了社会人口统计学和临床变量.
- 二元逻辑回归用于识别坚持预测因素.
主要成果:
- 63.7%的患者坚持预康复计划.
- 与工作状态,运动类型,吸烟,年龄,并发病症和体力活动相关的坚持.
- 后勤回归确定了运动处方,吸烟状态,居住区,工作状态和新辅助疗法作为独立预测因素.
结论:
- 多个因素显著影响了对预康复计划的坚持.
- 一个预测模型显示了很好的准确性和特异性,用于识别患有不遵守风险的患者.
- 该模型的较低灵敏度凸显了在预测粘附性方面需要进一步改进的需要.
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