基于家庭锻炼计划的力量训练对肝硬化患者衰弱状态和生活质量的影响

目的 探讨基于家庭锻炼计划的力量训练对肝硬化患者衰弱状态和生活质量的影响。方法 将81例肝硬化患者分为观察组(n=41)和对照组(n=40)。对照组患者出院前接受常规锻炼指导,观察组在对照组基础上进行基于家庭锻炼计划的力量训练,两组均干预12周。比较两组患者干预前后的中文版Tilburg衰弱量表(TFI)评分、疾病特异性慢性肝病问卷(CLDQ)评分、肝功能[ALT、AST、总胆红素(TBIL)]水平、握力及步速。结果 干预后,观察组的TFI各维度评分及总分,血清ALT、AST、TBIL水平均低于干预前及对照组,CLDQ各维度评分及总分、握力均高于干预前及对照组(均P<0.05)。干预后对照组的步速低于干预前及观察组(均P<0.05),而观察组干预前后的步速比较差异无统计学意义(P>0.05)。结论 基于家庭锻炼计划的力量训练能有效改善肝硬化患者的衰弱状态及肝功能,提高患者握力及生活质量。

基于移动医疗的家庭步行锻炼计划对食管癌术后病人生活质量的影响研究

目的:探讨基于移动医疗的家庭步行锻炼计划对食管癌术后病人生活质量的影响。方法:选取2020年8月—2020年12月河南省某三级甲等医院胸外科食管癌术后106例病人,随机分为对照组与观察组各53例。对照组实施常规出院运动锻炼指导,观察组在对照组基础上实施基于移动医疗的家庭步行锻炼计划,比较两组病人出院后生活质量。结果:干预后观察组病人功能领域中的认知功能与总体生存质量领域得分明显高于对照组(P<0.05)。观察组病人症状领域中疲倦、疼痛得分与单一条目中的气促、失眠、食欲丧失、腹泻得分明显低于对照组(P<0.05)。观察组病人并发症发生率明显低于对照组,6 min步行测试(6 MWT)距离明显长于对照组(P<0.05)。结论:在食管癌术后病人中实施基于移动医疗的家庭步行锻炼计划,能够明显提高病人的运动能力,减少术后并发症发生,提高生活质量。

Recovery after ischemic stroke:Effects of FuekFone home-based program on upper limb and cognitive function

Objectives:This study aimed to explore the effects of the“FuekFone(F.F.)home-based program”on the upper limb and cognitive function of ischemic stroke patients after discharge.Methods:A single group pre-and post-test design was conducted.A total of 40 patients with recovery after ischemic stroke were recruited from two university hospitals in Thailand.The study was conducted between June 2022 and January 2023.Participants underwent a six-week“F.F.home-based program,”which combined an upper limb and cognitive function rehabilitation device with Android games,including stationary barrel,adventure walk,adventure stroll,sliding barrel,sauce squeeze,and cut objects.Each game has different difficulty levels.Patients can perform corresponding exercises through the games according to their conditions under the guidance of medical staff.The patients played for 24 min per time,4 min each game,three days a week.The second week,let the patients play games for 30 min per time,5 min each game,3 days a week.Then,in the 3e6 weeks,let the patients play games for 1 h per time,10 min each game,5 days a week.At the pre-and post-intervention,the Thai version of the National Institutes of Health Stroke Scale(NIHSS),the Motor Assessment Scale,and the Montreal Cognitive Assessment(MoCA score)were administered to patients at discharge and at 2,4,and 6 weeksafter discharge,and the results were compared.Results:All participants completed this program.Participants had statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 2,4,and 6 weeks after discharge(P<0.001).In the comparison of upper limb function and cognitive function at each of the study times,we found statistically improved upper limb function(upper arm function score,hand movements score,advanced hand activities score,total Motor Assessment Scale score)and MoCA score at 4,and 6 weeks after discharge when compared to after discharge and 2 weeks after discharge,respectively(P<0.05).Conclusions:Continuing care of patients post-stroke after discharge from hospital,such as F.F.homebased program should be applied at home to enhance upper limb and cognitive function.