一项针对非心源性胸痛患者的训练计划,结合干预措施改善生活质量、心理状态和功能能力的有效性:一份病例报告。

IF 2.3 4区 医学 Q2 PSYCHIATRY
Irem Huzmeli, Aysel Yildiz Ozer
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引用次数: 0

摘要

背景:非心源性胸痛(NCCP)是一种非心源性持续性心绞痛样胸痛,影响患者健康相关生活质量(HrQoL),但不影响死亡率。对NCCP的综合训练计划的影响,包括生活质量、心理状态、外周肌肉力量、身体活动和生活质量,以前没有建立或发表过。因此,本研究旨在展示我们的联合训练计划的有效性,该计划侧重于NCCP患者呼吸困难的功能能力、身体活动、肺功能、呼吸和外周肌肉力量、呼吸困难、疲劳、焦虑和抑郁感知。病例介绍:一名38岁男性呼吸短促和NCCP被转介到我们进行心肺康复。呼吸肌力(口压装置)、功能能力(6分钟步行测试,6- mwt)、外周肌力(测力计)、肺功能(肺活量测定法)、疲劳(疲劳严重程度量表)、呼吸短促(MMRC,改良医学委员会研究,改良博格量表- mbs)、体力活动(国际体力活动问卷,IPAQ)、健康相关生活质量(SF-36,简略表格-36)、抑郁和焦虑(医院抑郁和焦虑量表,评估HADs)。有氧训练结合吸气肌训练(负荷30%最大吸气压力(MIP)),每周至少5天,持续6周。功能能力、体力活动、肺功能、呼吸和周围肌肉力量改善,呼吸困难、疲劳、焦虑和抑郁感减少。结论:该联合训练方案对NCCP合并呼吸短促患者有效。未来的研究应该为NCCP患者寻找最有效的生物心理社会训练方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effectiveness of a training program for a patient with non-cardiac chest pain that combines intervention to improve quality of life, psychological state, and functional capacity: a case report.

Background: Noncardiac chest pain (NCCP) is persistent angina-like chest pain without cardiac origin that affects the patient's health related quality of life (HrQoL), although it does not affect mortality. The effect of a comprehensive training program for NCCP focused on quality of life, psychological state, peripheral muscle strength, physical activity, and quality of life has not been previously established or published. Therefore, this study aimed to show the effectiveness of our combined training program that focuses on functional capacity, physical activity, pulmonary function, respiratory and peripheral muscle strength, dyspnea, fatigue, anxiety, and depression perception in NCCP patients with dyspnea.

Case presentation: A 38-year-old man with shortness of breath and NCCP was referred to to us for cardiopulmonary rehabilitation. Respiratory muscle strength (mouth pressure device), functional capacity (6 min walking test, 6-MWT), peripheral muscle strength (dynamometer), pulmonary function (spirometry), fatigue (fatigue severity scale), shortness of breath (MMRC, Modified Medical Council Research, Modified Borg Scale-MBS), physical activity (International Physical Activity Questionnaire, IPAQ), health related quality of life (SF-36, Short Form-36), and depression and anxiety (Hospital Depression and Anxiety scale, HADs) were assessed. Aerobic training combined with inspiratory muscle training (loading 30% maximal inspiratory pressure (MIP)) was administered at least 5 days/week for 6 weeks. Functional capacity, physical activity, pulmonary function, and respiratory and peripheral muscle strength improved, and dyspnea, fatigue, anxiety, and depression perception were decreased after the management.

Conclusions: This combined training program was effective for patients with NCCP and shortness of breath. Future studies should be conducted to find the most effective biopsychosocial training protocol for NCCP patients.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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