关键词: activities of daily living energy management patient-centered intervention rehabilitation self-efficacy sleep apnea

来  源:   DOI:10.3389/fresc.2024.1359371   PDF(Pubmed)

Abstract:
UNASSIGNED: Fatigue often leads to a sedentary lifestyle, negatively impacting health, mortality, and quality of life. Engaging in physical activity can be challenging for individuals experiencing fatigue, particularly those with sleep apnea. This study\'s objective was to assess the \"First Step\" concepts\' usability in constructing and implementing different interventions through qualitative data. The intervention targets patients with sleep apnea, focusing on individualized energy distribution and meaningful engagement in physical activity.
UNASSIGNED: Two programs were developed based on the First Step concept, a rehabilitation program and a patient education program. Initially, 13 patients were recruited, split between the groups, with two dropping out. Primarily evaluated through qualitative data, patients in both groups attended group interviews. For one of the programs supplementary quantitative data were collected through the 6-min walk test (6MWT), Sit-to-Stand test, and Canadian Occupational Performance Measure (COPM). Patients in the rehabilitation program also monitored daily step counts using activity trackers.
UNASSIGNED: Patients found the energy management education enlightening, enabling them to make conscious changes in their daily lives. They reported the program\'s positive reception, with social interaction playing a crucial role in its success. Of the six patients who completed the rehabilitation program, significant improvements in 6MWT scores were observed, indicating enhanced walking endurance. While no changes were seen in the Sit-to-Stand test, COPM results showed notable improvements in performance and satisfaction with chosen activities.
UNASSIGNED: The incorporation of the First Step concept empowered patients with sleep apnea to manage fatigue, conserve energy, engage in meaningful activities, and improve their wellbeing. Merging occupational therapy and physiotherapy interventions effectively addressed daily challenges while promoting physical activity. Adaptations to the program, guided by patient feedback, suggest a preference for longer, more personalized sessions. This approach offers a promising pathway to improving quality of life for individuals with chronic conditions.
UNASSIGNED: Our study highlights the usability of the First Step concept, integrating occupational therapy and physiotherapy, to address challenges in individuals with sleep apnea. The tailored, multidisciplinary intervention prioritizes meaningful activities, focuses on energy distribution and physical exercise, yielding improved satisfaction and performance. Further research is warranted to enhance this salutogenic approach for chronic conditions.
摘要:
疲劳往往导致久坐的生活方式,对健康产生负面影响,死亡率,和生活质量。从事体力活动对于经历疲劳的人来说可能是具有挑战性的,尤其是那些有睡眠呼吸暂停的人。本研究的目的是通过定性数据评估构建和实施不同干预措施的“第一步”概念的可用性。干预对象为睡眠呼吸暂停患者,专注于个性化的能量分配和有意义的身体活动。
基于第一步概念开发了两个程序,康复计划和病人教育计划。最初,招募了13名患者,在群体之间分裂,有两个人退学。主要通过定性数据进行评估,两组患者均参加了小组访谈.对于其中一个程序,通过6分钟步行测试(6MWT)收集了补充定量数据,坐立试验,和加拿大职业绩效评估(COPM)。康复计划中的患者还使用活动跟踪器监测每日步数。
患者发现能源管理教育有启发性,使他们能够在日常生活中做出有意识的改变。他们报告了该计划的积极接待,社交互动在其成功中起着至关重要的作用。在完成康复计划的六名患者中,6MWT评分显着改善,表明增强步行耐力。虽然在“坐立测试”中没有看到任何变化,COPM结果显示,绩效和对所选活动的满意度显着提高。
第一步概念的加入使睡眠呼吸暂停患者能够控制疲劳,节约能源,从事有意义的活动,改善他们的福祉。合并职业治疗和物理治疗干预有效地解决了日常挑战,同时促进身体活动。适应程序,在患者反馈的指导下,建议更长时间的偏好,更个性化的会议。这种方法为改善慢性病患者的生活质量提供了有希望的途径。
我们的研究强调了第一步概念的可用性,整合职业治疗和物理治疗,以应对睡眠呼吸暂停患者的挑战。量身定制的,多学科干预优先考虑有意义的活动,注重能量分配和体育锻炼,提高满意度和绩效。有必要进行进一步的研究,以增强这种针对慢性疾病的salutogenic方法。
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