八段锦对心力衰竭患者活动耐力与生活质量影响-RCT.pptxVIP

The effects of Baduanjin exercise on fatigue and quality of life in patients with heart failure: A randomized controlled trial 八段锦运动对心力衰竭患者活动耐力和生活质量影响的一项随机对照试验 目的： 本研究旨在探讨八段锦运动对心力衰竭患者活动耐力和生活质量的影响。 方法： 该研究是一项随机对照试验。诊断为心力衰竭的参与者是从台湾北部的两个大型医疗中心招募的。参与者被随机分配到试验组（Ñ = 39）或对照组（N= 41）。干预组患者接受为期12周的八段锦运动（每周三次八段锦运动、 每次35分钟，持续12周）。对照组接受了平常的照顾，无其他干预。分别在干预后4周，8周和12周，使用问卷调查形式评估活动耐力和生活质量。 结果： 参加八段锦运动组的患者在12周内的活动耐力（F = 5.08，P = 0.009）和生活质量（F = 9.11，P = 0.001）有显着改善。对照组患者的活动耐力显着低于基线至第12周时的疲劳（F = 3.46，P = 0.033），而且生活质量也没有显着变化（F = 0.70，P = 0.518）。与对照组相比，运动组在4周，8周和12周时表现出显着更大的疲劳和生活质量改善。 结论： 这个简单的传统练习对台湾心力衰竭患者是推荐的，以改善他们的疲劳和生活质量。 Introduction 1. Fatigue is a common problem reported by 54–96% of patients with heart failure。 2. Fatigue may cause limitations in performing daily and social activities, increased dependency（依赖性） on others,loss of self-esteem, and depression, thereby affecting patients’ quality of life。 3. Greater fatigue is associated with a higher risk of cardiovascular death or hospitalization and all-cause mortality 4. The European Society of Cardiology guidelines recommend regular aerobic exercise（有氧运动） in patients with heart failure to improve functional capacity and symptoms.The American College of Cardiology and the American Heart Association also suggest that exercise training is beneficial as an adjunctive approach to improve clinical status in ambulatory patients（卧床患者） with current or prior symptoms of heart failure. 5. Aerobic and resistance exercise training have been proven to reduce symptoms such as fatigue in heart failure patients, increase maximum oxygen uptake and muscle strength, increase exercise tolerance, reduce hospital stays and mortality, and improve psychological and social function. 6. Other forms of exercise such as Tai Chi and yoga were also found to improve the physical and mental health and quality of life of patients with heart failure. Most exercise training studies in heart failure patients employ moderate- to high-intensity training 3–5 times p