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首页> 外文期刊>Journal of women’s health >The effects of a cardiac rehabilitation program tailored for women on global quality of life: a randomized clinical trial.
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The effects of a cardiac rehabilitation program tailored for women on global quality of life: a randomized clinical trial.

机译：针对女性量身定制的心脏康复计划对全球生活质量的影响：一项随机临床试验。

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BACKGROUND: Women with heart disease have adverse psychosocial profiles and poor attendance in cardiac rehabilitation (CR) programs. Few studies examine CR programs tailored for women for improving their quality of life (QOL). METHODS: This randomized clinical trial (RCT) compared QOL among women in a traditional CR program with that of women completing a tailored program that included motivational interviewing guided by the Transtheoretical Model (TTM) of behavior change. Two measures of QOL, the Multiple Discrepancies Theory questionnaire (MDT) and the Self-Anchoring Striving Scale (SASS), were administered to 225 women at baseline, postintervention, and 6-month follow-up. Analysis of Variance (ANOVA) was used to compare changes in QOL scores over time. RESULTS: Baseline MDT and SASS scores were 35.1 and 35.5 and 7.1 and 7.0 for the tailored and traditional CR groups, respectively. Postintervention, MDT and SASS scores increased to 37.9 and 7.9, respectively, for the tailored group compared with 35.9 and 7.1 for the traditional group. Follow-up scores were 37.7 and 7.6 for the tailored group and 35.7 and 7.1 for the traditional group. Significant group by time interactions were found. Subsequent tests revealed that MDT and SASS scores for the traditional group did not differ over time. The tailored group showed significantly increased MDT and SASS scores from baseline to posttest, and despite slight attenuation from posttest to 6-month follow-up, MDT and SASS scores remained higher than baseline. CONCLUSIONS: The CR program tailored for women significantly improved global QOL compared with traditional CR. Future studies should explore the mechanisms by which such programs affect QOL.
机译：背景：患有心脏病的女性的心理社会状况较差，参加心脏康复（CR）计划的人很少。很少有研究检查为女性量身定制的CR计划，以改善其生活质量（QOL）。方法：该随机临床试验（RCT）将传统CR计划中女性的QOL与完成量身定制的计划的女性进行了比较，该计划包括行为转变的跨理论模型（TTM）指导的动机访谈。在基线，干预后和6个月的随访期间，对225名妇女进行了两项QOL测量，即多重差异理论调查表（MDT）和自我固定努力量表（SASS）。方差分析（ANOVA）用于比较QOL分数随时间的变化。结果：量身定制的和传统的CR组的MDT和SASS基线评分分别为35.1和35.5，以及7.1和7.0。干预后，量身定制的组的MDT和SASS评分分别提高到37.9和7.9，而传统组分别为35.9和7.1。定制组的随访分数分别为37.7和7.6，传统组为35.7和7.1。发现了显着的按时间分组的相互作用。随后的测试表明，传统组的MDT和SASS分数不会随时间变化。量身定制的小组显示，从基线到测试后，MDT和SASS得分显着提高，尽管从测试后到6个月的随访稍有减弱，但MDT和SASS得分仍高于基线。结论：与传统CR相比，为女性量身定制的CR计划显着改善了全球QOL。未来的研究应探索此类程序影响生活质量的机制。

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