虚拟运动对心脏康复I期心肺功能和抑郁的影响:一项随机对照试验。

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-11-27 DOI:10.1002/pri.2066
Kornanong Yuenyongchaiwat, Tunchanok Boonkawee, Phansaporn Pipatsart, Wararat Tavonudomgit, Natsinee Sermsinsaithong, Preyaphorn Songsorn, Noppawan Charususin, Somrudee Harnmanop, Phuwarin Namdaeng, Chitima Kulchanarat, Chusak Thanawattano
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引用次数: 0

摘要

背景:心脏康复被推荐给接受心脏直视手术(OHS)的患者。在住院期间,这些患者心肺功能下降,心理健康状况下降,导致身体功能不佳,抑郁和发病率。为了预防术后肺部并发症,建议对心脏手术患者进行术前和术后物理治疗干预。虚拟现实(VR)促进健康个体和有健康状况的人的健康状况。然而,很少有研究报道VR运动项目对OHS患者肺功能和心理健康状况的有益影响。目的:探讨与常规物理治疗相比,采用VR强化训练是否能更有效地改善OHS患者的心肺功能和抑郁。方法:60名参与者随机分配到常规物理治疗和VR运动项目。每次治疗每天进行一次,直到出院。在手术前和出院时评估心肺功能和抑郁。采用双向混合方差分析比较组内(即术前和术后)和组间(即VR组和常规物理治疗组)的差异。结果:与OHS术后接受常规物理治疗的患者相比,接受VR运动计划的患者心肺功能无显著提高(p > 0.05)。常规物理治疗组抑郁评分显著高于VR组(∆4.00±0.98比∆1.68±0.92)。然而,心肺功能在VR运动和常规物理治疗中没有差异。
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Effects of virtual exercise on cardio-pulmonary performance and depression in cardiac rehabilitation phase I: A randomized control trial.

Background: Cardiac rehabilitation is recommended for patients undergoing open-heart surgery (OHS). During the hospital admission, these patients suffer from reduced cardiopulmonary performance and decreased psychological health, leading to poor physical function, depression, and morbidity. To prevent post-operative pulmonary complications, a pre and post-operative physical therapy intervention is recommended for patients undergoing heart surgery. Virtual reality (VR) promotes the health status of healthy individuals and those with health conditions. However, few studies have reported the beneficial effects of VR exercise programs on the pulmonary performance and mental health status of patients undergoing OHS.

Objectives: To determine whether by using training enhanced by VR, patients who have undergone OHS can more effectively attain cardiopulmonary performance and improve depression than through conventional physical therapy.

Method: 60 participants were randomly assigned to a conventional physical therapy and VR exercise program. Each session was conducted once daily until discharge from the hospital. Cardiorespiratory performance and depression were evaluated before surgery and at the time of discharge from the hospital. A two-way mixed ANOVA was performed to compare within (i.e., pre and post-operation) and between (i.e., VR and conventional physical therapy) groups.

Results: No significant cardiopulmonary performance gains were detected in patients receiving the VR exercise program when compared with those who participated in conventional physical therapy prior to post-operative OHS (p > 0.05). However, the conventional physical therapy group showed significantly higher depression scores than the VR group (∆4.00 ± 0.98 vs. ∆1.68 ± 0.92). However, cardiopulmonary performance did not differ in both VR exercise and conventional physical therapy.

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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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