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Coronary risk factor modification and symptoms management, daily physical activity, and health related-QOL in women with ischemic heart disease

缺血性心脏病女性的冠心病危险因素改变和症状管理、日常体力活动和健康相关生活质量

基本信息

批准号：
15592272
负责人：
FURUKAWA Fumiko
金额：
$ 1.98万
依托单位：
Kagawa University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2004
项目状态：
已结题

项目摘要

The aims of this study were twofold : to identify changes in physical activity related-status, modified behaviors in coronary risk factors, and health related-QOL during. 12 months after discharge from a hospital in women with ischemic heart disease (quantitative study) ; and to describe characteristics experienced by precipitous cardiac events in them (qualitative ).Thirteen subjects admitted to the hospital for coronary interventions participated. Written informed consent was obtained. For the first aim, variables (exercise energy expenditure [EEE] by a microelectronic device, resting energy expenditure [REE] by a potable calorimeter, disease severity indicator, modified behaviors by self-reported questionnaire, and health-related QOL [H-QOL] by SF-36) were measured at four points : discharge, 1 month, 3 months, and 12 months later. Data -were analyzed by descriptive statistics. For the second aim, 7 subjects were interviewed using a semi- structured guideline. An inductive method wa … More s used for analyses. The study was approved by the IRB of the Institution.The mean age of the participants was 66.3(50-76) years. The mean ejection fraction was 64.8(40-78)%. The mean EEE(kcal/kg/day) was 1.30 at 1 month and 1.39 at 12 months ; REE(kcal/kg/day) was 17.2 and 23.6 ; and the mean footsteps were 3566 and 3903, respectively. Those data were lower than those in the same age group of women. Daily activities at 12 months were slightly fewer than those at 1 month. The mean H-QOL was significantly low at all points. The modified behaviors became worse at 12 months than those at discharge. For the second aim, two core categories were described : <<anxiety against cessation of ordinal life due to a possible cardiac event)) ; and ((conservative behavior by saving energy to avoid cardiac events>>.In conclusion, physical activity levels were not improved throughout one year. Participants took the conservative ways of life to deal with anxiety. Gender specific intervention will be necessary. Less

这项研究的目的有两个：确定身体活动相关状态的变化，冠心病危险因素中的行为改变，以及健康相关的生活质量。缺血性心脏病妇女出院后12个月（定量研究），并描述其突发心脏事件的特征（定性）。获得了书面知情同意书。对于第一个目标，在出院、1个月、3个月和12个月后的4个时间点测量变量（微电子设备测量的运动能量消耗[E2]、便携式热量计测量的静息能量消耗[REE]、疾病严重程度指标、自我报告问卷测量的修正行为和SF-36测量的健康相关QOL [H-QOL]）。数据-通过描述性统计进行分析。对于第二个目标，使用半结构化指南对7名受试者进行了访谈。一种归纳法是 ...更多信息用于分析。本研究经机构伦理委员会批准，受试者平均年龄为66.3（50-76）岁。平均射血分数为64.8（40-78）%。1个月和12个月时的平均REE（kcal/kg/d）分别为1.30和1.39; REE（kcal/kg/d）分别为17.2和23.6 ;平均足迹分别为3566和3903。这些数据低于同一年龄组的妇女。12个月时的日常活动略少于1个月时。所有时间点的平均H-QOL均显著较低。在12个月时，改良行为比出院时更差。对于第二个目标，描述了两个核心类别：<<由于可能的心脏事件而对停止正常生活的焦虑））;和（（通过节省能量以避免心脏事件的保守行为>>。参与者采取保守的生活方式来应对焦虑。需要采取针对性别的干预措施。少