在周围动脉疾病中远程自我报告评估行走障碍
Shivshankar Thanigaimani1, Alkira Deren1, Nicola W Burton2,3
1Queensland Research Centre for Peripheral Vascular Disease, College of Medicine and Dentistry James Cook University Townsville QLD Australia.
Journal of the American Heart Association
|March 4, 2026
概括
简单的问题准确地评估了周围动脉疾病 (PAD) 患者的行走能力. 这一发现支持远程监测患者,并减少了需要耗时的面对面评估的需要.
科学领域:
- 临床医学 临床医学
- 康复科学 康复科学 康复科学
- 患者报告的结果
背景情况:
- 在人行走评估是耗时的,并限制临床实用性.
- 周围动脉疾病 (PAD) 显著影响患者的流动性和生活质量.
- 对行走能力的客观测量对于有效的PAD管理至关重要.
研究的目的:
- 确定简单的自我报告问题,最能反映PAD患者的行走能力.
- 评估这些问题的预测有效性与客观的步行距离措施相比.
- 探索这些问题的实用性,以远程患者评估.
主要方法:
- 从BIP试验中对移动性和疲劳问题进行后期分析.
- 通用线性模型用于确定预测步行距离 (20米) 中临床重要差异最小值的问题.
- 随机森林和线性混合效应模型来评估24个月内6分钟步行距离的估计.
主要成果:
- 在所有随访点 (P<0.05) 关于爬楼梯,100米步行限制和疲劳预测步行距离的具体问题.
- 报告没有100米步行限制的参与者在步行距离 (25.1m) 中表现出明显更大的改善,与报告有显著限制的参与者相比 (P<0.001).
- 自我报告的数据显示,在24个月内,与客观测量的步行距离有很强的纵向关联.
结论:
- 简单的自我报告问题可以有效地反映PAD患者的行走能力.
- 这些问题有望用于远程患者监测和评估.
- 这些发现可能有助于更频繁,更容易地对PAD进展和治疗反应进行评估.
相关概念视频
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
546
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
546
01:26Peripheral Artery Disease IV: Nursing Management
506
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
506
01:27Assessment of the Cardiovascular System III: Palpation
1.3K
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
1.3K
01:27Peripheral Artery Disease III: Interprofessional Care
457
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
457
01:30Peripheral Artery Disease I: Introduction
508
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
508
01:23Peripheral Artery Disease V: Postoperative Nursing Management
484
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
484