Gutin B, Prince L, Stein R
Department of Movement Sciences and Education, Teachers College, Columbia University, New York, N.Y. 10027.
J Community Health. 1990 Aug;15(4):227-38. doi: 10.1007/BF01350289.
Out-patient cardiac rehabilitation centers in New York City were surveyed in order to determine current practices. All 24 centers operating as of May, 1987 were sent questionnaires; 16 responded for a return rate of 67 percent. In general, practices of the centers were in accord with guidelines of the American Heart Association (AHA) and the American College of Sports Medicine. The incidence of medical complications in the centers was quite rare, perhaps accounting for the failure of centers to follow all emergency guidelines of the AHA, such as daily testing of the defibrillator. The major aim of the centers was to enhance physiological status, rather narrowly defined as aerobic fitness and cardiovascular function. Little attention was paid to nutrition, body composition and strength, despite the fact that the value of broadening the concept of fitness to include these parameters is becoming evident. Lifestyle counseling to help in long-term rehabilitation was also rare. Third party payers should be encouraged to support such components of a rehabilitation program so that centers would be more likely to incorporate them.
为了确定当前的做法，对纽约市的门诊心脏康复中心进行了调查。向截至1987年5月运营的所有24个中心发送了问卷；16个中心回复，回复率为67%。总体而言，这些中心的做法符合美国心脏协会（AHA）和美国运动医学学院的指南。这些中心医疗并发症的发生率相当低，这可能是中心未遵循AHA所有应急指南（如每日对除颤器进行测试）的原因。这些中心的主要目标是提高生理状态，狭义地定义为有氧适能和心血管功能。尽管将健康概念扩展到包括这些参数的价值日益明显，但对营养、身体成分和力量却很少关注。帮助进行长期康复的生活方式咨询也很少见。应鼓励第三方支付者支持康复计划的这些组成部分，以便中心更有可能将它们纳入其中。
