患有先天性心脏病的成年人体育炼障碍和需求:一种定性研究
Yara F Langeveld1, Nienke Ter Hoeve2,3, Annemien van den Bosch4
1Department of Cardiology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
BMJ open
|July 5, 2025
概括
患有先天性心脏病 (ACHD) 的成年人面临身体炼的障碍,包括身体症状和缺乏知识. 个性化咨询和医疗保健专业人员的结构化支持对于增加这一群体体体育活动至关重要.
科学领域:
- 心脏病学 心脏病学
- 运动科学 运动科学
- 公共卫生 公共卫生
背景情况:
- 定期体育炼有显著的健康益处,对于患有先天性心脏病 (ACHD) 的成年人来说通常是安全的.
- 尽管已知有好处,但相当多的ACHD患者仍然过着身体不活跃的生活.
- 了解这一群体体体育活动的具体挑战和要求,对于开发有效的干预措施至关重要.
研究的目的:
- 探索患有ACHD的个体在体育炼方面遇到的障碍和需求.
- 为制定有针对性的策略提供信息,旨在增加患有ACHD的成年人身体活动水平.
主要方法:
- 通过半结构面试对19名患有ACHD的成年人进行了定性研究.
- 面试指南结合了恐惧回避模型,心脏运动恐惧症的坦帕尺度和体育心脏病学ESC指南.
- 采用专题分析来确定与体育炼相关的关键障碍和需求.
主要成果:
- 确定了四个主要障碍:身体症状/过去的负面经历,社会疏远,感知健康状况下降以及对个人身体限制的不确定性.
- 两个关键需求出现了:获得个性化,疾病特定的运动信息和医疗保健专业人员的结构化支持.
结论:
- 患有 ACHD 的人遇到许多阻碍他们定期运动的障碍.
- 医疗保健提供者需要量身定制,个性化的运动指导.
- 制定长期计划和干预措施对于解决这些障碍和促进身体活动至关重要.
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