家庭心脏康复对心血管风险因素管理的影响
1Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
Annals of rehabilitation medicine
|August 30, 2023
概括
基于家庭和中心的心脏康复计划都有效地改善了诸如胆固醇和生活方式习惯等心血管风险因素. 建议患者继续参加任何心脏康复治疗.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 心脏康复 (CR) 对于管理急性冠状动脉综合征后心血管风险因素至关重要.
- 对比基于家庭 (HBCR) 和基于中心 (CBCR) 的CR模型对于优化患者护理至关重要.
- 需要了解不同CR模式对生活方式修改的长期影响.
研究的目的:
- 为了比较HBCR与CBCR在控制心血管风险因素方面的疗效.
- 为了评估接受首次CR计划的患者的生活方式的改变.
- 在六个月内评估运动能力和风险因素的变化.
主要方法:
- 对72名急性冠状动脉综合征患者的电子病历进行了回顾性审查.
- 分为HBCR (教育,自我炼) 和CBCR (心电图监测,监督炼) 组.
- 在基线,3个月和6个月评估生活方式问卷.
主要成果:
- 无论是HBCR还是CBCR组,LDL胆固醇,酒精消耗,饮食习惯和心理状况均显著改善.
- 在两组中,中等强度运动持续时间和最大代谢等价值 (METs) 都有所改善,CBCR略有优势.
- 没有观察到BMI,HbA1c,HDL或高强度运动持续时间的显著变化;在两组中,吸烟率都增加了.
结论:
- 基于家庭和中心的心脏康复计划都能促进生活方式的重大改变.
- 患者遵守任何形式的心脏康复是心血管风险因素管理的关键.
- 进一步的研究可能会探索减轻吸烟增加和改善其他风险因素的策略.
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