Viertel Centre for Research in Cancer Control, Cancer Council Queensland, P.O. Box 201, Spring Hill, Brisbane, QLD 4004, Australia,
Int J Behav Med. 2013 Sep;20(3):413-24. doi: 10.1007/s12529-012-9250-5.
Participation in coronary heart disease secondary prevention programs is low. Innovative programs to meet this treatment gap are required.
To aim of this study is to describe the effectiveness of a telephone-delivered secondary prevention program for myocardial infarction patients.
Four hundred and thirty adult myocardial infarction patients in Brisbane, Australia were randomised to a 6-month secondary prevention program or usual care. Primary outcomes were health-related quality of life (Short Form-36) and physical activity (Active Australia Survey).
Significant intervention effects were observed for health-related quality of life on the mental component summary score (p = 0.02), and the social functioning (p = 0.04) and role-emotional (p = 0.03) subscales, compared with usual care. Intervention participants were also more likely to meet recommended levels of physical activity (p = 0.02), body mass index (p = 0.05), vegetable intake (p = 0.04) and alcohol consumption (p = 0.05).
Telephone-delivered secondary prevention programs can significantly improve health outcomes and could meet the treatment gap for myocardial infarction patients.
冠心病二级预防计划的参与率较低。需要创新的项目来弥补这一治疗差距。
本研究旨在描述一种针对心肌梗死患者的电话式二级预防计划的有效性。
在澳大利亚布里斯班，将 430 名成年心肌梗死患者随机分配至为期 6 个月的二级预防计划或常规护理。主要结局指标是健康相关生活质量（36 项简短健康调查）和身体活动（澳大利亚积极调查）。
与常规护理相比，该干预措施在心理健康成分综合评分（p=0.02）、社会功能（p=0.04）和角色情感（p=0.03）方面显著改善了健康相关生活质量。干预组也更有可能达到推荐的身体活动水平（p=0.02）、体重指数（p=0.05）、蔬菜摄入量（p=0.04）和酒精摄入量（p=0.05）。
电话式二级预防计划可以显著改善健康结局，可以满足心肌梗死患者的治疗缺口。
