Kim Chul, Sung Jidong, Han Jae-Young, Jee Sungju, Lee Jang Woo, Lee Jong Hwa, Kim Won-Seok, Bang Heui Je, Baek Sora, Joa Kyung-Lim, Kim Ae Ryoung, Lee So Young, Kim Jihee, Kim Chung Reen, Kwon Oh Pum
Department of Rehabilitation Medicine, Inje University Sanggye Paik Hospital, Seoul 01757, Korea.
Division of Cardiology, Department of Medicine, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
J Clin Med. 2022 May 2;11(9):2560. doi: 10.3390/jcm11092560.
The percentage of patients undergoing cardiac rehabilitation programs (CRP) is very low (30-40%), and hospitals providing CRP are either insufficient or lacking, even in countries with advanced medical care; therefore, this study aims to investigate the barriers, as well as compare the differences between hospitals, with or without CRP. We conducted a survey, in which the questionnaire was distributed through post or email to 607 specialists who work at 164 hospitals performing percutaneous coronary interventions (PCI). The results were as follows: (1) of the 164 hospitals, 132 responded (response rate: 80.5%). While all 47 hospitals with CRP responded (100%), from among the 117 hospitals without CRP, 85 responded (72.7%). (2) Of the 607 specialists, 227 responded (response rate: 36.9%). The response rates according to specialties were as follows: cardiologists (28.9%), cardiac surgeons (24.5%), and physiatrists (64.1%). (3) While the specialists at hospitals with CRP identified patient referral, transportation, and cost as the major barriers, for those at hospitals without CRP, all items were considered barriers, especially the items related to equipment, space, workforce, and budget as being more serious barriers. Therefore, in order to actively promote CRP, it is suggested that governments consider the customized support system according to the performance of CRPs.
接受心脏康复项目（CRP）的患者比例非常低（30%-40%），即使在医疗护理先进的国家，提供CRP的医院也不足或缺乏；因此，本研究旨在调查障碍因素，并比较有或没有CRP的医院之间的差异。我们进行了一项调查，通过邮寄或电子邮件向在164家进行经皮冠状动脉介入治疗（PCI）的医院工作的607名专家发放了问卷。结果如下：（1）在164家医院中，132家做出了回应（回应率：80.5%）。虽然所有47家有CRP的医院都做出了回应（100%），但在117家没有CRP的医院中，85家做出了回应（72.7%）。（2）在607名专家中，227名做出了回应（回应率：36.9%）。按专业划分的回应率如下：心脏病专家（28.9%）、心脏外科医生（24.5%）和物理治疗师（64.1%）。（3）有CRP的医院的专家认为患者转诊、交通和费用是主要障碍，而对于没有CRP的医院的专家来说，所有项目都被视为障碍，特别是与设备、空间、劳动力和预算相关的项目是更严重的障碍。因此，为了积极推广CRP，建议政府根据CRP的实施情况考虑定制支持系统。
