TY - JOUR AU - Thorup, Charlotte AU - Hansen, John AU - Grønkjær, Mette AU - Andreasen, Jan Jesper AU - Nielsen, Gitte AU - Sørensen, Erik Elgaard AU - Dinesen, Birthe Irene PY - 2016 DA - 2016/04/04 TI -心脏远程康复中通过步长计数器测定心脏患者的行走活动:数据来自随机对照试验干预组JO - J Med Internet Res SP - e69 VL - 18 IS - 4kw -心脏病KW -康复KW -计步器KW -体力活动KW -远程康复AB -背景:步行代表日常体力活动的很大一部分。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。研究人员分析了步行活动与计步器使用时间的关系，以确定步行活动、人口统计学以及医疗和康复数据之间的相关性。方法:2012年12月至2014年3月，来自丹麦奥尔堡大学医院和赫约林医院的随机对照远程康复试验(Teledi@log)的64例患者被纳入本研究。入选标准为急性冠状动脉综合征、心力衰竭、冠状动脉搭桥术或瓣膜手术住院患者。在Teledi@log，患者接受了远程康复技术，并选择了三种远程康复设置之一:呼叫中心、社区卫生保健中心或医院。 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) SN - 1438-8871 UR - //www.mybigtv.com/2016/4/e69/ UR - https://doi.org/10.2196/jmir.5191 UR - http://www.ncbi.nlm.nih.gov/pubmed/27044310 DO - 10.2196/jmir.5191 ID - info:doi/10.2196/jmir.5191 ER -