Fang Jia-Ying, Li Ji-Lin, Li Zhong-Han, Xu Duan-Min, Chen Chang, Xie Bin, Chen Helen, Au William W
Department of Preventive Medicine, Shantou University Medical College, Shantou, China.
Department of Cardiology, the First Affiliated Hospital of Shantou University Medical College, Shantou, China.
J Geriatr Cardiol. 2016 May;13(4):326-32. doi: 10.11909/j.issn.1671-5411.2016.04.006.
Cardiac rehabilitation (CR) protocols have diversified to include home-based cardiac tele-rehabilitation (HBCTR) as an alternative to hospital-based or center-based CR. To adopt the use of home-based cardiac tele-rehabilitation, it is necessary to assess cardiac patients' attitudes towards acceptance of such e-health technology, especially in China where knowledge of such technology is deficient.
Interviews were conducted in the First Affiliated Hospital of Shantou University Medical College, Shantou, China. After percutaneous coronary interventional (PCI) surgery, patients completed the survey.
Among the 150 patients, only 13% had ever heard of HBCTR. After an introduction of our HBCTR program, 60% of patients were willing to participate in the program. From our multivariate analysis of questionnaire data, age (OR: 0.92, 95% CI: 0.86-0.98; P = 0.007), average family monthly income (OR: 0.13, 95% CI: 0.05-0.34; P < 0.001), education level (OR: 0.24, 95% CI: 0.10-0.59; P = 0.002) and physical exercise time (OR: 0.19, 95% CI: 0.06-0.56; P = 0.003) were independent predictors for acceptance of HBCTR. From the reasons for participation, patients selected: enhanced safety and independence (28.3%), ability to self-monitor physical conditions daily (25.4%), and having automatic and emergency alert (23.1%). Reasons for refusal were: too cumbersome operation (34.3%) and unnecessary protocol (19.4%).
Most patients lacked knowledge about HBCTR but volunteered to participate after they have learned about the program. Several personal and life-style factors influenced their acceptance of the program. These indicate that both improvement of technology and better understanding of the program will enhance active participation.
心脏康复（CR）方案已呈多样化，将居家心脏远程康复（HBCTR）纳入其中，作为基于医院或中心的心脏康复的替代方案。要采用居家心脏远程康复，有必要评估心脏病患者对此类电子健康技术的接受态度，尤其是在中国，此类技术的认知较为匮乏。
在中国汕头的汕头大学医学院第一附属医院进行访谈。经皮冠状动脉介入治疗（PCI）手术后，患者完成调查。
150名患者中，仅有13%听说过HBCTR。在介绍我们的HBCTR项目后，60%的患者愿意参与该项目。根据对问卷数据的多变量分析，年龄（比值比：0.92，95%置信区间：0.86 - 0.98；P = 0.007）、家庭月平均收入（比值比：0.13，95%置信区间：0.05 - 0.34；P < 0.001）、教育程度（比值比：0.24，95%置信区间：0.10 - 0.59；P = 0.002）和体育锻炼时间（比值比：0.19，95%置信区间：0.06 - 0.56；P = 0.003）是接受HBCTR的独立预测因素。从参与原因来看，患者选择的是：增强安全性和独立性（28.3%）、能够每日自我监测身体状况（25.4%）以及具备自动和紧急警报功能（23.1%）。拒绝的原因是：操作过于繁琐（34.3%）和方案不必要（19.4%）。
大多数患者对HBCTR缺乏了解，但在了解该项目后自愿参与。一些个人和生活方式因素影响了他们对该项目的接受度。这表明技术改进和对项目的更好理解都将提高积极参与度。
