"让我的生活充满活力"--参加运动训练临床试验的射血分数保留型心力衰竭成人的纵向感知

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS European Journal of Cardiovascular Nursing Pub Date : 2024-04-08 DOI:10.1093/eurjcn/zvae049
Erin Salahshurian, Bunny J Pozehl, Scott W Lundgren, Sara Bills, Ambarish Pandey, Salvatore Carbone, Windy W Alonso
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引用次数: 0

摘要

目的 与射血分数降低的患者相比,射血分数保留型心力衰竭(HFpEF)患者对运动干预的反应更为积极。本研究通过对参加运动干预的高射血分数保留型心力衰竭成人的定性分析,探讨了导致这种反应的因素。方法与结果 本定性描述性研究是对参加随机对照试验的高频血友病患者在 3、6、12 和 18 个月时进行的纵向访谈的二次分析,该试验测试了促进坚持锻炼的干预措施。我们纳入了至少接受过两次访谈的参与者。我们采用主题分析法对不同参与者和不同时间点的访谈进行了研究。分析包括来自 21 名参加干预组的高频心衰成人的 67 篇访谈。样本中有 52% (11/21)为男性,47% 以上(10/21)为非白人。注册时的平均年龄为 63.7 ± 9.9 岁。我们确定了 4 大主题:1.克服消极态度、障碍和伤害;2.锻炼的动机;3.锻炼--改善高频心衰症状和生活质量的灵丹妙药;4.对其他高频心衰患者的建议。给其他高频低氧血症患者的建议。结论 我们的研究结果表明,对于许多患有高频血友病的成年人来说,最初对运动的犹豫、恐惧和消极态度是可以克服的。利用社会认知建构、医疗健身中心会员资格和心率自我监测进行运动指导,是吸引高血脂症成人患者参与长期无监督运动训练的成功策略。注册 本研究已在 ClinicalTrials.gov 注册,编号为 NCT01658670
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“Working me to life” – Longitudinal Perceptions from Adults with Heart Failure with Preserved Ejection Fraction Enrolled in an Exercise Training Clinical Trial
Aims Adults with heart failure with preserved ejection fraction (HFpEF) responded more favorably to an exercise intervention compared to those with reduced ejection fraction. This study explores factors that contributed to this response focusing on the qualitative perceptions of adults with HFpEF enrolled in an exercise intervention. Methods and results This qualitative descriptive study is a secondary analysis of longitudinal interviews collected at 3, 6, 12, and 18-months from participants with HFpEF enrolled in a randomized controlled trial testing an intervention to promote adherence to exercise. We included participants with at least 2 interviews. Interviews were examined across and within participants and time points using thematic analysis. Analyses included 67 interviews from 21 adults with HFpEF enrolled in the intervention arm. The sample was 52% (11/21) male and over 47% (10/21) non-White. Mean age at enrollment was 63.7 ± 9.9 years. We identified 4 major themes: 1. Overcoming negative attitudes, barriers, and injury, 2. Motivations to exercise, 3. Exercise - the panacea for HFpEF symptoms and quality of life, and 4. Advice for others with HFpEF. Conclusions Our findings suggest that for many adults with HFpEF, initial hesitancy, fear, and negative attitudes about exercise can be overcome. Exercise coaching using social cognitive constructs, medical fitness center memberships, and heart rate self-monitoring are successful strategies of engaging adults with HFpEF in long-term unsupervised exercise training. Registration This study is registered at ClinicalTrials.gov, NCT01658670
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来源期刊
European Journal of Cardiovascular Nursing
European Journal of Cardiovascular Nursing CARDIAC & CARDIOVASCULAR SYSTEMS-NURSING
CiteScore
5.10
自引率
10.30%
发文量
247
审稿时长
6-12 weeks
期刊介绍: The peer-reviewed journal of the European Society of Cardiology’s Council on Cardiovascular Nursing and Allied Professions (CCNAP) covering the broad field of cardiovascular nursing including chronic and acute care, cardiac rehabilitation, primary and secondary prevention, heart failure, acute coronary syndromes, interventional cardiology, cardiac care, and vascular nursing.
期刊最新文献
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