{"id":3934,"date":"2024-04-29T20:18:18","date_gmt":"2024-04-29T20:18:18","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3934"},"modified":"2025-07-14T20:27:58","modified_gmt":"2025-07-14T18:27:58","slug":"en-digital-sundhedsintervention-med-brug-af-sms-beskeder-og-adfaerdsaendringsteknikker-til-at-stoette-fastholdelse-af-fysisk-aktivitet-efter-superviseret-hjertetraening-et-feasibility-studie","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/29\/en-digital-sundhedsintervention-med-brug-af-sms-beskeder-og-adfaerdsaendringsteknikker-til-at-stoette-fastholdelse-af-fysisk-aktivitet-efter-superviseret-hjertetraening-et-feasibility-studie\/","title":{"rendered":"En digital sundhedsintervention med brug af sms-beskeder og adf\u00e6rds\u00e6ndringsteknikker til at st\u00f8tte fastholdelse af fysisk aktivitet efter superviseret hjertetr\u00e6ning: Et feasibility studie"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Hamborg TG, Andersen RM, Skou ST, et al. mHealth intervention including text messaging and behaviour change techniques to support maintenance of physical activity after cardiac rehabilitation: A single-arm feasibility study. DIGITAL HEALTH. 2024;10. <\/span>doi:10.1177\/20552076241239243<\/a><\/p>\n

Introduktion
\n<\/span><\/strong>For patienter med hjerte-kar-sygdomme er livslang regelm\u00e6ssig fysisk aktivitet vigtig. Det er forbundet med reduceret kardiovaskul\u00e6r d\u00f8delighed, indl\u00e6ggelser, forbedret livskvalitet, samt fysisk og mental sundhed. Efter afslutning af et superviseret hjertetr\u00e6ningsprogram er det dog en udfordring for disse patienter at opretholde fysisk aktivitet. De skal opfylde de anbefalede niveauer for fysisk aktivitet, hvilket kr\u00e6ver kontinuerlig adf\u00e6rds\u00e6ndring.
\n<\/span>Dette studie har til form\u00e5l at evaluere gennemf\u00f8rbarhed af en sms-beskedintervention blandt patienter med hjerte-kar-sygdomme efter et superviseret hjertetr\u00e6ningsprogram.<\/span><\/p>\n

Metode
\n<\/span><\/strong>Studiet blev udf\u00f8rt p\u00e5 to hospitaler og \u00e9n kommune i Region Sj\u00e6lland, Danmark.
\n<\/span>Inklusionskriterier: \u2265 18 \u00e5r, deltaget i et superviseret hjertetr\u00e6ningsprogram, adgang til en mobiltelefon og kunne g\u00e5 3 meter selvst\u00e6ndigt.
\n<\/span>Deltagerne modtog en 12-ugers intervention, der anvendte adf\u00e6rds\u00e6ndringsteknikker, herunder handlingsplan, sms-beskeder og telefonsupport.
\n<\/span>Gennemf\u00f8rbarhed blev vurderet ved hj\u00e6lp af pr\u00e6definerede progressionskriterier:
\n<\/span>Rekruttering (\u226575%). Fastholdelse (\u226580%). Komplet accelerometerdata (\u226580%). Koordinatortid (\u226430 minutter). Svarprocent p\u00e5 patientrapporterede data (\u226590%). Deltagelse (\u226575% svarer p\u00e5 \u226575% af beskeder). Acceptabilitet (\u226575%).<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Ti kvinder og 30 m\u00e6nd med en gennemsnitsalder p\u00e5 63,5 \u00e5r med hjerte-kar-sygdom deltog.
\n<\/span>Progressionskriterier:
\n<\/span>Fastholdelse (90%), komplet accelerometerdata (83%), koordinatortid (9,9 minutter), deltagelse (83%) og acceptabilitet (82%) blev opfyldt p\u00e5 acceptabelt niveau.
\n<\/span>Undtagelsen var kriteriet for rekruttering (35%), som var under det acceptable niveau, og svarprocenten p\u00e5 patientrapporterede data (75%). Der blev fundet h\u00f8j tilfredshed (92,6%) med interventionen.
\n<\/span>Alle objektivt m\u00e5lte fysiske aktivitetsniveauer forblev u\u00e6ndrede fra baseline til opf\u00f8lgning.
\n<\/span>Der blev ikke rapporteret alvorlige h\u00e6ndelser relateret til interventionen.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>Sms-beskedintervention som st\u00f8tte til fastholdelse af fysisk aktivitet efter afslutning af hjertetr\u00e6ning var gennemf\u00f8rbar, sikker og acceptabel.
\n<\/span>Dog, er er der behov for \u00e6ndringer i studiedesignet ift. at opn\u00e5 et acceptabelt niveau for rekruttering og svarprocent p\u00e5 patientrapporterede data, inden der gennemf\u00f8res en st\u00f8rre effektevaluering.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>En sms-beskedintervention er en lovende l\u00f8sning til at st\u00f8tte overgangen fra superviseret hjertetr\u00e6ning til fysisk aktivitet i hverdagslivet, med den lille population og det en-armede studiedesign in mente.<\/span><\/p>\n

Trine Gr\u00f8nbek Hamborg, ph.d. studerende, PT, MSc., trgh@regionsjaelland.dk<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

For patienter med hjerte-kar-sygdomme er livslang regelm\u00e6ssig fysisk aktivitet 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