Okati-Aliabad Hassan, Ansari-Moghaddam Alireza, Roohafza Hamidreza, Mohammadi Mahdi, Vakili Leila, Abbasi Mohammad Hadi, Heidari Hossein, Masoudy Gholamreza, Yazdekhasti Safoura, Sadeghi Masoumeh
Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Int J Prev Med. 2022 Jan 19;13:4. doi: 10.4103/ijpvm.IJPVM_492_20. eCollection 2022.
Cardiovascular diseases are the leading causes of mortality all around the world. Patients with Ischemic heart disease (IHD) are at an increased risk of ischemic events; therefore, secondary prevention measures should continue for these patients. Although Cardiac rehabilitation (CR) is one of the secondary prevention measures for IHD patients which has favorable clinical outcomes, only 50% of patients are referred and among them, a small percentage attends CR. Therefore, other strategies should be considered, one of which is home-based cardiac rehabilitation.
A multicenter, parallel-group randomized controlled trial has been conducting in three hospitals in Isfahan and patients have been assigned into a 1:1 ratio for the evaluation of the effectiveness of home-based cardiac rehabilitation versus usual care. Psycho-educational consultation based on the Health Action Process Approach including heart-healthy diet, stress management, lifestyle changes, smoking cessation, and physical activity has been performed. Primary outcomes, including the quality of life, psychological and smoking status, body mass index, blood pressure, blood cholesterol level, and physical activity level have been measured at 6 months after the randomization and intervention. One year after the intervention, primary and secondary outcomes, including cardiovascular events, the frequency of hospital admissions, and the death rates due to cardiovascular reasons will be assessed.
HBCR program can increase patient accessibility to CR services its implantation can be reduce burden IHD.
心血管疾病是全球主要的死亡原因。缺血性心脏病（IHD）患者发生缺血事件的风险增加；因此，这些患者应持续采取二级预防措施。尽管心脏康复（CR）是IHD患者二级预防措施之一，具有良好的临床效果，但只有50%的患者被转诊，其中只有一小部分参加了心脏康复。因此，应考虑其他策略，其中之一是居家心脏康复。
在伊斯法罕的三家医院进行了一项多中心、平行组随机对照试验，患者按1:1的比例分组，以评估居家心脏康复与常规护理的效果。基于健康行动过程方法进行了心理教育咨询，包括心脏健康饮食、压力管理、生活方式改变、戒烟和体育活动。在随机分组和干预后6个月测量主要结局，包括生活质量、心理和吸烟状况、体重指数、血压、血液胆固醇水平和体育活动水平。干预一年后，将评估主要和次要结局，包括心血管事件、住院频率和心血管原因导致的死亡率。
居家心脏康复计划可以增加患者获得心脏康复服务的机会，其实施可以减轻缺血性心脏病的负担。
