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首页> 外文期刊>Transplantation Proceedings >Comparison of hospital-supervised exercise versus home-based exercise in patients after orthotopic heart transplantation: effects on functional capacity, quality of life, and psychological symptoms.
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Comparison of hospital-supervised exercise versus home-based exercise in patients after orthotopic heart transplantation: effects on functional capacity, quality of life, and psychological symptoms.

机译：原位心脏移植术后患者在医院指导下进行的运动与家庭运动的比较：对功能能力，生活质量和心理症状的影响。

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In heart transplant patients it is common to observe a reduced exercise capacity and diminished quality of life. The objective of this study was to compare the effectiveness of a hospital-based exercise program versus that of a home-based exercise program on the functional capacity, quality of life, and psychological symptoms among heart transplant patients. METHODS: Thirty-eight heart transplant patients were randomly placed into two groups: a hospital-based exercise program (group 1, n = 15) or a home-based exercise program (group 2, n = 13). All patients performed flexibility, stretching, aerobic, strengthening, breathing, and relaxation exercise programs for 8 weeks. We performed estimates of functional capacity (maximal oxygen consumption-pVO2), quality of life (Short Form-36-SF36), and psychological symptoms (Beck Depression Inventory-BDI, the State-Trait Anxiety Inventory-STAI). RESULTS: In group 1, significant increases were observed in pVO2 and all SF36 subgroups, with the exception of vitality and social function subgroups (P < .05). Significant increases were not observed on the BDI or STAI (P > .05). Group 2 failed to show significant improvements in any variable, with the exception of the score on the bodily pain subgroup of the SF36 (P > .05). CONCLUSION: Based on our clinical results, we recommend a well-organized exercise program performed in a rehabilitation unit to improve postoperative exercise capacity and quality of life among heart transplant patients.
机译：在心脏移植患者中，通常会观察到运动能力下降和生活质量下降。这项研究的目的是在心脏移植患者的功能能力，生活质量和心理症状方面比较以医院为基础的锻炼计划和以家庭为基础的锻炼计划的有效性。方法：将38例心脏移植患者随机分为两组：基于医院的锻炼计划（第1组，n = 15）或基于家庭的锻炼计划（第2组，n = 13）。所有患者均进行了8周的柔韧性，拉伸，有氧运动，强化，呼吸和放松运动计划。我们对功能能力（最大耗氧量-pVO2），生活质量（简短表格-36-SF36）和心理症状（贝克抑郁量表-BDI，状态-特质焦虑量表-STAI）进行了估计。结果：在第1组中，除活力和社会功能亚组外，pVO2和所有SF36亚组均显着增加（P <.05）。在BDI或STAI上未观察到显着增加（P> .05）。除SF36身体疼痛亚组的评分（P> .05）外，第2组未显示任何变量的显着改善。结论：根据我们的临床结果，我们建议在康复科进行有组织的运动计划，以提高心脏移植患者的术后运动能力和生活质量。

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