干预措施,以促进患者利用心脏康复治疗
Linda Long1, Cho Zin Lin2, Philippa Davies3
1School of Health and Wellbeing, University of Glasgow, Glasgow, UK.
The Cochrane database of systematic reviews
|February 24, 2026
概括
干预措施可以改善心脏病患者的心脏康复 (CR) 注册,坚持和完成. 这些策略提供了一种有希望的方法,以提高二次心脏病预防和患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 心脏康复 (CR) 对于二次心脏病预防至关重要.
- 低患者利用CR计划仍然是一个全球性的挑战.
- 这次审查更新了以前关于促进CR参与的干预措施的调查结果.
研究的目的:
- 评估旨在增加患者入学,坚持和完成心脏康复 (CR) 的干预措施.
- 评估对心肌梗塞,心痛,CABG/PCI后或心力衰竭的患者的影响.
- 检查干预成本和潜在的危害.
主要方法:
- 在多个数据库 (CENTRAL,MEDLINE,Embase,CINAHL,CPCI-S) 和试验登记册中进行系统搜索.
- 包括随机对照试验 (RCT) 和准RCT评估干预措施以增加CR利用率.
- 使用元分析和元回归来综合47项研究的数据,其中包括10,803名参与者.
主要成果:
- 干预措施显示有可能增加CR入学率 (低确定性证据).
- 干预措施可能改善了CR遵守 (中度确定性证据).
- 干预可能增加了CR完成率 (中度确定性证据).
- 没有观察到严重不良事件的显著增加.
- 关于成本效益的数据有限.
结论:
- 一系列干预措施可以提高心脏康复的利用率.
- 有证据表明,这些干预措施可以提高入学率,坚持和完成.
- 由于异质性,证据的确定性低至中等;可能需要进一步的研究.
更多相关视频
09:42Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation
Published on: November 8, 2013
14.1K
06:00A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients
Published on: May 16, 2025
1.3K
相关概念视频
01:30Heart Failure VII: Nursing Interventions
580
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
580
01:27Coronary Artery Disease V: Interprofessional Care
325
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...
325
01:22Heart Failure VI: Adjunct Therapies
442
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.
442
01:29Cardiomyopathy V: Interprofessional Care
520
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...
520
01:29Cardiomyopathy VI: Nursing Management
405
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
405
01:28Acute Coronary Syndrome IV: Interprofessional Care
337
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...
337