Delimanoli Eleni, Muurlink Olav, Myrianthefs Pavlos, Korompeli Anna
Department of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece.
School of Business and Law, Central Queensland University, Brisbane, QLD 4000, Australia.
J Cardiovasc Dev Dis. 2024 Nov 20;11(11):376. doi: 10.3390/jcdd11110376.
Postoperative cardiac rehabilitation (CR) programs are increasingly recommended by clinicians, but only a minority of patients who have undergone open heart surgery participate in such programs. Participation rates in postoperative CR, if anything, appear to be declining. This systematic review examines the effectiveness of post-operative CR and reveals possible participation barriers.
A search of two scholarly databases for primary research papers published in the last decade examining the impact of post-operative CR was conducted and the resultant papers reviewed.
The 21 resulting studies revealed physiological functioning improvement and a reduction in mortality and readmission rates, while highlighting an enhancement in mental status. Some of the studies recognized the need for nutritional support and suggested that age, gender, access to CR centers, and socioeconomic variables impact participation in CR.
Post-operative CR participation rates continue to decline despite increasing evidence of the value of the approach.
临床医生越来越推荐术后心脏康复（CR）项目，但接受心脏直视手术的患者中只有少数参与此类项目。术后CR的参与率似乎在下降，如果有变化的话。本系统评价考察了术后CR的有效性，并揭示了可能的参与障碍。
检索了两个学术数据库，查找过去十年发表的关于术后CR影响的原发性研究论文，并对所得论文进行了综述。
21项所得研究显示生理功能得到改善，死亡率和再入院率降低，同时突出了心理状态的改善。一些研究认识到营养支持的必要性，并表明年龄、性别、进入CR中心的机会以及社会经济变量会影响CR的参与情况。
尽管越来越多的证据表明该方法有价值，但术后CR的参与率仍在持续下降。
