Influence of an early recovery telehealth intervention on physical activity and functioning after coronary artery bypass surgery among older adults with high disease burden.
Influence of an early recovery telehealth intervention on physical activity and functioning after coronary artery bypass surgery among older adults with high disease burden.
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DOI：
10.1016/j.hrtlng.2009.01.010
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发表时间：
2009-11
期刊：
影响因子：
2.8
通讯作者：
Tu, Chunhao
中科院分区：
文献类型：
--
作者：
Barnason, Susan;Zimmerman, Lani;Schulz, Paula;Tu, Chunhao
术前功能差的老年人在CABS后有延迟恢复和更多受损结局的风险。确定旨在改善自我效能和CABS后症状相关管理的6周早期恢复远程保健干预是否能有效改善疾病负担较高的老年人（> 65岁）的结局（体力活动、生理和心理功能）。采用描述性重复测量实验设计。在CABS后3周、6周和3个月收集随访数据。受试者来自大型随机临床试验（RCT）。纳入了术前疾病负担高的母研究受试者[医学结局研究简表36（MOS SF-36）中身体成分评分<50，RISKO评分> 6]（N=55）;早期恢复干预组有23例受试者，常规护理组有31例受试者（n=31）。受试者年龄范围为65-85岁（M=71.6 + 5.1）。组间存在显著的主效应[F（1，209）=4.66，p<0.05），根据RT 3 ®加速计，干预组的能量消耗的最小二乘均值为27.9 kcal/kg/天，而常规护理组为26.6 kcal/kg/天。随着时间的推移，两组的身体功能[F（2，171）=3.26，p<0.05]和角色-身体功能[F（2，171）=6.64，p<0.005]都有显著改善。具有高疾病负担的CABS受试者亚组对早期恢复远程健康干预有反应。改善患者的身体活动和功能可以降低与心脏事件后功能不良相关的发病率和死亡率。
Older adults with poor functioning preoperatively are at risk for delayed recovery and more impaired outcomes following CABS. To determine if a 6-week early recovery telehealth intervention, designed to improve self-efficacy and management related to symptoms following CABS, was effective in improving outcomes (physical activity, physiological and psychological functioning) for older adults (> 65 years old) with higher disease burden. A descriptive, repeated measures experimental design was used. Follow-up data was collected at 3- and 6-weeks and 3-months after CABS. Subjects were drawn from a larger randomized clinical trial (RCT). Parent study subjects who had high disease burden preoperatively [physical component score of <50 on the Medical Outcome Study Short Form 36 (MOS SF-36) and a RISKO score of > 6], were included (N=55); with 23 subjects in the early recovery intervention group and 31 subjects in the usual care group (n=31). Subjects ranged from 65–85 years old (M=71.6 + 5.1). There was a significant main effect by group [F(1,209)=4.66, p<.05), the intervention group had a least square means of 27.9 kcal/kg/day of energy expenditure compared to the usual care group of 26.6 kcal/kg/day per the RT3® accelerometer. Both groups had significantly improved physical [F(2,171)=3.26, p<.05] and role-physical [F(2,171)=6.64, p<.005] functioning over time. The subgroup of CABS subjects with high disease burden was responsive to an early recovery telehealth intervention. Improving patients’ physical activity and functioning can reduce morbidity and mortality associated with poor functioning after cardiac events.
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影响因子：
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作者：
Ades, PA;Maloney, A;Carhart, RL
通讯作者：
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DOI：
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发表时间：
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期刊：
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DOI：
10.1111/j.1745-7599.2006.00152.x
发表时间：
2006-08-01
影响因子：
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作者：
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通讯作者：
Willson, Pamela