从理论到实践:在慢性疾病中量身定制的运动处方的现实世界实施模型的见解
Federica Duregon1,2, Giulia Quinto1,2, Marco Vecchiato3,4
1Sports and Exercise Medicine Division, Department of Medicine, University of Padova, Padova, Italy.
在慢性病患者中实施量身定制的运动处方 (TEP) 是可行的,但坚持仍然很低. 需要进行行为干预,以改善患者长期参与体育活动计划.
科学领域:
- 运动科学 运动科学
- 临床医学 临床医学
- 公共卫生 公共卫生
背景情况:
- 运动对慢性病患者有显著的益处,但其融入医疗保健系统和患者遵守是有限的.
- 医生对身体活动的建议往往导致遵守率和坚持率较低.
- 为应对这些实施挑战,开发了一种定制运动处方 (TEP) 的现实模型.
研究的目的:
- 在门诊中实施和评估一个针对量身定制的运动处方 (TEP) 的现实世界模型.
- 评估TEP模型的可行性,有效性,合规性和遵守性.
- 识别长期患者参与的障碍和潜在改善.
主要方法:
- 经过全面的临床和功能评估,包括心肺运动测试,为每个患者创建了量身定制的运动处方 (TEP).
- 监督培训课程 (STS) 进行了至少6周.
- 6个月后重复了功能评估,同时评估了符合一般建议和TEP遵守情况.
主要成果:
- 纳入了312名患者 (44%是男性,平均年龄为52.1岁) 患有慢性疾病,如肥胖 (47%),器官移植 (32%),心血管疾病 (8%) 和癌症 (4%).
- 85.9%的患者完成了最初的监督训练 (STS),没有任何不良事件.
- 患者遵守 (出席率) 为53.2%,在6个月内遵守TEP是44.9%.
结论:
- 在慢性病患者的门诊临床环境中,实践中的量身定制的运动处方 (TEP) 模型,其次是监督训练 (STS) 是可行的.
- 目前的合规和遵守率表明需要加强干预策略.
- 未来的努力应集中在行为改变和激励技术上,以改善中长期患者对炼计划的坚持.
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