心脏衰竭患者中心理社会因素和身体活动水平的时间变化
Jessica R Golbus1, Tanima Basu1, Evan Luff1
1Division of Cardiovascular Diseases, Department of Internal Medicine, University of Michigan, Ann Arbor. (J.R.G., T.B., E.L., C.G., B.K.N.).
Circulation. Heart failure
|December 3, 2025
概括
心理社会特征和心力衰竭症状显著影响患者的日常体力活动. 针对这些因素的干预措施可以改善活动水平和患者的结果.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 心力衰竭 (HF) 患者经历波动的症状和身体活动,但经验数据有限.
- 了解心理社会因素和HF的身体活动之间的相互作用对于有效的管理至关重要.
研究的目的:
- 为了研究心理社会特征,波动的HF症状和稳定的心力衰竭患者的身体活动水平之间的关联.
- 通过生态瞬间评估来检查HF症状和心理社会状态的变化.
主要方法:
- 展望性观察性研究 (MOVIN-HF) 涉及有症状的HF患者.
- 收集了基线心理社会特征,并对症状和心理社会状态进行了为期28天的每天两次生态瞬间评估.
- 通过智能手表测量身体活动的步数,并使用混合效应模型分析关联.
主要成果:
- 基线内在动机与更高的每日步数有显著的相关性 (每点增加39%).
- 在HF症状 (50%+变化在33%的参与者) 和活力 (50%+变化在60%) 中观察到实质性的变化.
- 肝炎症状和心理社会状态 (活力,能力) 与短期的体力活动有显著的关联.
结论:
- 稳定的心理社会特征会影响HF患者的日常身体活动.
- HF症状和心理社会状态表现出显著的短期波动,影响身体活动.
- 针对心理社会因素和症状变异性的量身定制干预措施可以增强心力衰竭中的身体活动.
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