关于虚拟和远程提供心脏和肺部康复及其组成部分的共识声明
Joel W Hughes1,2,3,4,5,6,7, Robert Berry1,2,3,4,5,6,7, Todd M Brown1,2,3,4,5,6,7
1Author Affiliations: Department of Psychological Sciences, Kent State University, Kent, Ohio (Dr Hughes).
Journal of cardiopulmonary rehabilitation and prevention
|October 31, 2025
概括
虚拟和远程心脏和肺部康复 (CR-PR) 提供灵活的选择. 核心组件和质量指标在面对面,虚拟,远程和混合CR-PR交付模式中保持一致.
科学领域:
- 心血管和肺部康复心血管和肺部康复
- 数字健康数字健康
- 医疗保健提供模式 医疗保健提供模式
背景情况:
- 心脏和肺部康复 (CR-PR) 对于患者的康复至关重要.
- 传统的面对面CR-PR交付面临着一些患者的可访问性挑战.
- 美国心血管和肺部康复协会 (AACVPR) 确定需要定义替代CR-PR输送方法.
研究的目的:
- 定义CR-PR的虚拟和远程交付模型.
- 概述适用于所有CR-PR交付方法的核心组件和质量指标.
- 为实施替代CR-PR交付提供指导,以扩大患者的访问.
主要方法:
- 通过AACVPR召集一个编写小组,以制定定义和指导方针.
- 对CR-PR.的现有科学陈述和指导方针进行审查.
- 定义虚拟 (同步视听) 和远程 (异步) CR-PR 交付.
主要成果:
- 虚拟CR-PR使用实时视听通信;远程CR-PR使用异步方法.
- 结合面对面,虚拟和远程会议的混合模型可能是最优的.
- 核心组件,质量指标和患者选择标准在所有交付模式中都是一致的.
- 运动处方必须适应患者的环境,以实现虚拟/远程CR-PR.
- 紧急协议和患者/护理人员教育对于虚拟/远程CR-PR至关重要.
结论:
- 人身CR-PR仍然是符合条件的患者的基于证据的标准.
- 虚拟,远程和混合CR-PR模型可以增加患者获得康复服务的机会.
- 建议所有CR-PR模型使用AACVPR等注册表对结果进行标准化跟踪.
- 患者选择和综合评估对于成功实施CR-PR至关重要,无论使用何种输送方法.
相关概念视频
Coronary Artery Disease V: Interprofessional Care
208
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
208
Cardiomyopathy V: Interprofessional Care
326
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
326
Peripheral Artery Disease III: Interprofessional Care
232
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
232
Heart Failure VI: Adjunct Therapies
245
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
245
Specialized Care Centers and Settings-II
1.2K
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Acute Coronary Syndrome IV: Interprofessional Care
211
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
211


