患有左心室辅助器件的患者的日常体力活动和生活质量
Tomoyuki Nezu1,2, Tomomi Ide2, Takeo Fujino3,4
1Department of Rehabilitation Medicine, Kyushu University Hospital, Fukuoka, Japan.
概括
身体活动,特别是步行,对左心室辅助器件 (LVAD) 患者的生活质量 (QOL) 有显著影响. 优化就业和心理健康等因素可能会改善这些患者的质量生活.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 生物医学工程 生物医学工程
背景情况:
- 左心室辅助器件 (LVAD) 对于末期心力衰竭管理至关重要.
- 在LVAD患者中,身体活动水平与生活质量 (QOL) 之间的相关性尚未得到充分证实.
- 了解这些关系对于全面的患者护理至关重要.
研究的目的:
- 调查LVAD患者体育活动状态和QOL之间的关联.
- 在这个人群中确定影响行走活动持续时间的关键因素.
主要方法:
- 30名门诊LVAD接受者参与了这项研究.
- 使用三轴加速度计客观测量身体活动.
- 使用堪萨斯城心肌病问卷 (KCCQ) 评估生活质量.
- 用多重回归分析来分析数据.
主要成果:
- 患有LVAD的患者表现出主要的久坐行为 (72.6%的活动时间).
- KCCQ得分与步行活动时间有显著的正相关性 (r=0.60,p=0.0005).
- 与增加步行活动相关的因素包括定期就业,较低的抑郁症得分,降低的C-反应蛋白水平和更高的峰值氧气吸收.
结论:
- LVAD患者的体力活动水平一般较低.
- 步行活动的持续时间是LVAD患者的QOL的重要决定因素.
- 针对身体,心理和生理因素的综合管理策略对于提高QOL至关重要.
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