比较两种心脏康复运动治疗方案的有效性。

Comparing the Effectiveness of 2 Cardiac Rehabilitation Exercise Therapy Programs.

作者信息

Yuen Tiffany, Buijs David M, Hong Yongzhe, Van Damme Andrea, Meyer Tara C, Nagendran Jeevan, Gyenes Gabor T

机构信息

Division of Cardiology, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.

Jim Pattison Centre for Heart Health, Mazankowski Alberta Heart Institute, Edmonton, Alberta, Canada.

出版信息

CJC Open. 2022 Dec 6;5(3):215-219. doi: 10.1016/j.cjco.2022.11.022. eCollection 2023 Mar.

Abstract

Cardiovascular diseases are among the leading causes of morbidity and mortality in Canada, highlighting the critical role of disease prevention and risk reduction programs. Cardiac rehabilitation (CR) is a key component of comprehensive cardiovascular care. Currently, more than 200 CR programs are established across the country, varying in duration, number of in-person supervised exercise sessions, and recommendations for exercise frequency at-home. In an increasingly cost-conscious healthcare environment, the effectiveness of healthcare services must be consistently reevaluated. This study evaluates the impact of 2 CR programs implemented by the Northern Alberta Cardiac Rehabilitation Program, by comparing peak metabolic equivalents achieved by study participants in each program. We hypothesize that our "hybrid" CR program, which is structured as an 8-week program with weekly in-person exercise sessions and a prescribed home exercise program, has patient outcomes similar to those of our "traditional" CR program, which required biweekly in-person exercise sessions over the course of 5 weeks. The results of this study may have implications for evaluating how to minimize barriers to both rehabilitation participation and long-term effectiveness of CR programs. The results may help inform the structuring and funding of future rehabilitation programs.

摘要

心血管疾病是加拿大发病和死亡的主要原因之一,这凸显了疾病预防和风险降低计划的关键作用。心脏康复(CR)是综合心血管护理的关键组成部分。目前,全国已建立了200多个心脏康复项目,这些项目在时长、面对面监督的锻炼课程数量以及居家锻炼频率建议等方面各不相同。在医疗保健费用日益受到关注的环境下,必须持续重新评估医疗服务的有效性。本研究通过比较每个项目中研究参与者达到的峰值代谢当量,评估了北艾伯塔心脏康复项目实施的两个心脏康复项目的影响。我们假设,我们的“混合”心脏康复项目(该项目为期8周,每周有面对面锻炼课程,并配有规定的居家锻炼计划)与我们的“传统”心脏康复项目(该项目在5周内需要每两周进行一次面对面锻炼课程)具有相似的患者治疗效果。本研究结果可能对评估如何最小化康复参与障碍以及心脏康复项目的长期有效性具有启示意义。这些结果可能有助于为未来康复项目的规划和资金投入提供参考。

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