Fletcher G F
Arch Phys Med Rehabil. 1986 Aug;67(8):517-9.
To determine the effects of cardiac rehabilitation following coronary angioplasty, 30 patients were evaluated by telephone questionnaire following discharge from a cardiac rehabilitation program. Angioplasty educational booklets and fat-controlled dietary instruction were provided for all 30 patients; however, the diet was actually implemented by only 11. Activities of daily living and home physical exercise guidelines were provided for 24 of the 30 subjects. Outpatient follow-up questionnaire within six months after discharge revealed 14 of 30 working full-time, 18 of 30 on fat-controlled diet, 16 of 30 regularly exercising, and 18 of 30 not smoking. Anginal chest discomfort warranting physician evaluation had developed in 11 of the 30. We identified the following problems in our cardiac rehabilitation program for angioplasty patients: no advance starting notice to rehabilitation team, short hospitalization (mean 4.9 days), little family unit instruction, and physicians ordering a regular diet when a special one was indicated. We conclude that our program of inpatient cardiac rehabilitation following angioplasty is not effective in altering patient behavior with regard to fat-controlled diet, exercise habits, and smoking habits, and that symptoms of angina pectoris requiring physician evaluation are common in these patients.
为了确定冠状动脉成形术后心脏康复的效果，在30名患者从心脏康复项目出院后，通过电话问卷对他们进行了评估。为所有30名患者提供了血管成形术教育手册和脂肪控制饮食指导；然而，只有11名患者实际执行了该饮食方案。为30名受试者中的24名提供了日常生活活动和家庭体育锻炼指南。出院后六个月内的门诊随访问卷显示，30名患者中有14名全职工作，18名遵循脂肪控制饮食，16名定期锻炼，18名不吸烟。30名患者中有11名出现了需要医生评估的心绞痛性胸部不适。我们在针对血管成形术患者的心脏康复项目中发现了以下问题：未提前通知康复团队开始时间、住院时间短（平均4.9天）、对家庭单位指导少，以及在需要特殊饮食时医生却开出常规饮食医嘱。我们得出结论，我们的血管成形术后住院心脏康复项目在改变患者在脂肪控制饮食、运动习惯和吸烟习惯方面的行为上无效，并且在这些患者中，需要医生评估的心绞痛症状很常见。
