Department of Community Medicine, Army Medical College, National University of Medical Sciences, Rawalpindi, Pakistan.
Department of Interventional Cardiology, Armed Forces Institute of Cardiology and National Institute of Heart Diseases (AFIC/NIHD), Rawalpindi, Pakistan.
J Coll Physicians Surg Pak. 2021 Oct;31(10):1148-1153. doi: 10.29271/jcpsp.2021.10.1148.
To determine the effectiveness of mobile health augmented cardiac rehabilitation (MCard) on behavioural factors among post-acute coronary syndrome (post-ACS) patients.
Randomised controlled trial.
Armed Forces Institute of Cardiology (AFIC), from January 2019 till March 2021.
Post-ACS patients were assigned to one of two groups: intervention (counselling, brief text messages, and standard post-ACS care) or control (no intervention) (standard post-ACS care). Healthy eating (Healthy eating assessment tool) and physical activity (IPAQ tool), medication compliance, smoking, salt intake, blood pressure (BP), and weight self-monitoring were assessed as behavioural factors. Data were collected three times for a six-month follow-up period (baseline, 12 and 24 weeks).
At 12 weeks, 121 (76.62%) of the 160 patients enrolled patients (80 in each group) were analysed; and at 24 weeks, 119 (74.38%) were analysed. Mean MET score at baseline was 1170 control vs. 1161 intervention (p = 0.940), at 12 weeks 826 vs. 934 (p = 0.390); and at 24 weeks was 925 vs. 1454 (p = 0.007). Healthy eating value at baseline was 36.43 control vs. 36.38 intervention (p =0.897), at 12 weeks 38.76 vs. 40.98 (p<0.001); and at 24 weeks 40.12 vs. 43.54 (p <0.001). There was also a significant difference in salt intake (p = 0.008) and healthy diet (p = 0.012), but not in medicine compliance, smoking behaviour, self-monitoring of BP and weight.
The MCard positively impacts the post-ACS participants' behaviours in terms of physical activity, healthy eating, and salt restriction. MCard evidenced as a feasible intervention in terms of having lasting behaviour modification among this vulnerable patient population. Key Words: Acute coronary syndrome, Myocardial infarction, Cardiovascular diseases, Cardiac rehabilitation, Healthy diet, Physical activity, Smoking, Tobacco, Telemedicine, Lifestyle modification.
确定移动健康增强心脏康复（MCard）对急性冠脉综合征（ACS）后患者行为因素的有效性。
随机对照试验。
武装部队心脏病学研究所（AFIC），2019 年 1 月至 2021 年 3 月。
将 ACS 后患者分配到两组之一：干预组（咨询、简短短信和标准 ACS 后护理）或对照组（无干预）（标准 ACS 后护理）。健康饮食（健康饮食评估工具）和身体活动（IPAQ 工具）、药物依从性、吸烟、盐摄入量、血压（BP）和体重自我监测作为行为因素进行评估。数据在六个月的随访期间（基线、12 周和 24 周）收集了三次。
在 12 周时，对 160 名入组患者中的 121 名（76.62%）患者（每组 80 名）进行了分析；在 24 周时，对 119 名（74.38%）患者进行了分析。基线时的平均 MET 评分对照组为 1170，干预组为 1161（p = 0.940），12 周时为 826 对 934（p = 0.390）；24 周时为 925 对 1454（p = 0.007）。基线时的健康饮食值对照组为 36.43，干预组为 36.38（p = 0.897），12 周时为 38.76 对 40.98（p<0.001）；24 周时为 40.12 对 43.54（p <0.001）。盐摄入量（p = 0.008）和健康饮食（p = 0.012）也有显著差异，但药物依从性、吸烟行为、BP 和体重自我监测没有差异。
MCard 对 ACS 后患者的身体活动、健康饮食和盐限制行为产生了积极影响。在这种脆弱的患者群体中，MCard 作为一种可行的干预措施，具有持久的行为改变。
急性冠脉综合征、心肌梗死、心血管疾病、心脏康复、健康饮食、身体活动、吸烟、烟草、远程医疗、生活方式改变。
