Riley Hayden, Stabile Loren, Wu Wen-Chih
Center for Cardiac Fitness, The Miriam Hospital, Providence, RI.
Center for Cardiac Fitness, The Miriam Hospital, Providence, RI;Providence Veterans Affairs Medical Center, Providence, RI; Department of Medicine, Alpert Medical School of Brown University, Providence, RI.
R I Med J (2013). 2020 Nov 2;103(9):30-33.
Traditional rehabilitation services, whether they are cardiac, pulmonary, or vascular, consist of 6-36 center-based, supervised sessions; however, due to COVID-19, in-person visits were suspended. This study sought to implement a transitional home-based treatment plan (HBTP) to patients.
Patients enrolled in a rehabilitation service at the Miriam Hospital during the time of temporary closure were provided with a HBTP that was individualized to their needs and multi-disciplinary in nature. Patients were called weekly for continual guidance and support.
Of the 129 patients that received a HBTP, 115 (89%) participated in follow-up correspondence (63±12 years, 83% white, 66% male, 81% enrolled in cardiac rehab). Nearly 70% of patients continued to participate in regular exercise and upon re-opening, 69 (60%) of patients returned to center-based care. Psychosocial factors appeared to inhibit treatment adherence.
Patients are receptive to an HBTP and subsequent follow-up throughout temporary closure of rehabilitation services.
传统的康复服务，无论是心脏、肺部还是血管方面的，都包括6至36次基于中心的、有监督的治疗课程；然而，由于新冠疫情，面对面就诊被暂停。本研究旨在为患者实施一项过渡性居家治疗计划（HBTP）。
在米里亚姆医院临时关闭期间参加康复服务的患者，被提供了一项根据其需求个性化定制且具有多学科性质的HBTP。每周对患者进行电话随访，以提供持续的指导和支持。
在129名接受HBTP的患者中，115名（89%）参与了后续通信（年龄63±12岁，83%为白人，66%为男性，81%参加心脏康复）。近70%的患者继续参加定期锻炼，康复服务重新开放后，69名（60%）患者恢复了基于中心的护理。社会心理因素似乎会抑制治疗依从性。
在康复服务临时关闭期间，患者接受HBTP及后续随访。
