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首页> 外文期刊>Journal of advanced nursing >A web-based tailored nursing intervention (TAVIE en m@rche) aimed at increasing walking after an acute coronary syndrome: Multicentre randomized trial(sic) (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(TAVIE en m @ rche),(sic)& x65e8;(sic)(sic)(sic)& x6025;(sic)& x51a0;(sic)(sic)& x8109;(sic)(sic)(sic)(sic)(sic)(sic)(sic):(sic)(sic)(sic)(sic)(sic)(sic)(sic)
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A web-based tailored nursing intervention (TAVIE en m@rche) aimed at increasing walking after an acute coronary syndrome: Multicentre randomized trial(sic) (sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(sic)(TAVIE en m @ rche),(sic)& x65e8;(sic)(sic)(sic)& x6025;(sic)& x51a0;(sic)(sic)& x8109;(sic)(sic)(sic)(sic)(sic)(sic)(sic):(sic)(sic)(sic)(sic)(sic)(sic)(sic)

机译：基于Web的定制护理干预（Tavie En M @ RCHE）旨在在急性冠状动脉综合征后越来越多地行走：多期式随机试验（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SIC ）（SiC）（SiC）（SiC）（SiC）（Tavie en M @ RCHE），（SiC）＆x65E8;（SiC）（SiC）（SiC）＆X6025;（SiC）＆X51A0;（SIC）（SIC）（SIC ）＆x8109;（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）（SiC）

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Aim Evaluate a web-based tailored nursing intervention, TAVIE en m@rche, on increasing daily steps after an acute coronary syndrome. Design Parallel two-group multicentre randomized trial. Methods An experimental group receiving TAVIE en m@rche, was compared to a control group receiving hyperlinks to public websites. Acute coronary syndrome patients who were insufficiently active were recruited from three coronary care units. Daily steps at 12 weeks were the primary outcome. Secondary outcomes included self-reported walking and moderate to vigorous physical activity (MVPA). Exploratory outcomes were angina frequency, emergency department visits, hospitalizations and secondary prevention programme attendance. Results Primary data were analysed for 39 participants. No significant effects were found. At 12 weeks 275.9 more daily steps and 1,464.3 more energy expenditure in MVPA were found in the experimental group relative to the control. No effects were found for angina frequency, emergency department visits, hospitalizations and secondary prevention programme attendance. Conclusion The lack of effect on our primary result may be explained by the intervention goal that was mismatched to the needs of our mostly sufficiently active sample at randomization, resulting in no meaningful change in daily steps. Although the non-significantly greater increase in self-reported MVPA may represent gains in health among the participants that accessed TAVIE en m@rche, this result should be interpreted with caution. Impact From 40%-60% of acute coronary syndrome patients self-report insufficient levels of physical activity. No effect was found on the primary outcome of daily steps. Although not significant, a greater increase in MVPA was found at 12 weeks. The primary outcome can be explained by most of the sample having attained the physical activity recommendation at randomization. Caution in interpreting the non-significant increase in MVPA is warranted due to attrition bias and statistical uncertainty. Future directions may consider the timing of randomization in relation to meeting the needs of insufficiently active acute coronary syndrome patients.
机译：目的评估基于网络的定制护理干预，Tavie En M @ RCHE，在急性冠状动脉综合征后的日常步骤上升。设计平行的两组多长期随机试验。方法将Tavie EN M @ RCHE接收的实验组与接收到公共网站的超链接的对照组进行比较。急性冠状动脉综合征患者从三个冠状动脉护理单位中招募。 12周的每日步骤是主要结果。二次结果包括自我报告的行走和中度以剧烈的身体活动（MVPA）。探索性成果是心绞痛，急诊部门访问，住院和二级预防计划出席。结果分析了主要数据39名参与者。没有发现显着的影响。在12周275.9中，在实验组相对于对照中发现了MVPA中更多的每日步骤和1,464.3次的能量消耗。对心绞痛，应急部门访问，住院和二级预防计划出勤没有任何影响。结论缺乏对我们主要结果的影响，可以通过干预目标来解释，这些目标是在随机化中最具充分活跃的样本的需求不匹配，导致日常步骤无意义的变化。虽然自我报告的MVPA中的非显着提高增加可能在访问Tavie EN M @ RCHE的参与者中可能代表健康的收益，但该结果应谨慎解释。影响从40％-60％的急性冠状动脉综合征患者自我报告的身体活动水平不足。在日常步骤的主要结果上没有发现效果。虽然不显着，但在12周内发现了MVPA的更大增加。主要结果可以通过大多数样本来解释，在随机化时达到了物理活动推荐。在解释MVPA的非显着增加之中，由于磨损偏差和统计不确定性，请注意。未来的方向可以考虑随机化的时间，以满足不良活性急性冠状动脉综合征患者的需求。

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