Zhang Sisi, Zuo Houjuan, Meng Xiaoping, Hu Dayi
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, People's Republic of China.
Affiliated Hospital of Changchun Traditional Chinese Medicine, Changchun, People's Republic of China.
Patient Prefer Adherence. 2022 Aug 3;16:1907-1917. doi: 10.2147/PPA.S368615. eCollection 2022.
To describe a new model, the Support Life Club (SLC), for participants of Phase II cardiac rehabilitation (CR) programs and to evaluate this model for adherence, completion rates, and clinical outcomes.
This retrospective study involved 391 consecutive patients who participated in an outpatient CR program between September 2016 and May 2020. The intervention group (SLC) was comprised of 198 patients who participated in education, WeChat-based group activity as well as outdoor activities, while the control group (non-intervention) was comprised of 193 cases. All patients attended a 12-week supervised outpatient CR program (three sessions per week, each lasting 40min). The intervention and control groups were compared for completion rates, Cardiopulmonary Exercise Test (CPET) results, Six-minute Walk Test (6MWT) distances, and Patient Health Questionnaire-9 (PHQ-9) scores.
Patients in the intervention group attended at least 75% of the exercise training sessions more often than those in the control group (72.5% vs 40.41%, adjusted odds ratio (OR): 27.385; 95% CI: 10.2 to 73.6; P = 0.0000). Analysis of variance (2 × 2 ANOVA) revealed a significant group-by-time interaction in PHQ9 and 6MWT test results (p = 0.000).
The addition of SLC to a cardiac rehabilitation program resulted in better outcomes for PHQ9 and 6MWT tests and may be a useful strategy to improve exercise adherence.
描述一种针对二期心脏康复（CR）项目参与者的新模式——支持生命俱乐部（SLC），并评估该模式在依从性、完成率和临床结果方面的表现。
这项回顾性研究纳入了2016年9月至2020年5月期间连续参加门诊CR项目的391例患者。干预组（SLC）由198例患者组成，他们参加了教育活动、基于微信的小组活动以及户外活动，而对照组（非干预组）由193例患者组成。所有患者均参加了为期12周的门诊监督CR项目（每周三次，每次持续40分钟）。比较干预组和对照组的完成率、心肺运动试验（CPET）结果、六分钟步行试验（6MWT）距离以及患者健康问卷-9（PHQ-9）评分。
干预组患者参加至少75%运动训练课程的频率高于对照组（72.5%对40.41%，调整优势比（OR）：27.385；95%置信区间：10.2至73.6；P = 0.0000）。方差分析（2×2方差分析）显示，PHQ9和6MWT测试结果存在显著的组间时间交互作用（p = 0.000）。
在心脏康复项目中加入SLC可使PHQ9和6MWT测试取得更好的结果，可能是提高运动依从性的有效策略。
