通过心脏康复改善功能能力的M健康:通过元分析进行系统性审查
Alessandro Pierucci1, Nathália Soares de Almeida2, Ítalo Ribeiro Lemes3
1Curso de Pós-Graduação Mestrado em Ciências da Saúde, Universidade do Oeste Paulista, UNOESTE, Presidente Prudente, São Paulo, Brazil; Departamento de Educação Física, Universidade do Oeste Paulista, UNOESTE, Presidente Prudente, São Paulo, Brazil.
Computer methods and programs in biomedicine
|December 19, 2024
概括
将移动健康 (m-health) 干预与心脏康复计划 (CRP) 结合起来,可显著改善心脏病患者的心肺呼吸能力. 这种方法在短期和中期后续行动中比单独CRP更有效地提高了功能能力.
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:
- 心脏康复计划 (CRP) 对于改善心脏病患者的治疗结果至关重要.
- 整合移动健康 (m-health) 干预措施为增强传统CRP提供了一种新方法.
- 了解联合m-health和CRP与单独CRP的比较有效性对于优化患者护理至关重要.
研究的目的:
- 系统地审查和元分析联合m-health和CRP与单独CRP的有效性.
- 为了比较对功能能力,CRP遵守和心血管风险因素管理的影响.
- 评估心脏病患者的短期和中期结果.
主要方法:
- 一个系统的审查和对22个随机对照试验 (RCT) 的元分析,发表到2020年7月.
- 在Medline,EMBASE,Central,PEDro和SPORTDiscus数据库中进行的搜索.
- 随机效应模型用于汇集数据,使用PEDro尺度评估方法质量,使用GRADE方法评估整体质量.
主要成果:
- 与单独使用CRP相比,联合m-health和CRP在短期 (MD: 1.02) 和中期 (MD: 0.97) 随访中显著改善了VO2峰值 (功能能力).
- 自我报告的身体活动在短期 (SMD:0.98) 也显著增加,但在中期的随访中并没有显著增加.
- 特定的监督和半监督的m-health干预表明VO2峰值和体育活动的优异改善.
结论:
- 高质量的证据支持m-health干预措施与CRP相结合的效果优于单独的CRP.
- 这种综合方法在短期和中期随访期间显著提高了心脏病患者的心肺呼吸能力.
- 移动健康整合是改善心脏康复结果的有价值策略.
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