Soo Hoo Soon Yeng, Gallagher Robyn, Elliott Doug
Department of Cardiology, Royal North Shore Hospital, Sydney, Australia.
Faculty of Health, University of Technology Sydney.
Nurs Health Sci. 2016 Jun;18(2):230-7. doi: 10.1111/nhs.12258. Epub 2016 Feb 8.
Cardiac rehabilitation is an important component of recovery and secondary prevention following urgent primary percutaneous coronary intervention. However, attendance and factors that predict participation by patients admitted with ST-elevation myocardial infarction remain unclear. This Australian study was conducted using a descriptive, comparative design. Consecutive patients (n = 246) at two hospitals were interviewed by telephone at four weeks and six months. Open-ended questions were used to assess cardiac rehabilitation attendance, sociodemographics, modifiable risk factors, clinical outcomes, and post-discharge health support. Post-discharge home visits at four weeks (odds ratio: 2.64, 95% confidence interval: 1.48-4.71) and at six months were associated with better cardiac rehabilitation attendance; more males participated at four weeks and at six months. The results suggest the need to integrate post-discharge health support with cardiac rehabilitation to facilitate recovery after primary percutaneous coronary intervention, particularly for females with ST-elevation myocardial infarction.
心脏康复是紧急经皮冠状动脉介入治疗后恢复和二级预防的重要组成部分。然而，ST段抬高型心肌梗死患者的心脏康复参与率及预测参与的因素仍不明确。这项澳大利亚的研究采用了描述性、对比性设计。对两家医院的连续患者（n = 246）在四周和六个月时进行了电话访谈。采用开放式问题评估心脏康复参与情况、社会人口统计学特征、可改变的危险因素、临床结局以及出院后的健康支持。四周（优势比：2.64，95%置信区间：1.48 - 4.71）和六个月时的出院后家访与更好的心脏康复参与率相关；更多男性在四周和六个月时参与。结果表明，有必要将出院后的健康支持与心脏康复相结合，以促进经皮冠状动脉介入治疗后的恢复，特别是对于ST段抬高型心肌梗死的女性患者。
