Heart Failure Service, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
J Cardiopulm Rehabil Prev. 2013 Jul-Aug;33(4):239-43. doi: 10.1097/HCR.0b013e3182930cea.
Encouraging patients to continue regular activity beyond the period of formal cardiac, heart failure, or pulmonary rehabilitation is a challenge faced by all program coordinators. The purpose of this study was to evaluate the feasibility of a community model run by fitness instructors as long-term maintenance for patients exiting a disease-specific rehabilitation program.
Heartmoves programs were established in close proximity to all major tertiary hospitals in Brisbane, Queensland, Australia, and all eligible patients were offered supported referral to a program. Referred patients and rehabilitation staff were surveyed regarding perceived barriers to attendance. Referral rates and individual attendance rates for the first 12 weeks were recorded.
Over 12 months, 241 patients were referred to a community Heartmoves class, of whom 141 (59%) attended at least once and 76 (32% of referrals, 54% of initial attendees) attended more than 6 of the first 12 weeks. Preattendance surveys identified concerns about quality and safety, as well as social and logistic barriers. The programs proved to be sustainable, as evidenced by the growth of programs from 18 at the end of the project to 31 over a 18-month period.
A supported referral pathway to Heartmoves provides a feasible and acceptable model for maintenance exercise following cardiac, heart failure, and pulmonary rehabilitation. Strategies that recognize and address barriers perceived by participants and by rehabilitation program staff should be part of the supported referral process.
鼓励患者在心脏、心力衰竭或肺康复等特定疾病康复计划结束后继续定期进行活动，这是所有项目协调员面临的挑战。本研究旨在评估由健身指导员运营的社区模式作为长期维持治疗，对刚从特定疾病康复计划中退出的患者的可行性。
在澳大利亚昆士兰州布里斯班的所有主要三级医院附近建立 Heartmoves 项目，并向所有符合条件的患者提供支持性转诊服务。对转诊患者和康复工作人员进行了有关出勤率障碍的调查。记录了前 12 周的转诊率和个人出勤率。
在 12 个月内，有 241 名患者被转介到社区 Heartmoves 班，其中 141 名（59%）至少参加过一次，76 名（转诊的 32%，首次参加者的 54%）参加了前 12 周的 6 次以上。参与前的调查确定了对质量和安全性、社会和后勤障碍的担忧。该项目得以持续开展，证据是项目数量从项目结束时的 18 个增长到 18 个月后的 31 个。
通过 Heartmoves 的支持性转诊途径，为心脏、心力衰竭和肺康复后的维持性运动提供了一种可行且可接受的模式。在支持性转诊过程中，应考虑到参与者和康复计划工作人员所感知到的障碍的应对策略。
