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首页> 外文期刊>Journal of advanced nursing >Sedentary patients with venous or mixed leg ulcers: determinants of physical activity.
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Sedentary patients with venous or mixed leg ulcers: determinants of physical activity.

机译：久坐的患有静脉或混合性腿部溃疡的患者：身体活动的决定因素。

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AIM: This paper is a report of a study to identify the determinants of physical activity (PA) in patients with venous leg ulcers to develop recommendations for behavioural interventions aimed at enhancing physical activity. BACKGROUND: Physical activity promotes wound healing and prevents the recurrence of wounds in venous patients with leg ulcers. Many patients with leg ulcers, however, have a sedentary lifestyle. METHOD: A random sample of 25 patients from two clinics were interviewed in 2003 using a combination of prestructured and open-ended questions. All these patients were being treated at an outpatient dermatology clinic and had a leg ulcer with venous or mixed aetiology at the time of the interview or in the month prior to the interview. FINDINGS: Only nine of the 25 patients (36%) reported sufficient levels of moderate strenuous physical activity, defined as 30 minutes a day on at least 5 days a week. The results show limited knowledge about the relationship between physical activity and leg ulceration, and low self-efficacy for increasing physical activity. In addition, multi-morbidity, pain and social support were identified as main determinants of physical activity. CONCLUSION: Suggestions for improving physical activity levels include influencing knowledge, beliefs and self-efficacy. Patient's individual physical limitations, pain, adequate footwear and social support should be taken into account. Programmes offered by specialized dermatology nurses to stimulate physical activity might fulfil patient needs and help enhance physical activity levels.
机译：目的：本文是一项研究报告，旨在确定静脉曲张性溃疡患者的身体活动（PA）决定因素，以提出旨在增强身体活动的行为干预建议。背景：体育锻炼可促进伤口愈合，并预防静脉曲张性腿部溃疡患者伤口的复发。但是，许多腿溃疡患者久坐不动。方法：2003年，使用预先设定的问题和不限成员名额的问题对来自两家诊所的25名患者的随机样本进行了访谈。所有这些患者都在门诊皮肤病诊所接受治疗，并且在访谈时或访谈前一个月患有静脉或混合病因的腿部溃疡。结果：25名患者中只有9名（36％）报告了足够水平的中度剧烈运动，定义为每周至少5天每天30分钟。结果表明，对体育锻炼与腿部溃疡之间关系的知识有限，而增加体育锻炼的自我效能低。此外，多发病，疼痛和社会支持被确定为体育锻炼的主要决定因素。结论：改善体育锻炼水平的建议包括影响知识，信念和自我效能感。应考虑患者的个人身体限制，疼痛，适当的鞋类和社会支持。由专门的皮肤科护士提供的刺激身体活动的程序可能会满足患者的需求，并有助于提高身体活动水平。

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