Jo Hyun-Seok, Kim Hyeong-Min, Go Chae-Hyun, Yu Hae-Young, Park Hyeng-Kyu, Han Jae-Young
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.
Life (Basel). 2024 Sep 5;14(9):1122. doi: 10.3390/life14091122.
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).
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).
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.
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.
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。
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)。
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。
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。