Pepera Garyfallia, Antoniou Varsamo, Su Jing Jing, Lin Rose, Batalik Ladislav
Clinical Exercise Physiology and Rehabilitation Research Laboratory, Department of Physiotherapy, Faculty of Health Sciences, University of Thessaly, Lamia GR35100, Greece.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China.
World J Clin Cases. 2024 Apr 26;12(12):2009-2015. doi: 10.12998/wjcc.v12.i12.2009.
In the evolving landscape of cardiac rehabilitation (CR), adopting digital technologies, including synchronous/real-time digital interventions and smart applications, has emerged as a transformative approach. These technologies offer real-time health data access, continuous vital sign monitoring, and personalized educational enhanced patient self-management and engagement. Despite their potential benefits, challenges and limitations exist, necessitating careful consideration. Synchronous/real-time digital CR involves remote, two-way audiovisual communication, addressing issues of accessibility and promoting home-based interventions. Smart applications extend beyond traditional healthcare, providing real-time health data and fostering patient empowerment. Wearable devices and mobile apps enable continuous monitoring, tracking of rehabilitation outcomes, and facilitate lifestyle modifications crucial for cardiac health maintenance. As digital CR progresses, ensuring patient access, equitable implementation, and addressing the digital divide becomes paramount. Artificial intelligence holds promise in the early detection of cardiac events and tailoring patient-specific CR programs. However, challenges such as digital literacy, data privacy, and security must be addressed to ensure inclusive implementation. Moreover, the shift toward digital CR raises concerns about cost, safety, and potential depersonalization of therapeutic relationships. A transformative shift towards technologically enabled CR necessitates further research, focusing not only on technological advancements but also on customization to meet diverse patient needs. Overcoming challenges related to cost, safety, data security, and potential depersonalization is crucial for the widespread adoption of digital CR. Future studies should explore integrating moral values into digital therapeutic relationships and ensure that digital CR is accessible, equitable, and seamlessly integrated into routine cardiac care. Theoretical frameworks that accommodate the dynamic quality of real-time monitoring and feedback feature of digital CR interventions should be considered to guide intervention development.
在心脏康复（CR）不断演变的格局中，采用数字技术，包括同步/实时数字干预和智能应用程序，已成为一种变革性方法。这些技术提供实时健康数据访问、持续生命体征监测以及个性化教育，增强了患者的自我管理和参与度。尽管它们有潜在益处，但也存在挑战和局限性，需要仔细考虑。同步/实时数字心脏康复涉及远程双向视听通信，解决了可及性问题并促进了家庭干预。智能应用程序超越了传统医疗保健，提供实时健康数据并增强患者的能力。可穿戴设备和移动应用程序能够进行持续监测、跟踪康复结果，并促进对维持心脏健康至关重要的生活方式改变。随着数字心脏康复的发展，确保患者可及性、公平实施以及解决数字鸿沟变得至关重要。人工智能在早期检测心脏事件和定制针对特定患者的心脏康复计划方面具有前景。然而，必须解决数字素养、数据隐私和安全等挑战，以确保包容性实施。此外，向数字心脏康复的转变引发了对成本、安全以及治疗关系潜在非个性化的担忧。向技术赋能的心脏康复的变革性转变需要进一步研究，不仅要关注技术进步，还要关注定制以满足不同患者的需求。克服与成本、安全、数据安全以及潜在非个性化相关的挑战对于数字心脏康复的广泛采用至关重要。未来的研究应探索将道德价值观融入数字治疗关系，并确保数字心脏康复可及、公平且无缝融入常规心脏护理。应考虑适应数字心脏康复干预实时监测和反馈功能动态质量的理论框架，以指导干预措施的开发。
