患者对运动的看法在体位正静性心力衰竭综合征的成年人中:一种混合方法研究
Elizabeth G Walsh1, Gurjeet S Birdee2, Kemberlee Bonnet3
1Department of Physical Medicine & Rehabilitation, The Osher Center for Integrative Health at Vanderbilt, Vanderbilt University Medical Center, 3401 West End Ave, Ste 380, Nashville, TN, 37203, USA. elizabeth.g.walsh@vumc.org.
概括
患有姿势静止性心跳动综合征 (POTS) 的成年人认为运动至关重要,但面临症状负担作为主要障碍. 了解患者的经验是改善POTS管理的运动建议和干预措施的关键.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 患者报告的结果
背景情况:
- 运动对于管理姿势静止性心力衰竭综合征 (POTS) 至关重要.
- 关于患者对POTS运动干预措施的主观经验的研究有限.
- 了解患者的观点对于优化POTS管理策略至关重要.
研究的目的:
- 探索POTS成年人体内的运动感知障碍,偏好和体验.
- 在POTS人口中确定促进运动参与的促进者.
- 为POTS.提供量身定制的运动建议和干预措施的设计信息.
主要方法:
- 一种混合方法的方法,结合了焦点小组 (n=29) 和在线调查 (n=255) 与被诊断为POTS的成年人.
- 使用代的诱导-演方法分析的定性数据,由社会认知理论告知.
- 探索与POTS管理相关的炼参与,信念,障碍和促进者.
主要成果:
- 与之前相比,参与者在POTS发作后报告了较低的运动参与度.
- 对运动对POTS管理的重要性的信念很高,但症状负担成为主要障碍.
- 患者确定了定期炼的关键需求和促进者.
结论:
- 患者报告的POTS运动经验突出显著的障碍,主要是症状负担.
- 这些发现可以指导为POTS患者制定个性化炼建议.
- 干预设计应解决确定的患者需求,以改善炼坚持和POTS的管理.
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