Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure...Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure,to improve their cardiac function,relieve dyspnea,enhance their quality of life,and further enrich the research on the efficacy of respiratory rehabilitation exercises for patients with chronic heart failure.Method:A total of 98 inpatients with chronic heart failure admitted to the hospital from April 2024 to April 2025 were selected and randomly divided into an intervention group and a control group,with 49 patients in each group.The patients in the control group received conventional nursing,while the patients in the intervention group received the breathing exercise intervention program based on the self-efficacy theory in addition to the conventional nursing of the control group,with interventions conducted through guidance,psychological support,health education,and other methods.The conditions of patients in both groups before and after the intervention were observed.Results:After 1 month and 3 months of intervention,in terms of improving the degree of dyspnea in patients of both groups,the main effect of intervention and the time effect on the degree of dyspnea were statistically significant(F=13.948,P<0.001;F=38.423,P<0.001).Moreover,there was an interaction between the time factor and the intervention factor in both groups(F=113.763,P<0.001).In terms of increasing the 6-minute walking distance,the main effect and time effect in both groups were statistically significant(F=7.371,P=0.008;F=459.405,P<0.001),and there was an interaction effect between the time factor and intervention factor in both groups(F=177.180,P<0.001).After 1 month and 3 months of intervention,in terms of improving the level of exercise self-efficacy,the main effect of intervention and the time effect in both groups were statistically significant(F=6.860,P=0.01;F=25.133,P<0.001),and there was an interaction between the time factor and the intervention factor(F=159.576,P<0.05).Conclusion:Breathing exercise based on the self-efficacy theory is helpful to improve the sense of efficacy of patients with chronic heart failure,enable them to persist in breathing exercise for a long time,further alleviate their dyspnea,promote the recovery of cardiopulmonary function,and enhance their quality of life.Breathing exercise based on the self-efficacy theory can be used as a simple,home-based intervention method to provide corresponding help for patients with chronic heart failure during the rehabilitation period.展开更多
目的:对床上脚踏车在重症监护室(ICU)病人中的应用进行范围综述,探讨其安全性及可接受性、应用人群和有效性。方法:根据范围综述研究方法,系统检索PubMed、EMbase、CINAHL、Web of Science、中国知网、万方数据库、维普数据库和中国生...目的:对床上脚踏车在重症监护室(ICU)病人中的应用进行范围综述,探讨其安全性及可接受性、应用人群和有效性。方法:根据范围综述研究方法,系统检索PubMed、EMbase、CINAHL、Web of Science、中国知网、万方数据库、维普数据库和中国生物医学文献服务系统(SinoMed)等数据库,检索时限为建库至2024年12月12日;总结分析研究对象、研究方法、结局指标和研究结果等。结果:共纳入22篇文献,主要探讨床上脚踏车在改善ICU病人肌力、谵妄、缩短住院时间等方面的影响,单次干预时长为15~60 min。床上脚踏车运动在ICU病人中应用安全性高、可接受性强,具有一定的有效性,但研究的干预方式、干预时间及频率尚无确切的规范及统一标准,其运用效果不一,且缺乏心理指标等方面的测量。结论:ICU病人在进行脚踏车运动过程中不良反应轻微、风险可控,未来需以循证为依据,制订循序渐进的危重症病人个体化干预方案,拓展脚踏车的研究领域,进一步推动其发展应用。展开更多
文摘Objective:Based on the breathing exercise derived from the self-efficacy theory,this study aims to construct a breathing exercise intervention program according to the conditions of patients with chronic heart failure,to improve their cardiac function,relieve dyspnea,enhance their quality of life,and further enrich the research on the efficacy of respiratory rehabilitation exercises for patients with chronic heart failure.Method:A total of 98 inpatients with chronic heart failure admitted to the hospital from April 2024 to April 2025 were selected and randomly divided into an intervention group and a control group,with 49 patients in each group.The patients in the control group received conventional nursing,while the patients in the intervention group received the breathing exercise intervention program based on the self-efficacy theory in addition to the conventional nursing of the control group,with interventions conducted through guidance,psychological support,health education,and other methods.The conditions of patients in both groups before and after the intervention were observed.Results:After 1 month and 3 months of intervention,in terms of improving the degree of dyspnea in patients of both groups,the main effect of intervention and the time effect on the degree of dyspnea were statistically significant(F=13.948,P<0.001;F=38.423,P<0.001).Moreover,there was an interaction between the time factor and the intervention factor in both groups(F=113.763,P<0.001).In terms of increasing the 6-minute walking distance,the main effect and time effect in both groups were statistically significant(F=7.371,P=0.008;F=459.405,P<0.001),and there was an interaction effect between the time factor and intervention factor in both groups(F=177.180,P<0.001).After 1 month and 3 months of intervention,in terms of improving the level of exercise self-efficacy,the main effect of intervention and the time effect in both groups were statistically significant(F=6.860,P=0.01;F=25.133,P<0.001),and there was an interaction between the time factor and the intervention factor(F=159.576,P<0.05).Conclusion:Breathing exercise based on the self-efficacy theory is helpful to improve the sense of efficacy of patients with chronic heart failure,enable them to persist in breathing exercise for a long time,further alleviate their dyspnea,promote the recovery of cardiopulmonary function,and enhance their quality of life.Breathing exercise based on the self-efficacy theory can be used as a simple,home-based intervention method to provide corresponding help for patients with chronic heart failure during the rehabilitation period.
文摘目的:对床上脚踏车在重症监护室(ICU)病人中的应用进行范围综述,探讨其安全性及可接受性、应用人群和有效性。方法:根据范围综述研究方法,系统检索PubMed、EMbase、CINAHL、Web of Science、中国知网、万方数据库、维普数据库和中国生物医学文献服务系统(SinoMed)等数据库,检索时限为建库至2024年12月12日;总结分析研究对象、研究方法、结局指标和研究结果等。结果:共纳入22篇文献,主要探讨床上脚踏车在改善ICU病人肌力、谵妄、缩短住院时间等方面的影响,单次干预时长为15~60 min。床上脚踏车运动在ICU病人中应用安全性高、可接受性强,具有一定的有效性,但研究的干预方式、干预时间及频率尚无确切的规范及统一标准,其运用效果不一,且缺乏心理指标等方面的测量。结论:ICU病人在进行脚踏车运动过程中不良反应轻微、风险可控,未来需以循证为依据,制订循序渐进的危重症病人个体化干预方案,拓展脚踏车的研究领域,进一步推动其发展应用。
