Thompson David R, Ski Chantal F, Clark Alexander M, Dalal Hasnain M, Taylor Rod S
School of Nursing and Midwifery, Queen's University Belfast Belfast, UK.
Integrated Care Academy, University of Suffolk Ipswich, UK.
Card Fail Rev. 2022 Sep 23;8:e28. doi: 10.15420/cfr.2022.16. eCollection 2022 Jan.
Many people with heart failure do not receive cardiac rehabilitation despite a strong evidence base attesting to its effectiveness, and national and international guideline recommendations. A more holistic approach to heart failure rehabilitation is proposed as an alternative to the predominant focus on exercise, emphasising the important role of education and psychosocial support, and acknowledging that this depends on patient need, choice and preference. An individualised, needs-led approach, exploiting the latest digital technologies when appropriate, may help fill existing gaps, improve access, uptake and completion, and ensure optimal health and wellbeing for people with heart failure and their families. Exercise, education, lifestyle change and psychosocial support should, as core elements, unless contraindicated due to medical reasons, be offered routinely to people with heart failure, but tailored to individual circumstances, such as with regard to age and frailty, and possibly for recipients of cardiac implantable electronic devices or left ventricular assist devices.
尽管有充分的证据证明心脏康复的有效性，且有国家和国际指南推荐，但许多心力衰竭患者仍未接受心脏康复治疗。本文提出了一种更全面的心力衰竭康复方法，作为主要侧重于运动的方法的替代方案，强调教育和心理社会支持的重要作用，并承认这取决于患者的需求、选择和偏好。一种个性化的、以需求为导向的方法，在适当的时候利用最新的数字技术，可能有助于填补现有空白，改善可及性、接受度和完成率，并确保心力衰竭患者及其家人的最佳健康和福祉。除非因医疗原因存在禁忌，运动、教育、生活方式改变和心理社会支持作为核心要素，应常规提供给心力衰竭患者，但要根据个体情况进行调整，如年龄和虚弱程度，可能还需考虑心脏植入式电子设备或左心室辅助设备的接受者。
