评估心力衰竭患者的体力活动及其与疲劳的关系:一项横断面研究

Fatemeh Esnaasharieh, M. Dehghan, Javad Abtahian, Parvin Mangolian shahrbabaki
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摘要

背景和目的:残疾和运动不耐受在心力衰竭中很常见,可导致患者感到疲劳,并可改变患者的生活方式;因此,本研究旨在评估心力衰竭患者的体力活动及其与疲劳的关系。方法:在这项描述性横断面研究中,采用方便抽样的方法选择了伊朗东南部康复中心的100例心力衰竭患者。数据收集工具为RAPA体力活动问卷和FACIT疲劳问卷。采用Spearman相关系数和回归分析。认为显著性为0.05。结果:本组患者体力活动的平均值±sd为2.59±1.33,疲劳的平均值±sd为20.27±6.11,绝大多数患者体力活动低于正常水平,且绝大多数患者体力活动不佳。体力活动总分与疲劳总分呈显著负相关。结果显示,30.6%的患者疲劳变化受药物使用、心脏手术史和疾病程度等变量的影响,这些变量是患者疲劳的预测因子。结论:本研究结果表明,体力活动越多的患者疲劳程度越低。由于心力衰竭患者的疲劳是非常普遍的,建议采取必要的干预措施,增加患者的体力活动知识和技能,以减少患者的疲劳
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Evaluation of Physical Activity in Patients With Heart Failure and Its Relationship With Fatigue: A Cross-sectional Study
Background and Objectives: Disability and intolerance to exercise are common in heart failure and can lead to feelings of fatigue in patients and can change patients’ lifestyles; therefore, this study was performed to Evaluation of physical activity in patients with heart failure and its relationship with fatigue. Methods: In this descriptive cross-sectional study, 100 patients with heart failure referred to rehabilitation centers in southeastern Iran were selected by convenience sampling. Data collection tools were RAPA physical activity questionnaire and FACIT fatigue questionnaire. Data were analyzed using Spearman correlation coefficient and regression. Significance was considered 0.05. Results: The results showed that the mean±sd of physical activity was 2.59‌±1.33 and the mean±sd of fatigue in the samples was 20.27±6.11 and the majority of patients had below normal physical activity and fatigue was unfavorable in the majority of them. The total score of physical activity was inversely and significantly correlated with the total score of fatigue. The results showed that 30.6% of the changes in patients ‘fatigue were influenced by variables of drug use, history of heart surgery and the degree of disease and they were predictors of patients’ fatigue. Conclusion: The results of the present study showed that patients who were more physically active had less fatigue. Due to the fact that fatigue is very common in patients with heart failure, it is recommended to take the necessary interventions to increase patients’ knowledge and skills about physical activity, to reduce the fatigue of patients
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