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
BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients ha...BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were presented and analyzed using the Wilcoxon rank sum test.RESULTS At the 8-wk postoperative mark,the observation group demonstrated significantly higher scores in AVF symptom recognition,symptom prevention,and self-management compared to the control group(P<0.05).However,the variance in symptom management scores between the observation and control groups lacked statistical signi-ficance(P>0.05).At 4 wk after the operation,the observation group displayed a superior vessel diameter and depth from the skin of the drainage vessels in comparison to the control group(P<0.05).While the observation group did manifest elevated blood flow rates in the drainage vessels relative to the control group,this distinction was not statistically significant(P>0.05).By the 8-wk postoperative interval,the observation group outperformed the control group with notable enhancements in blood flow rates,vessel diameter,and depth from the skin of drainage vessels(P<0.01).Seven days following the procedure,the observation group manifested significantly diminished limb swelling and an overall reduced complication rate in contrast to the control group(P<0.05).The evaluation of infection,thrombosis,embolism,arterial aneurysm stenosis,and incision bleeding showed no notable differences between the two groups(P>0.05).By the 4-wk postoperative juncture,complications between the observation and control groups were statistically indistinguishable(P>0.05).CONCLUSION Stage-specific limb function exercises,under the guidance of a self-management education model,amplify the capacity of AVF patients to discern and prevent symptoms.Additionally,they expedite AVF maturation and miti-gate postoperative limb edema,underscoring their efficacy as a valuable method for the care and upkeep of AVF in hemodialysis patients.展开更多
Objective:This study aimed to evaluate the effectiveness of Buerger-Allen exercise(BAE)in reducing muscle cramps among recently extubated patients in the intensive care unit(ICU).Materials and Methods:A quantitative,q...Objective:This study aimed to evaluate the effectiveness of Buerger-Allen exercise(BAE)in reducing muscle cramps among recently extubated patients in the intensive care unit(ICU).Materials and Methods:A quantitative,quasi-experimental design was employed,involving 92 recently extubated ICU patients randomly assigned to either an experimental or control group.The experimental group underwent BAE,a three-step intervention targeting lower extremity circulation and muscle cramp reduction.The exercises included the elevation of lower extremities,foot and leg exercises,and a rest and recovery phase,administered twice daily for 10 days.The control group received standard nursing care without any specific exercise regimen.Muscle cramp severity was assessed using the modified Penn Spasm Frequency Scale before and after the intervention.Results:The experimental group showed a significant reduction in muscle cramp severity score postintervention,with the mean scores decreasing from 6.83±1.66 to 4.22±1.45(t=10.21,P=0.001).The control group experienced a smaller reduction,with scores decreasing from 6.98±1.57 to 6.43±1.37(t=2.810,P=0.007).Between-group analysis confirmed a significant difference postintervention,with the experimental group improving more(t=8.242,P=0.001).The Mann–Whitney U test also highlighted a significant difference between groups after the intervention(U=494.5,P=0.001),validating the effectiveness of BAE.Conclusion:BAE significantly reduces muscle cramp severity in recently extubated ICU patients,suggesting that this nonpharmacological intervention can effectively improve patient outcomes and aid in postextubation recovery.展开更多
A growing body of studies and systematic reviews show evidence of the beneficial effects of physical exercise on core symptoms of ADHD. Furthermore, studies indicate that physical exercise as an adjuvant can enhance t...A growing body of studies and systematic reviews show evidence of the beneficial effects of physical exercise on core symptoms of ADHD. Furthermore, studies indicate that physical exercise as an adjuvant can enhance the effects of medication in the treatment of ADHD. Aerobic and coordinative exercises improve executive functioning through their effect on neurocognitive domains that are implicated in ADHD. It is postulated that through their specific modus operandi, aerobic exercise, by raising cortical arousal levels, improves impaired alerting functions whereas coordinative exercises improve the regulation of inhibitory control through the involvement of a higher variety of frontal-dependent cognitive processes. The increasing use of routine neurocognitive testing with continuous performance tests (CPT), such as the QbTest, at clinical assessments for ADHD allows for an innovative approach to identify the assessment impairments in alerting function and inhibition control that are related to ADHD and accordingly choose aerobic or coordinative physical exercise in a more targeted fashion.展开更多
Objective: To analyze the effect of psychological nursing combined with breathing exercises on lung function of patients with pneumoconiosis, and to analyze the methods. A total of 64 cases of pneumoconiosis admitted ...Objective: To analyze the effect of psychological nursing combined with breathing exercises on lung function of patients with pneumoconiosis, and to analyze the methods. A total of 64 cases of pneumoconiosis admitted from January 2020 to December 2022 were divided into the reference group and the experimental group by random numerical table. On the basis of symptomatic treatment, the control group was combined with conventional nursing measures and breathing exercises, while the experimental group was treated with psychological nursing on the basis of the control group, and the pulmonary function indexes and adverse mood of the two groups before and after nursing were compared. Results: There was no difference in SAS score, SDS score and pulmonary function indexes between the two groups before intervention (P > 0.05), and the SAS score in the experimental group was the SDS score was lower than that of the control group, and FEV1, FEV1% and FEV1/FVC were higher than those of the control group, and the P < 0.05 was lower.展开更多
This study addresses a limitation of prior research on pectoralis major(PMaj)thickness changes during the pectoralis fly exercise using a wearable ultrasound imaging setup.Although previous studies used manual measure...This study addresses a limitation of prior research on pectoralis major(PMaj)thickness changes during the pectoralis fly exercise using a wearable ultrasound imaging setup.Although previous studies used manual measurement and subjective evaluation,it is important to acknowledge the subsequent limitations of automating widespread applications.We then employed a deep learning model for image segmentation and automated measurement to solve the problem and study the additional quantitative supplementary information that could be provided.Our results revealed increased PMaj thickness changes in the coronal plane within the probe detection region when real-time ultrasound imaging(RUSI)visual biofeedback was incorporated,regardless of load intensity(50%or 80%of one-repetition maximum).Additionally,participants showed uniform thickness changes in the PMaj in response to enhanced RUSI biofeedback.Notably,the differences in PMaj thickness changes between load intensities were reduced by RUSI biofeedback,suggesting altered muscle activation strategies.We identified the optimal measurement location for the maximal PMaj thickness close to the rib end and emphasized the lightweight applicability of our model for fitness training and muscle assessment.Further studies can refine load intensities,investigate diverse parameters,and employ different network models to enhance accuracy.This study contributes to our understanding of the effects of muscle physiology and exercise training.展开更多
锻炼行为促进是公共卫生领域的关键议题,但现有理论在预测和干预锻炼行为时仍存在局限性。基于锻炼行为发生的必要条件,提出了锻炼行为的MTMSP(motor competence,time,motivation,self-control and physical exertion,运动能力、时间、...锻炼行为促进是公共卫生领域的关键议题,但现有理论在预测和干预锻炼行为时仍存在局限性。基于锻炼行为发生的必要条件,提出了锻炼行为的MTMSP(motor competence,time,motivation,self-control and physical exertion,运动能力、时间、动机、自我控制和体力消耗)决定因素模型(以下简称“MTMSP决定因素模型”)。该模型从个体层面深入解析锻炼行为的发生机制,将运动能力、时间、动机、自我控制和体力消耗作为核心决定因素,并通过“前提条件-双过程动机-自我控制调节”三级结构揭示各因素的内在关联。研究认为,MTMSP决定因素模型为克服锻炼意向−行为差距和维持问题提供了新的理论视角。未来研究可基于该模型,诊断目标人群的初始状态,设计更具针对性的干预方案,促进锻炼行为的发生。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.
基金Supported by The Research Project 2022 of The People's Hospital of Jianyang City,No.JY202208.
文摘BACKGROUND The exercise of limb function is the most economical and safe method to promote the maturation of arteriovenous fistula(AVF).However,due to the lack of a uni-fied exercise standard in China,many patients have insufficient awareness of the importance of AVF,leading to poor effectiveness of limb function exercise.The self-management education model can effectively promote patients to take pro-active health-related actions.This study focuses on the characteristics of patients during the peri-AVF period and conducts a phased limb function exercise under the guidance of the self-management education model to observe changes in fac-tors such as the maturity of AVF.AIM To assess the impact of stage-specific limb function exercises,directed by a self-management education model,on the maturation status of AVFs.METHODS This study is a randomized controlled trial involving 74 patients with forearm AVFs from the Nephrology Department of a tertiary hospital in Sichuan Province,China.Patients were randomly divided into an observation group and a control group using a random number table method.The observation group underwent tailored stage-specific limb func-tion exercises,informed by a self-management education model which took into account the unique features of AVF at various stages,in conjunction with routine care.Conversely,the control group was given standard limb function exercises along with routine care.The assessment involves the maturity of AVFs post-intervention,post-operative complications,and the self-management level of the fistula in both groups patients.Analyses were conducted using SPSS version 23.0.Count data were represented by frequency and percentage and subjected to chi-square test comparisons.Measurement data adhering to a normal distribution were presented as mean±SD.The independent samples t-test was utilized for inter-group comparisons,while the paired t-test was used for intra-group comparisons.For measurement data not fitting a normal distribution,the median and interquartile range were presented and analyzed using the Wilcoxon rank sum test.RESULTS At the 8-wk postoperative mark,the observation group demonstrated significantly higher scores in AVF symptom recognition,symptom prevention,and self-management compared to the control group(P<0.05).However,the variance in symptom management scores between the observation and control groups lacked statistical signi-ficance(P>0.05).At 4 wk after the operation,the observation group displayed a superior vessel diameter and depth from the skin of the drainage vessels in comparison to the control group(P<0.05).While the observation group did manifest elevated blood flow rates in the drainage vessels relative to the control group,this distinction was not statistically significant(P>0.05).By the 8-wk postoperative interval,the observation group outperformed the control group with notable enhancements in blood flow rates,vessel diameter,and depth from the skin of drainage vessels(P<0.01).Seven days following the procedure,the observation group manifested significantly diminished limb swelling and an overall reduced complication rate in contrast to the control group(P<0.05).The evaluation of infection,thrombosis,embolism,arterial aneurysm stenosis,and incision bleeding showed no notable differences between the two groups(P>0.05).By the 4-wk postoperative juncture,complications between the observation and control groups were statistically indistinguishable(P>0.05).CONCLUSION Stage-specific limb function exercises,under the guidance of a self-management education model,amplify the capacity of AVF patients to discern and prevent symptoms.Additionally,they expedite AVF maturation and miti-gate postoperative limb edema,underscoring their efficacy as a valuable method for the care and upkeep of AVF in hemodialysis patients.
文摘Objective:This study aimed to evaluate the effectiveness of Buerger-Allen exercise(BAE)in reducing muscle cramps among recently extubated patients in the intensive care unit(ICU).Materials and Methods:A quantitative,quasi-experimental design was employed,involving 92 recently extubated ICU patients randomly assigned to either an experimental or control group.The experimental group underwent BAE,a three-step intervention targeting lower extremity circulation and muscle cramp reduction.The exercises included the elevation of lower extremities,foot and leg exercises,and a rest and recovery phase,administered twice daily for 10 days.The control group received standard nursing care without any specific exercise regimen.Muscle cramp severity was assessed using the modified Penn Spasm Frequency Scale before and after the intervention.Results:The experimental group showed a significant reduction in muscle cramp severity score postintervention,with the mean scores decreasing from 6.83±1.66 to 4.22±1.45(t=10.21,P=0.001).The control group experienced a smaller reduction,with scores decreasing from 6.98±1.57 to 6.43±1.37(t=2.810,P=0.007).Between-group analysis confirmed a significant difference postintervention,with the experimental group improving more(t=8.242,P=0.001).The Mann–Whitney U test also highlighted a significant difference between groups after the intervention(U=494.5,P=0.001),validating the effectiveness of BAE.Conclusion:BAE significantly reduces muscle cramp severity in recently extubated ICU patients,suggesting that this nonpharmacological intervention can effectively improve patient outcomes and aid in postextubation recovery.
文摘A growing body of studies and systematic reviews show evidence of the beneficial effects of physical exercise on core symptoms of ADHD. Furthermore, studies indicate that physical exercise as an adjuvant can enhance the effects of medication in the treatment of ADHD. Aerobic and coordinative exercises improve executive functioning through their effect on neurocognitive domains that are implicated in ADHD. It is postulated that through their specific modus operandi, aerobic exercise, by raising cortical arousal levels, improves impaired alerting functions whereas coordinative exercises improve the regulation of inhibitory control through the involvement of a higher variety of frontal-dependent cognitive processes. The increasing use of routine neurocognitive testing with continuous performance tests (CPT), such as the QbTest, at clinical assessments for ADHD allows for an innovative approach to identify the assessment impairments in alerting function and inhibition control that are related to ADHD and accordingly choose aerobic or coordinative physical exercise in a more targeted fashion.
文摘Objective: To analyze the effect of psychological nursing combined with breathing exercises on lung function of patients with pneumoconiosis, and to analyze the methods. A total of 64 cases of pneumoconiosis admitted from January 2020 to December 2022 were divided into the reference group and the experimental group by random numerical table. On the basis of symptomatic treatment, the control group was combined with conventional nursing measures and breathing exercises, while the experimental group was treated with psychological nursing on the basis of the control group, and the pulmonary function indexes and adverse mood of the two groups before and after nursing were compared. Results: There was no difference in SAS score, SDS score and pulmonary function indexes between the two groups before intervention (P > 0.05), and the SAS score in the experimental group was the SDS score was lower than that of the control group, and FEV1, FEV1% and FEV1/FVC were higher than those of the control group, and the P < 0.05 was lower.
文摘This study addresses a limitation of prior research on pectoralis major(PMaj)thickness changes during the pectoralis fly exercise using a wearable ultrasound imaging setup.Although previous studies used manual measurement and subjective evaluation,it is important to acknowledge the subsequent limitations of automating widespread applications.We then employed a deep learning model for image segmentation and automated measurement to solve the problem and study the additional quantitative supplementary information that could be provided.Our results revealed increased PMaj thickness changes in the coronal plane within the probe detection region when real-time ultrasound imaging(RUSI)visual biofeedback was incorporated,regardless of load intensity(50%or 80%of one-repetition maximum).Additionally,participants showed uniform thickness changes in the PMaj in response to enhanced RUSI biofeedback.Notably,the differences in PMaj thickness changes between load intensities were reduced by RUSI biofeedback,suggesting altered muscle activation strategies.We identified the optimal measurement location for the maximal PMaj thickness close to the rib end and emphasized the lightweight applicability of our model for fitness training and muscle assessment.Further studies can refine load intensities,investigate diverse parameters,and employ different network models to enhance accuracy.This study contributes to our understanding of the effects of muscle physiology and exercise training.
文摘锻炼行为促进是公共卫生领域的关键议题,但现有理论在预测和干预锻炼行为时仍存在局限性。基于锻炼行为发生的必要条件,提出了锻炼行为的MTMSP(motor competence,time,motivation,self-control and physical exertion,运动能力、时间、动机、自我控制和体力消耗)决定因素模型(以下简称“MTMSP决定因素模型”)。该模型从个体层面深入解析锻炼行为的发生机制,将运动能力、时间、动机、自我控制和体力消耗作为核心决定因素,并通过“前提条件-双过程动机-自我控制调节”三级结构揭示各因素的内在关联。研究认为,MTMSP决定因素模型为克服锻炼意向−行为差距和维持问题提供了新的理论视角。未来研究可基于该模型,诊断目标人群的初始状态,设计更具针对性的干预方案,促进锻炼行为的发生。
