%0杂志文章%@ 2561-326X %I JMIR出版物%V 5% 卡塔尔世界杯8强波胆分析N 11% P e28634 %T合并晚期慢性心肺疾病患者的家庭锻炼计划:探索研究%A Herkert,Cyrille %A Graat-Verboom,Lidwien %A gilsingfernout,Judith %A Schols,Manon %A Kemps,Hareld Marijn Clemens %+心内科，Máxima医疗中心，Dominee Theodor Fliednerstraat 1, Eindhoven, 5631 BM, Netherlands, 31 408888220, cyrille.herkert@mmc.nl %K家庭运动%K心脏病%K肺部疾病%K合并症%K老年人%D 2021 %7 9.11.2021 %9原始论文%J JMIR Form Res %G英文%X背景:由于慢性心脏和肺部疾病经常同时存在，因此需要结合物理居家康复计划，特别是针对疾病晚期的老年患者。目的:本研究的主要目的是评估晚期心肺疾病患者8周家庭运动计划的完成率和坚持率。次要终点包括患者满意度;不良事件;以及项目在功能能力、呼吸困难水平和健康相关生活质量方面的疗效。方法:参与者接受了一个以目标为导向的、以家庭为基础的锻炼计划，他们使用手腕上的活动追踪器来记录他们的锻炼过程。活动追踪器的数据在一个数字平台上显示，该平台还配备了其他几个功能，比如如何进行特定锻炼的简短指导视频。参与者每周通过视频交流接受物理治疗师和职业治疗师的指导。 Results: In all, 10 patients with advanced combined cardiopulmonary disease participated (median age 71, IQR 63-75 years), and 50% (5/10) were men. Of the 10 participants, 9 (90%) completed the 8-week program. Median adherence to the exercise prescription was 75% (IQR 37%-88%), but it declined significantly when the program was divided into 2-week periods (first 2 weeks: 86%, IQR 51%-100%, and final 2 weeks: 57%, IQR 8%-75%; P=.03). The participants were highly satisfied with the program (Client Satisfaction Questionnaire: median score 29, IQR 26-32, and Purpose-Designed Questionnaire: median score 103, IQR 92-108); however, of the 9 participants, 4 (44%) experienced technical issues. The Patient-Specific Complaints Instrument scores declined, indicating functional improvement (from median 7.5, IQR 6.1-8.9, to median 5.7, IQR 3.8-6.7; P=.01). Other program efficacy metrics showed a trend toward improvement. Conclusions: Home-based cardiopulmonary telerehabilitation for patients with severe combined cardiopulmonary disease is feasible in terms of high completion and satisfaction rates. Nevertheless, a decrease in adherence during the program was observed, and some of the participants reported difficulties with the technology, indicating the importance of the integration of behavior change techniques, using appropriate technology. Trial Registration: Netherlands Trial Register NL9182; https://www.trialregister.nl/trial/9182 %M 34751655 %R 10.2196/28634 %U https://formative.www.mybigtv.com/2021/11/e28634 %U https://doi.org/10.2196/28634 %U http://www.ncbi.nlm.nih.gov/pubmed/34751655