运动训练对心力衰竭患者的动机的影响:随机对照Ex-DHF试验的结果
Monika Sadlonova1, Christopher M Celano2, Jeff Huffman2
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Göttingen, Göttingen, Germany; Department of Cardiothoracic and Vascular Surgery, University Medical Center Göttingen, Göttingen, Germany; DZHK (German Center for Cardiovascular Research), partner site Lower Saxony, Germany; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
Journal of psychosomatic research
|August 13, 2025
概括
结构化炼训练 (ET) 在12个月内显著提高了心力衰竭患者的整体和自我决定的动机,这些患者的心力衰竭有保存的喷射分数 (HFpEF). 这种改善的动机可能会增强长期坚持执行HFpEF管理计划的能力.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 行为科学 行为科学
背景情况:
- 心力衰竭 (HF) 是一个全球性的健康问题,心力衰竭与保留喷射分数 (HFpEF) 影响超过50%的症状患者.
- 对于HFpEF,药物治疗选择有限,这突显了诸如运动训练 (ET) 等非药物干预措施的重要性.
- 低动机是HFpEF患者持续ET坚持的重要障碍.
研究的目的:
- 评估12个月监督ET干预对HFpEF患者总体,自主和非自主动机的影响.
- 为了比较接受ET和接受常规护理 (UC) 的患者之间的动机水平.
主要方法:
- 对Ex-DHF试验的二次分析,涉及322名HFpEF患者 (平均年龄69.6岁,59.6%是女性).
- 参与者被随机分配到一个为期12个月的结构化,监督的ET计划或通常的护理 (UC).
- 用德国体育和运动相关目标自相一致度表 (SSK) 来评估动机.
主要成果:
- 与UC组相比,ET组在12个月内显示出整体动机的显著改善 (B = 0.78,p = 0.017).
- 在ET组中观察到内在动机 (B = 0.57,p < 0.001) 和识别动机 (B = 0.47,p < 0.001) 的显著增加.
- 在外部或内置动机方面,没有发现群体之间的显著差异.
结论:
- 12个月的监督ET干预有效地增加了HFpEF患者的整体和自我决定的动机.
- 内在和识别动机的增加表明,ET可以促进更自主地参与运动.
- 增强的动机,特别是自我决定的类型,有潜力改善长期在HFpEF管理中对ET的坚持.
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