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使用移动医疗应用程序优化运动处方的家庭心脏康复对急性心肌梗死患者的有效性:一项随机对照试验

Effectiveness of Home-Based Cardiac Rehabilitation with Optimized Exercise Prescriptions Using a Mobile Healthcare App in Patients with Acute Myocardial Infarction: A Randomized Controlled Trial.

作者信息

Jo Hyun-Seok, Kim Hyeong-Min, Go Chae-Hyun, Yu Hae-Young, Park Hyeng-Kyu, Han Jae-Young

机构信息

Department of Physical & Rehabilitation Medicine, Chonnam National University Hospital, Gwangju 61469, Republic of Korea.

Regional CardioCerebroVascular Center, Chonnam National University Hospital, Gwangju 61469, Republic of Korea.

出版信息

Life (Basel). 2024 Sep 5;14(9):1122. doi: 10.3390/life14091122.

Abstract

BACKGROUND

Despite the effectiveness of cardiac rehabilitation (CR), the actual participation rate in CR is low. While home-based CR offers a viable alternative, it faces challenges in participation due to factors such as a lack of self-motivation and fear of exercising without supervision. Utilizing a mobile healthcare application (app) during counseling may be an effective strategy for patients. Therefore, the aim of this study was to assess whether 6 weeks of home-based CR with exercise readjustment using a mobile app is an effective therapy for patients with acute myocardial infarction (AMI).

METHODS

Post-AMI patients eligible for home-based CR were randomized into the intervention group (CR-Mobile) and the control group, which followed the usual home-based CR protocol (CR-Usual). Both groups participated in a 6-week home-based CR program, with exercise readjustment and encouragement carried out every 2 weeks. The CR-Mobile group was supervised using data recorded in the mobile app, while the CR-Usual group was supervised via phone consultations. The primary outcome measured was maximal oxygen consumption (VO).

RESULTS

Within-group comparisons showed significant improvements in VO (P = 0.011 vs. P = 0.020) and METs (P = 0.011 vs. P = 0.011) for both groups.

CONCLUSIONS

These findings suggest that a 6-week home-based CR program with exercise readjustment using a mobile app can potentially enhance exercise capacity as effectively as verbal supervision.

摘要

背景

尽管心脏康复(CR)具有有效性,但CR的实际参与率较低。虽然居家心脏康复提供了一种可行的替代方案,但由于缺乏自我激励和害怕在无人监督的情况下锻炼等因素,其在参与方面面临挑战。在咨询过程中使用移动医疗应用程序(应用)可能对患者是一种有效的策略。因此,本研究的目的是评估使用移动应用程序进行为期6周的居家心脏康复并进行运动调整,对急性心肌梗死(AMI)患者是否是一种有效的治疗方法。

方法

符合居家心脏康复条件的AMI后患者被随机分为干预组(CR-Mobile)和对照组,对照组遵循常规的居家心脏康复方案(CR-Usual)。两组均参加为期6周的居家心脏康复计划,每2周进行一次运动调整和鼓励。CR-Mobile组通过移动应用程序记录的数据进行监督,而CR-Usual组通过电话咨询进行监督。测量的主要结局指标是最大摄氧量(VO)。

结果

组内比较显示,两组的VO(P = 0.011对P = 0.020)和代谢当量(P = 0.011对P = 0.011)均有显著改善。

结论

这些发现表明,使用移动应用程序进行为期6周的居家心脏康复并进行运动调整,可能与言语监督一样有效地提高运动能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42c9/11433441/86198df5122d/life-14-01122-g001.jpg

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