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

本研究的目的有两个：确定运动相关状态的变化，冠状动脉危险因素的改变行为，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）；并描述他们所经历的突发心脏事件的特征（定性）。13名受试者入院接受冠状动脉介入治疗。获得书面知情同意。第一个目的是在出院、1个月、3个月和12个月后的四个时间点测量变量（微电子设备测量的运动能量消耗[EEE]、饮用量热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改良行为和SF-36测量的健康相关生活质量[H-QOL]）。资料采用描述性统计分析。第二个目的是使用半结构化指南对7名受试者进行访谈。归纳法被用于分析。该研究得到了研究所内部审查委员会的批准。参与者的平均年龄为66.3岁（50-76岁）。平均射血分数为64.8(40-78)%。平均EEE(kcal/kg/day) 1个月时为1.30,12个月时为1.39；REE（kcal/kg/d）分别为17.2和23.6；平均步数分别为3566和3903。这些数据低于同年龄组的女性。12个月时的日常活动略少于1个月时。各点平均H-QOL均较低。改善后的行为在12个月时比出院时更差。对于第二个目标，描述了两个核心类别：<<因可能的心脏事件而停止正常生活的焦虑))；保守行为通过节约能量来避免心脏事件b>。总之，在一年中，身体活动水平并没有得到改善。参与者采取保守的生活方式来应对焦虑。针对性别的干预是必要的。少

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