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Ann Rheum Dis:激励咨询和短信提醒对类风湿关节炎日常坐位时间的影响

2017-06-09 xiangting MedSci原创

个性化的行为干预减少了RA患者的日常坐位时间,并改善了患者的结果和胆固醇水平。

这项研究的目的是调查个体化以理论为基础的行为干预疗法对于减少类风湿关节炎(RA)患者的每天坐位时间、疼痛、疲劳并改善生活质量,一般自我效能,身体机能和的心脏代谢生物标志物的疗效。

在这项随机对照试验中,将150例RA患者随机分为干预组和无干预对照组。干预组在16周的干预期内接受了三次个人激励咨询和短信服务,旨在减少久坐行为。主要结果是ActivPAL客观测量的日常坐位时间的变化。次要结局包括疼痛、疲劳、身体功能、一般自我效能、生活质量、血压、血脂、血红蛋白A1c、体重、体重指数、腰围和腰臀比的变化。

每组有75例患者。干预组平均每日坐位时间减少-1.61小时/天,而对照组增加0.59小时/天,组间差异为干预组-2.2小时/天占优(95%CI -2.72--1.69; p <0.0001)。大多数次要结果也是干预组占优。

个性化的行为干预减少了RA患者的日常坐位时间,并改善了患者的结果和胆固醇水平。

原始出处:

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    2017-06-11 lmm397
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