急性冠状动脉综合征后的混合心脏远程康复：自我选择预测因素及结果
Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes.
作者信息
Bernardo Ferreira José, Cabral Margarida, Santos Rita, Ferreira Marta, Fonseca-Pinto Rui, Antunes Alexandre, Januário Filipa
机构信息
Physical and Rehabilitation Medicine Department, Leiria Hospital Centre, Leiria, Portugal.
Cardiology Department, Leiria Hospital Centre, Leiria, Portugal.
出版信息
Int J Telerehabil. 2023 May 11;15(1):e6475. doi: 10.5195/ijt.2023.6475. eCollection 2023.
AIMS
To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection.
METHODOLOGY
This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 - conventional CRP (CCRP); Group 2 - HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 - phase 2 onset; T1 - phase 3 onset; T2 - 3 months after T1.
RESULTS
59 patients participated (Group 1 - 27; Group 2 - 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021).
CONCLUSIONS
HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.
目的
评估急性冠状动脉综合征（ACS）后混合心脏远程康复（HCTR）计划在2-3期对患者生活质量（QoL）和身体活动指标的有效性，并确定混合计划自我选择的预测因素。
方法
这项单中心纵向回顾性研究纳入了2018年至2021年间参加心脏康复计划（CRP）的患者。患者在两组之间进行自我选择：第1组——传统CRP（CCRP）；第2组——HCTR。记录基线特征。在三个时间点应用欧洲五维健康量表（EQ-5D）和国际体力活动问卷（IPAQ）：T0——2期开始时；T1——3期开始时；T2——T1后3个月。
结果
59名患者参与研究（第1组27名；第2组32名）。我们发现两组在职业方面存在显著差异（p=0.003）。糖尿病患者自我选择进入HCTR的可能性较小（OR=0.21；p<0.05）。仅HCTR组的EQ-5D视觉模拟量表和IPAQ结果在T0至T2之间有显著改善（p=0.001；p=0.021）。
结论
HCTR在ACS患者的身体活动指标和生活质量方面优于CCRP。
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