获取冠心病妇女关于间歇训练或心脏康复持续运动的观点。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2022-01-01 Epub Date: 2020-04-28 DOI:10.1080/09638288.2020.1756469
Leanna S Lee, Laura Banks, Paul I Oh, Dina Brooks, Tracey J F Colella
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引用次数: 3

摘要

背景:冠心病妇女参与运动的动机和障碍仍然知之甚少。有证据表明,患有冠状动脉疾病的女性在心脏康复期间不太可能坚持锻炼,更有可能退出,了解这些因素对于优化女性心脏康复计划非常重要。方法:我们通过介绍一项定性研究的结果来促进讨论,该研究使用了两个焦点小组,其中9名患有冠状动脉疾病的女性,分享了她们在这种情况下参加心脏康复和锻炼的经验,以及她们认为进行有氧间歇训练的动机和障碍。以班杜拉的社会认知理论为指导概念框架,运用演绎主题法对焦点小组文本进行分析。结果:确定了四个主题关于参加和锻炼心脏康复的态度和经验,而五个主题捕捉的动机和障碍,这些妇女进行有氧间歇训练是第一次确定。这些新颖的主题包含了它令人生畏的本质,与之相关的身体不适,以及相反,它可能带来的潜在的享受和成就感。结论:本研究证明了有氧间歇训练在临床实践中的复杂性,并表明有必要进一步研究这一领域。尽管在女性冠心病患者中开展一项随机对照试验的可行性存在挑战,该试验旨在检验有氧间歇训练与中等强度连续运动对有氧运动能力的影响,但有氧间歇训练的每个方案的显著治疗效果为0.95 ml·kg-1·min-1。心脏康复环境为妇女的锻炼和参加心脏康复提供了关键的便利和可感知的好处,因此强调需要改善妇女进入心脏康复项目的转诊和登记过程。有氧间歇训练可能会引起恐惧和身体不适的感觉,或者可能因合并症而被排除,因此,在检查每个女性患者在临床实践中实施的适用性时,必须进行明智的考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Capturing the perspectives of women with coronary artery disease regarding interval training or continuous exercise in cardiac rehabilitation.

Background: Motivators and barriers to exercise participation in women with coronary artery disease remain poorly understood. With evidence suggesting that women with coronary artery disease are less likely to adhere to exercise during cardiac rehabilitation and are more likely to drop out, it is important to understand these factors in order to optimize cardiac rehabilitation programs for women.

Methods: We contribute to the discussion by presenting findings from a qualitative study using two focus groups with nine women with coronary artery disease sharing their experiences with attending cardiac rehabilitation and exercising in this setting, in addition to their perceived motivators and barriers to performing aerobic interval training. Focus group transcripts were analysed using a deductive thematic approach with Bandura's Social Cognitive Theory as the guiding conceptual framework.

Results: Four themes were identified regarding the attitudes and experiences of attending and exercising at cardiac rehabilitation, while five themes capturing the motivators and barriers for these women to perform aerobic interval training were identified for the first time. These novel themes encompassed the daunting nature of it, the physical discomfort associated with it, and conversely, the potential sense of enjoyment and accomplishment that it could bring.

Conclusion: This study demonstrates the complexity of implementation of aerobic interval training into clinical practice, and suggests that further research is warranted to explore this domain.IMPLICATIONS FOR REHABILITATIONDespite challenges in feasibility of conducting a randomised controlled trial in female patients with coronary artery disease examining the effects of aerobic interval training versus moderate-intensity continuous exercise on aerobic exercise capacity, there was a significant per protocol treatment effect of 0.95 ml·kg-1·min-1 in favour of aerobic interval training.The cardiac rehabilitation environment provides key facilitators and perceived benefits for exercising and attending cardiac rehabilitation for women, and thus emphasises the need for improving referral and enrolment processes specifically for women into cardiac rehabilitation programs.Aerobic interval training may elicit feelings of fear and physical discomfort, or may be precluded by comorbid conditions, therefore, judicious consideration must be taken in examining the suitability of implementation into clinical practice for each female patient.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
期刊介绍: ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.
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