@Article{信息:doi 10.2196 / / jmir。5191，作者=“Thorup, Charlotte and Hansen, John and Gr{\ \ nkkj {\ \ae}r, Mette and Andreasen, Jan Jesper and Nielsen, Gitte and S{\ \o}rensen, Erik Elgaard and Dinesen, Birthe Irene”，标题=“心脏远程康复中由步数计数器确定的心脏病患者步行活动:来自随机控制试验干预组的数据”，期刊=“J Med Internet Res”，年=“2016”，月=“Apr”，日=“04”，卷=“18”，数=“4”，页=“e69”，关键词=“心脏病;康复;一步计数器;身体活动;背景:步行是日常身体活动的很大一部分。它降低了整体和心血管疾病和死亡率，适用于心脏病患者。步数计数器可以测量步行活动，可能是增加和保持身体活动的激励工具。对于心脏病患者在心脏远程康复计划中坚持使用步数计数器以及心脏病患者在心脏病事件发生后一年内走多少步的情况缺乏了解。目的:本研究旨在探讨心脏病患者的步行活动。 The walking activity was analyzed in relation to duration of pedometer use to determine correlations between walking activity, demographics, and medical and rehabilitation data. Methods: A total of 64 patients from a randomized controlled telerehabilitation trial (Teledi@log) from Aalborg University Hospital and Hjoerring Hospital, Denmark, from December 2012 to March 2014 were included in this study. Inclusion criteria were patients hospitalized with acute coronary syndrome, heart failure, and coronary artery bypass grafting or valve surgery. In Teledi@log, the patients received telerehabilitation technology and selected one of three telerehabilitation settings: a call center, a community health care center, or a hospital. Monitoring of steps continued for 12 months and a step counter (Fitbit Zip) was used to monitor daily steps. Results: Cardiac patients walked a mean 5899 (SD 3274) steps per day, increasing from mean 5191 (SD 3198) steps per day in the first week to mean 7890 (SD 2629) steps per day after 1 year. Adherence to step counter use lasted for a mean 160 (SD 100) days. The patients who walked significantly more were younger (P=.01) and continued to use the pedometer for a longer period (P=.04). Furthermore, less physically active patients weighed more. There were no significant differences in mean steps per day for patients in the three rehabilitation settings or in the disease groups. Conclusions: This study indicates that cardiac telerehabilitation at a call center can support walking activity just as effectively as telerehabilitation at either a hospital or a health care center. In this study, the patients tended to walk fewer steps per day than cardiac patients in comparable studies, but our study may represent a more realistic picture of walking activity due to the continuation of step counter use. Qualitative studies on patients' behavior and motivation regarding step counter use are needed to shed light on adherence to and motivation to use step counters. Trial Registration: ClinicalTrails.gov NCT01752192; https://clinicaltrials.gov/ct2/show/NCT01752192 (Archived by WebCite at http://www.webcitation.org/6fgigfUyV) ", issn="1438-8871", doi="10.2196/jmir.5191", url="//www.mybigtv.com/2016/4/e69/", url="https://doi.org/10.2196/jmir.5191", url="http://www.ncbi.nlm.nih.gov/pubmed/27044310" }