通过可穿戴设备进行远程心脏康复
Atsuko Nakayama1,2, Noriko Ishii3, Mami Mantani3
1Department of Cardiology, Sakakibara Heart Institute, Tokyo, Japan.
Korean circulation journal
|November 16, 2023
概括
远程心脏康复 (CR) 通过使用可穿戴设备进行远程监控,为低参与率提供解决方案. 虽然它对运动耐受性有效,但它对预防心脏事件和死亡率的影响需要进一步研究.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 康复医学 康复医学 康复医学
背景情况:
- 门诊心脏康复 (CR) 改善了结果,但由于后勤和个人障碍,患者参与率低.
- 远程CR,利用可穿戴设备和远程监控,正在成为增加对CR程序的访问和遵守的战略.
- 现有的研究证实了远程CR对运动耐受性的好处,但其对主要心脏事件和死亡率的影响不太清楚.
研究的目的:
- 探索远程心脏康复 (CR) 的潜力和挑战,作为传统门诊方案的替代方案.
- 审查目前关于远程CR有效性的证据,特别是关于运动耐受性和长期心脏结果.
- 确定成功远程CR实施的关键组件,包括风险分层,远程护理和多学科护理.
主要方法:
- 审查关于远程CR程序和技术的现有文献.
- 分析评估远程CR对运动能力和患者坚持炼的影响的研究.
- 讨论安全有效的远程CR的基本要素,如患者选择和远程护理的质量保证.
主要成果:
- 通过可穿戴设备和远程监控应用程序促进的远程CR显示出改善运动耐受性的前景.
- 远程CR对心脏事件和死亡率的预防性影响仍然是正在进行的研究和辩论的主题.
- 成功的远程CR需要强大的风险分层,熟练的远程护理和综合的多学科干预措施.
结论:
- 远程CR是心血管疾病管理的潜在未来组成部分,解决了传统CR的障碍.
- 确保远程护理和多学科干预的质量对于远程CR的安全性和有效性至关重要.
- 需要进行进一步的研究,以确定广泛采用远程CR的成本效益和保险覆盖.
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