دورية أكاديمية

Outpatient Cardiac Rehabilitation Closure and Home-Based Exercise Training During the First COVID-19 Lockdown in Austria: A Mixed-Methods Study

التفاصيل البيبلوغرافية
العنوان: Outpatient Cardiac Rehabilitation Closure and Home-Based Exercise Training During the First COVID-19 Lockdown in Austria: A Mixed-Methods Study
المؤلفون: Kulnik, Stefan Tino, Sareban, Mahdi, Höppchen, Isabel, Droese, Silke, Egger, Andreas, Gutenberg, Johanna, Mayr, Barbara, Reich, Bernhard, Wurhofer, Daniela, Niebauer, Josef
المساهمون: Ludwig Boltzmann Gesellschaft
المصدر: Frontiers in Psychology ; volume 13 ; ISSN 1664-1078
بيانات النشر: Frontiers Media SA
سنة النشر: 2022
المجموعة: Frontiers (Publisher - via CrossRef)
مصطلحات موضوعية: General Psychology
الوصف: Objective To assess the impact of the closure of group-based cardiac rehabilitation (CR) training during the first COVID-19 lockdown in spring 2020 on patients’ physical activity, cardiorespiratory fitness, and cardiovascular risk, and to describe the patient experience of lockdown and home-based exercise training during lockdown. Design Mixed methods study. Prospectively collected post-lockdown measurements were compared to pre-lockdown medical record data. Quantitative measurements were supplemented with qualitative interviews about the patient experience during lockdown. Setting Outpatient CR centre in Salzburg, Austria. Participants Twenty-seven patients [six female, mean (SD) age 69 (7.4) years] who attended weekly CR training sessions until the first COVID-19 lockdown in March 2020. Outcome Measure(s) Quantitative: exercise capacity (maximal ergometer test, submaximal ergometer training), cardiovascular risk (Framingham risk score, blood pressure, body mass index, lipids). Qualitative: individual semi-structured interviews. Results Exercise capacity had significantly reduced from pre- to post-lockdown: mean (SD) power (W) in maximal ergometry 165 (70) vs. 151 (70), p < 0.001; submaximal ergometer training 99 (40) vs. 97 (40), p = 0.038. There was no significant difference in Framingham risk score and other cardiovascular risk factors. Qualitative data showed that almost all patients had kept physically active during lockdown, but 17 (63%) said they had been unable to maintain their exercise levels, and 15 (56%) felt their cardiorespiratory fitness had deteriorated. Many patients missed the weekly CR training and the motivation and sense of community from training together with others. Several patients stated that without professional supervision they had felt less confident to carry out home-based exercise training at high intensity. Conclusion This study highlights the importance of group-based supervised exercise training for patients who engage well in such a setting, and the detrimental impact ...
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
DOI: 10.3389/fpsyg.2022.817912
DOI: 10.3389/fpsyg.2022.817912/full
الإتاحة: https://doi.org/10.3389/fpsyg.2022.817912Test
حقوق: https://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.19602D5A
قاعدة البيانات: BASE