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实施心脏康复计划后的中期依从性分析。

Analysis of medium-term adherence after the implementation of a cardiac rehabilitation program.

机构信息

Unidad de Rehabilitación Cardiaca, Hospital Nuestra Señora de Gracia.

Servicio de Cardiología, Hospital Universitario Miguel Servet.

出版信息

Arch Cardiol Mex. 2023;93(2):131-138. doi: 10.24875/ACM.21000156.

DOI:10.24875/ACM.21000156
PMID:37037217
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10161818/
Abstract

OBJECTIVES

Cardiac Rehabilitation Programs (CRP) are an excellent tool to achieve adherence to therapeutic. The aim of our study was analyzing at the medium-term adherence, as well as identifying low adherence predictors to pharmacological therapeutic compliance and changes in lifestyle.

METHODS

Retrospective study of 100 patients referred to a CRP in 2018 after presenting ACS. At the one-year review adherence to diet, physical exercise, and smoking cessation were analyzed. Optimal adherence was considered if all three items were met. Compliance with taking medication was also studied using the Morisky-Green test. Finally, low adherence predictors were analyzed by lineal/logistic regression analysis.

RESULTS

98% of the patients presented acceptable adherence to the Mediterranean diet, 83% good adherence to physical exercise, and 79% of the smokers achieved the cessation of smoking. Regarding drug adherence, 97% of the patients complied correctly. 68% of the patients achieved good overall adherence. Eastern European nationality, sedentary lifestyle, and home-based CRP were predictors of low adherence. The youngest patients and the "blue collar" occupation showed a tendency to poor adherence, although not significantly.

CONCLUSIONS

In our environment there is good medium-term adherence to lifestyle changes and pharmacological compliance in patients who complete CRP after ACS. Eastern European nationality, sedentary lifestyle, and home-based programs were associated with poor adherence.

摘要

目的

心脏康复计划（CRP）是实现治疗依从性的绝佳工具。我们的研究目的是分析中期依从性，以及确定药物治疗依从性和生活方式改变的低依从性预测因素。

方法

回顾性研究了 2018 年因 ACS 就诊于 CRP 的 100 名患者。在一年的随访中，分析了饮食、体育锻炼和戒烟的依从性。如果满足所有三项要求，则认为依从性最佳。还使用 Morisky-Green 测试研究了药物服用的依从性。最后，通过线性/逻辑回归分析分析了低依从性的预测因素。

结果

98%的患者接受了地中海饮食，83%的患者接受了良好的体育锻炼，79%的吸烟者成功戒烟。关于药物依从性，97%的患者正确遵守。68%的患者总体依从性良好。东欧国籍、久坐不动的生活方式和家庭 CRP 是低依从性的预测因素。最年轻的患者和“蓝领”职业表现出较差的依从性趋势，但不显著。

结论

在我们的环境中，ACS 后完成 CRP 的患者在生活方式改变和药物依从性方面具有良好的中期依从性。东欧国籍、久坐不动的生活方式和家庭计划与较差的依从性有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/9941725ac848/7567AX222-ACM-93-131-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/d8813058af64/7567AX222-ACM-93-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/fddf530f5c0f/7567AX222-ACM-93-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/0b97fb5371fc/7567AX222-ACM-93-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/8ca934bb94f4/7567AX222-ACM-93-131-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/9941725ac848/7567AX222-ACM-93-131-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/d8813058af64/7567AX222-ACM-93-131-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/fddf530f5c0f/7567AX222-ACM-93-131-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/0b97fb5371fc/7567AX222-ACM-93-131-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/8ca934bb94f4/7567AX222-ACM-93-131-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3db2/10161818/9941725ac848/7567AX222-ACM-93-131-g005.jpg

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Scand J Prim Health Care. 2019 Jun;37(2):182-190. doi: 10.1080/02813432.2019.1608046. Epub 2019 May 23.
3
Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry.
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Eur J Prev Cardiol. 2019 May;26(8):824-835. doi: 10.1177/2047487318825350. Epub 2019 Feb 10.
4
Planning secondary prevention: Room for improvement.二级预防规划：仍有改进空间。
Eur J Prev Cardiol. 2017 Jun;24(3_suppl):22-28. doi: 10.1177/2047487317704954.
5
2016 European Guidelines on cardiovascular disease prevention in clinical practice.《2016年欧洲临床实践心血管疾病预防指南》
Rev Esp Cardiol (Engl Ed). 2016 Oct;69(10):939. doi: 10.1016/j.rec.2016.09.009.
6
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7
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8
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