Keck M, Budde H G
Klinik Bad Münster am Stein-Ebernburg der LVA Rheinland-Pfalz Fachklinik für Herz- und Kreislaufkrankheiten.
Rehabilitation (Stuttg). 1999 May;38(2):79-87.
In n = 1504 consecutive patients after inpatient cardiac rehabilitation, we investigate how many patients can be motivated to join a so-called outpatient heart group, which sociographical and medical variables influence participation, and whether participation in a heart group prompts a more health-orientated nutrition. Applying a special team-based motivation programme, almost 30% of patients undergoing cardiac rehabilitation under the pension insurance scheme for workers can be motivated to join a heart group, who otherwise can hardly be prompted to do so. About 75% of them still participate in the heart group 7 months later. Initial and continuing participation are more probable in patients of middle age, male gender, with previous PTCA, moderately or severely restricted left ventricular function, and--for patients up to the age of 55 years--in case of reintegration or expected reintegration into work life. Patients after heart valve surgery are significantly less liable to join a heart group than CHD patients. Seven months after cardiac rehabilitation, medium cholesterol values have less increased among participants of heart groups than among non-participants. This may indicate a more stabilized health-orientated lifestyle among members of heart groups.
在1504例接受住院心脏康复治疗的连续患者中，我们调查了有多少患者能够被激励加入所谓的门诊心脏康复小组，哪些社会统计学和医学变量会影响参与情况，以及参与心脏康复小组是否会促使形成更注重健康的营养观念。应用一种特殊的基于团队的激励计划，在工人养老保险计划下接受心脏康复治疗的患者中，近30%能够被激励加入心脏康复小组，否则他们很难被促使这样做。其中约75%的患者在7个月后仍参与心脏康复小组。中年、男性、曾接受经皮冠状动脉腔内血管成形术（PTCA）、左心室功能中度或重度受限的患者，以及55岁以下有望重新融入或预期重新融入工作生活的患者，更有可能开始并持续参与。心脏瓣膜手术后的患者比冠心病患者加入心脏康复小组的可能性显著更低。心脏康复7个月后，心脏康复小组参与者的中等胆固醇值增幅低于非参与者。这可能表明心脏康复小组的成员形成了更稳定的注重健康的生活方式。
