优化心脏远程康复计划:心理,社会和实施因素
Valentina Micheluzzi1, Pierluigi Merella1, Francesco Burrai2
1Clinical and Interventional Cardiology, Sassari University Hospital, Sassari, Italy; Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy.
Current problems in cardiology
|February 14, 2026
概括
心脏远程康复 (tele-CR) 通过消除障碍来改善获得护理的机会. 优化远程CR需要专注于患者参与,关系,以及定制,公平的设计,以获得更好的结果.
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:
- 心脏电话康复 (tele-CR) 提供家庭或混合模式,以克服心脏康复中的旅行和时间障碍.
- 远程CR的有效性受到患者参与,治疗关系和实施因素的影响.
- 本综述综合了通过心理,社会和实施策略优化远程CR的证据.
研究的目的:
- 审查影响心脏远程康复 (tele-CR) 吸收,坚持和有效性的心理,社会和实施因素.
- 确定优化提供家庭和混合心脏康复计划的战略.
- 综合证据,以提升患者体验和临床结果在电话CR.
主要方法:
- 从2021年1月到2026年1月,在PubMed,Scopus,PsycINFO和Embase进行了针对性的文献搜索.
- 包括的研究包括随机和观察设计,定性和混合方法研究,以及系统审查/元分析.
- 审查的重点是参与各种形式的远程CR的患有心血管疾病的成年人,遵守SANRA报告准则.
主要成果:
- 远程CR是一种社会技术干预,结合了数字工具,临床工作流程和患者背景.
- 当数据可操作时,自我监控和反可以提高自我效能;例行检查和响应性后续可以提高连续性.
- 设计时的公平性方法将交付量身定制为个人需求 (连接,识字,语言) 对于可行性和可接受性至关重要.
结论:
- 远程CR的可扩展效益取决于以关系为中心,以股权为导向的服务设计.
- 主要优先事项包括对监测进行临床可行性校准,简化接口,整合心理健康查和支持护理人员.
- 嵌入实施指标和持续质量改进对于优化远程CR结果至关重要.
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