混合动力与标准二期心脏康复运动强度比较。
A Comparison of Exercise Intensity in Hybrid Versus Standard Phase Two Cardiac Rehabilitation.
机构信息
Division of Cardiovascular Medicine (Drs Keteyian, Brawner, Kerrigan, and Ehrman, Ms Grimshaw and Reasons, and Mr Berry) and Department of Public Health Sciences (Dr Peterson), Henry Ford Health System, Detroit, Michigan.
出版信息
J Cardiopulm Rehabil Prev. 2021 Jan 1;41(1):19-22. doi: 10.1097/HCR.0000000000000569.
PURPOSE
To compare exercise training intensity during standard cardiac rehabilitation (S-CR) versus hybrid-CR (combined clinic- and remote home-/community-based).
METHODS
The iATTEND (improving ATTENDance to cardiac rehabilitation) trial is currently enrolling subjects and randomizing patients to S-CR versus hybrid-CR. This substudy involves the first 47 subjects who completed ≥18 CR sessions. Patients in S-CR completed all visits in a typical phase II clinic-based setting and patients in hybrid-CR completed up to 17 of their sessions remotely using telehealth (TH). Exercise training intensity in both CR settings is based on heart rate (HR) data from each CR session, expressed as percent HR reserve.
RESULTS
Among patients in both study groups, there were no serious adverse events or falls that required hospitalization during or within 3 hr after completing a CR session. Expressed as a percentage of HR reserve, the overall mean exercise training intensities during both the S-CR sessions and the TH-CR sessions from hybrid-CR were not significantly different at 63 ± 12% and 65 ± 10%, respectively (P = .29).
CONCLUSION
This study showed that hybrid-CR delivered using remote TH results in exercise training intensities that are not significantly different from S-CR.
目的
比较标准心脏康复（S-CR）与混合心脏康复（结合诊所和远程家庭/社区）的运动训练强度。
方法
iATTEND（提高心脏康复的出勤率）试验目前正在招募受试者，并将患者随机分为 S-CR 组和混合-CR 组。本亚研究涉及完成≥18 次 CR 疗程的前 47 名患者。S-CR 组的患者在典型的 II 期基于诊所的环境中完成所有就诊，混合-CR 组的患者在使用远程医疗（TH）的情况下，最多有 17 次就诊是远程进行的。两种 CR 环境中的运动训练强度均基于每个 CR 疗程的心率（HR）数据，以 HR 储备的百分比表示。
结果
在两组研究患者中，在完成 CR 疗程期间或之后 3 小时内，没有发生需要住院治疗的严重不良事件或跌倒。以 HR 储备的百分比表示，混合 CR 的 S-CR 疗程和 TH-CR 疗程的整体平均运动训练强度分别为 63±12%和 65±10%，无显著差异（P=0.29）。
结论
本研究表明，使用远程 TH 进行的混合 CR 产生的运动训练强度与 S-CR 无显著差异。
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