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学科主题: 临床医学
题名:
Home-Based Exercise in Older Adults Recently Discharged From the Hospital for Cardiovascular Disease in China Randomized Clinical Trial
作者: Li, Xueyu1,2; Xu, Shunlin3; Zhou, Lijuan2; Li, Rongbin4; Wang, Jianrong1
关键词: cardiac rehabilitation ; cardiovascular disease ; China ; home-based exercise ; older adults ; randomized clinical trial
刊名: NURSING RESEARCH
发表日期: 2015-07-01
DOI: 10.1097/NNR.0000000000000102
卷: 64, 期:4, 页:246-255
收录类别: SCI ; SSCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Nursing
研究领域[WOS]: Nursing
关键词[WOS]: QUALITY-OF-LIFE ; CARDIAC REHABILITATION ; PHYSICAL-ACTIVITY ; HEART-FAILURE ; SKELETAL-MUSCLE ; BED REST ; HEALTH ; GUIDELINE ; FITNESS ; INDEPENDENCE
英文摘要:

Background Exercise is important for fitness and recovery of older adults after hospitalization for treatment of cardiovascular disease. Home-based, nurse-led exercise programs may be beneficial.

Objective The aim of this study was to test the effects of a low-intensity, home-based exercise protocol led by an advanced practice nurse on health-related quality of life (HRQOL), physical fitness, and left ventricular ejection fraction (LVEF) in older adults after hospital discharge with a cardiovascular disease diagnosis.

Methods The study was randomized and single blinded. Seventy-seven older adults (75 years old, mean = 80.68 years old) were included; 32 subjects in the intervention and 29 in the control group completed the study. The low-intensity, home-based exercise protocol is composed of 14-type joint exercises and walking for 12 weeks. The main outcome measures were assessments on the Medical Outcomes Study Short-Form-36, the Senior Fitness Test, and LVEF at baseline and 12 weeks after hospital discharge.

Results After 12 weeks, the intervention group showed significant improvements in HRQOL (physical functioning, role-physical, bodily pain, and vitality; p < .05) as well as on the Senior Fitness Test (chair stands, arm curls, Timed Up and Go, and 6-minute walk distance; p < .05); there was no significant improvement in LVEF (p = .56).

Conclusions The low-intensity, home-based exercise led by an advanced practice nurse was effective in improving HRQOL and physical fitness. Adherence was high, and there were no adverse events related to exercise.

语种: 英语
所属项目编号: 13BJZ54
项目资助者: Chinese People&prime ; s Liberation Army
WOS记录号: WOS:000357940700003
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/64479
Appears in Collections:北京大学第三临床医学院_心血管内科_期刊论文

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作者单位: 1.Chinese Peoples Liberat Army, Gen Hosp, Dept Nursing, Beijing 100853, Peoples R China
2.Shenyang Mil Command, Gen Hosp, Dept Nursing, Shenyang, Peoples R China
3.Peking Univ, Dept Cardiovasc Med, Hosp 3, Beijing 100871, Peoples R China
4.Chinese Peoples Liberat Army, Gen Hosp, Dept Cardiovasc Med, Beijing 100853, Peoples R China

Recommended Citation:
Li, Xueyu,Xu, Shunlin,Zhou, Lijuan,et al. Home-Based Exercise in Older Adults Recently Discharged From the Hospital for Cardiovascular Disease in China Randomized Clinical Trial[J]. NURSING RESEARCH,2015,64(4):246-255.
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