家庭心脏康复对身体功能,结果和成本的影响
Jonathan Myers1, Karen Owoc, Holly Fonda
1Author Affiliations: VA Palo Alto Health Care System, Division of Cardiovascular Medicine, Palo Alto, California (Dr Myers, Mss Owoc and Fonda, and Drs Chan, Oo, Nallamshetty, and Nguyen); and Stanford University School of Medicine, Stanford, California (Dr Myers, Nallamshetty, Nguyen).
Journal of cardiopulmonary rehabilitation and prevention
|April 1, 2025
概括
家庭心脏康复 (HBCR) 显著改善了身体功能,并减少了心血管疾病患者的复合不良事件和医疗保健成本,即使是在COVID-19大流行期间.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 心脏康复 (CR) 改善了心血管疾病 (CVD) 患者的结果,但访问是有限的.
- 基于家庭的CR (HBCR) 提供了一个潜在的解决方案,以提高参与率和完成率.
- 关于HBCR疗效的研究有限,特别是关于其在COVID-19大流行期间的表现.
研究的目的:
- 评估退伍军人事务局家庭心脏康复 (HBCR) 计划的有效性.
- 评估身体功能,医疗保健成本和患者结果的改善.
- 在COVID-19大流行期间分析HBCR性能.
主要方法:
- 实施了为期12周的HBCR计划,包括个性化炼和风险管理.
- 远程功能测试,安全监测,生活质量和成本被量化.
- 在HBCR,社区护理和通常护理组之间比较了一个复合的结局 (死亡,心脏病发作,中风,住院) 超过2.5年.
主要成果:
- HBCR参与者在平衡,力量,耐力和每日步骤方面显著改善 (P < .001).
- 与社区护理组相比,HBCR组的复合事件较少 (P = .002).
- HBCR导致医疗保健成本显著降低 (每人2101美元与3289美元相比,P < .001).
结论:
- 该HBCR计划对各种心血管疾病患者,包括患有并发症的患者,显示出显著的功能和结果益处.
- 尽管该计划主要是在COVID-19大流行期间进行的,但该计划证明是有效的.
- 在心血管疾病管理方面,HBCR提供了一个具有成本效益的替代方案.
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