在奥克兰心脏康复计划中的动机面试和认知行为疗法:一种倾向性得分匹配研究
Paul W Marshall1, Jocelyne R Benatar2, Paul O'Halloran3
1Department of Exercise Sciences, Faculty of Sciences, University of Auckland, Auckland, New Zealand.
Heart, lung & circulation
|February 24, 2026
概括
护士提供的激励面试和认知行为治疗干预措施并没有改善心脏康复入学率或出席率. 该研究强调需要新的患者参与策略,以加强参与心脏康复计划.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 在心脏康复 (CR) 中的低最佳入学和参与是一个全球性的挑战.
- 需要有效的策略来改善患者参与CR计划.
研究的目的:
- 评估护士专家提供的动机面试 (MI) 和认知行为疗法 (CBT) 干预对CR招生和出席的影响.
- 评估干预对所有原因死亡率和再接收率的影响.
主要方法:
- 一个2022年队列 (n=797) 与一个从2016年到2020年的倾向性得分匹配的历史队列 (n=779) 相比较.
- 数据是从奥克兰卫生区医疗数据库中提取的.
- 主要结局包括CR入学率,出席率,因任何原因的死亡率和在1.5年的平均随访期内重新入院.
主要成果:
- MI-CBT干预并没有改善CR入学率或出席率.
- 2022年的患者与历史对照人群相比,参加了较少的生活方式CR会议 (平均差异:-2次会议,p<0.001).
- 两组之间在运动出席率,死亡率或再接收风险方面没有发现显著差异.
结论:
- 由护士进行的MI-CBT干预并没有提高心脏康复入学率或出席率.
- 该研究表明,需要采用替代的患者参与策略,以改善CR参与.
- 调查结果有助于了解参与障碍,并为未来的服务改进提供信息.
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