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Perceptions of exercise and quality of life in older patients in the United States during the first year following coronary artery bypass surgery

机译:冠状动脉搭桥手术后第一年美国老年患者的运动知觉和生活质量

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Background and purpose: It is important for patients recovering from coronary artery bypass (CAB) surgery to initiate and maintain recommended exercise guidelines. The purpose of this qualitative study was to describe factors that influence adherence to exercise, and perceptions of activity limitations and health-related quality of life (QoL) in older patients recovering from CAB surgery. Subjects: Participants were 28 people aged 65 and older, prospectively recruited from a U.S. hospital following CAB surgery. Procedures: A qualitative description methodology was used to identify factors that influenced participants' feelings about exercise and QoL. Data were collected using phone interviews 3, 6, and 12 months after surgery. Data were coded by identifying significant statements, grouping them into meaningful units or "themes", and generating descriptions of participants' experiences and understandings. Results: Across time points, participants' most commonly described motivators were that it feels good to exercise, and belief that it improves physical health. The most commonly cited barriers to exercise were other time commitments, inclement weather, and pain/injury/illness related or unrelated to CAB surgery. Discussion and conclusion: Motivating themes remained consistent across the time intervals but the number of responses regarding barriers to exercise increased over time. A better understanding of the patient experience may help to promote exercise initiation and adherence following CAB surgery.
机译:背景和目的:对于从冠状动脉搭桥术(CAB)中恢复的患者,重要的是要启动并维持推荐的运动指南。这项定性研究的目的是描述影响运动坚持性的因素,以及从CAB手术中康复的老年患者对活动受限和与健康相关的生活质量(QoL)的看法。受试者:参与者为28岁65岁及以上的人,这些人预期是在CAB手术后从美国一家医院招募的。程序:使用定性描述方法来识别影响参与者对运动和生活质量的感觉的因素。在手术后3、6和12个月使用电话访谈收集数据。通过识别重要的陈述,将其分组为有意义的单元或“主题”,并生成参与者的经历和理解的描述,对数据进行编码。结果:在各个时间点上,参与者最常被描述的动机是锻炼感觉良好,并相信它可以改善身体健康。最常提及的运动障碍是其他时间投入,恶劣的天气以及与CAB手术相关或无关的疼痛/伤害/疾病。讨论与结论:激励主题在各个时间间隔内保持一致,但有关运动障碍的回答数量随时间增加。更好地了解患者的经验可能有助于促进CAB手术后运动的开始和坚持。

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