Department of Cardiology, Skane University Hospital and Department of Clinical Sciences, Lund University, Malmö, Sweden.
Department of Medical Sciences, Cardiology and Uppsala Clinical Research Centre, Uppsala University, Sweden.
Eur J Prev Cardiol. 2020 Jan;27(1):18-27. doi: 10.1177/2047487319865729. Epub 2019 Jul 26.
While patient performance after participating in cardiac rehabilitation programmes after acute myocardial infarction is regularly reported through registry and survey data, information on cardiac rehabilitation programme characteristics is less well described.
The aim of this study was to evaluate Swedish cardiac rehabilitation programme characteristics and adherence to European Guidelines on Cardiovascular Disease Prevention.
Cardiac rehabilitation programme characteristics at all 78 cardiac rehabilitation centres in Sweden in 2016 were surveyed using a web-based questionnaire (100% response rate). The questions were based on core components of cardiac rehabilitation as recommended by European Guidelines.
There was a wide variation in programme duration (2-14 months). All programmes reported offering an individual post-discharge visit with a nurse, and 90% ( = 70) did so within three weeks from discharge. Most programmes offered centre-based exercise training ( = 76, 97%) and group educational sessions ( = 61, 78%). All programmes reported to the national audit, SWEDEHEART, and 60% ( = 47) reported that performance was regularly assessed using audit data, to improve quality of care. Ninety-six per cent ( = 75) had a core team consisting of a cardiologist, a physiotherapist and a nurse and 76% ( = 59) reported having a medical director. Having other allied healthcare professionals included in the cardiac rehabilitation team varied. Forty per cent ( = 31) reported having regular team meetings where nurses, physiotherapists and cardiologist could discuss patient cases.
The overall quality of cardiac rehabilitation programmes provided in Sweden is high. Still, there are several areas of potential improvement. Monitoring programme characteristics as well as patient outcomes might improve programme quality and patient outcomes both at a local and a national level.
虽然通过注册和调查数据定期报告了急性心肌梗死后参与心脏康复计划的患者表现，但有关心脏康复计划特征的信息描述得较少。
本研究旨在评估瑞典心脏康复计划的特征以及对欧洲心血管疾病预防指南的遵循情况。
使用基于网络的问卷对 2016 年瑞典所有 78 家心脏康复中心的心脏康复计划特征进行了调查（响应率为 100%）。问题基于欧洲指南推荐的心脏康复核心内容。
计划持续时间（2-14 个月）差异很大。所有计划均报告提供了出院后与护士的个别随访，其中 90%（=70）在出院后三星期内进行。大多数计划提供了以中心为基础的运动训练（=76，97%）和小组教育课程（=61，78%）。所有计划均向国家审计机构 SWEDEHEART 报告，其中 60%（=47）报告定期使用审计数据评估绩效，以提高护理质量。96%（=75）有一个由心脏病专家、物理治疗师和护士组成的核心团队，76%（=59）报告有医疗主任。将其他联合医疗保健专业人员纳入心脏康复团队的情况各不相同。40%（=31）报告定期举行团队会议，让护士、物理治疗师和心脏病专家可以讨论患者病例。
瑞典提供的心脏康复计划的整体质量很高。但仍有几个潜在改进的领域。监测计划特征以及患者结局可能会提高计划质量和患者在当地和国家层面的结局。
