Shimbo Mai, Amiya Eisuke, Jimba Takahiro, Itoh Hidetaka, Narita Koichi, Taya Masanobu, Kadokami Toshiaki, Yasu Takanori, Oka Hideki, Sogawa Masakazu, Yokoi Hiroyoshi, Mizutani Kazuo, Miura Shin-Ichiro, Tokeshi Tatsuo, Date Ayumi, Noma Takahisa, Kutsuzawa Daisuke, Usui Soichiro, Sugawara Shigeo, Kanazawa Masanori, Sekino Hisakuni, Yokoyama Miho Nishitani, Okumura Takahiro, Ugata Yusuke, Fujishima Shinichiro, Hirabayashi Kagami, Ishizaki Yuta, Kuwahara Koichiro, Kaji Yuko, Shimizu Hiroki, Koyama Teruyuki, Adachi Hitoshi, Kurumatani Yoko, Taniguchi Ryoji, Ohori Katsuhiko, Shiraishi Hirokazu, Hasegawa Takashi, Makita Shigeru, Komuro Issei, Takeda Norihiko, Kimura Yutaka
Department of Cardiovascular Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo 113-8654, Japan.
Department of Computational Diagnostic Radiology and Preventive Medicine, The University of Tokyo, Tokyo 113-8655, Japan.
J Clin Med. 2025 May 8;14(10):3265. doi: 10.3390/jcm14103265.
Remote cardiac rehabilitation (RCR) is emerging alternative to outpatient rehabilitation. However, evidence related to its effect on health-related quality of life (HRQOL) is limited. This is a sub-analysis of the RecRCR study, a multi-center, nonrandomized trial evaluating the efficacy and safety of RCR with real-time telemonitoring in patients with CVD, after discharge. The Short-Form Health Survey-8 was employed to evaluate the HRQOL before and 2-3 months after RCR. Based on the improvement of exercise tolerance, the patients were divided into I group (>10% improvement) and NI group (≤10% improvement). Of 57 patients who completed RCR, 31 patients were included for analysis of HRQOL, including 15 (I group) and 16 patients (NI group). The physical (PCS) (45.5 ± 8.0 to 52.5 ± 4.0, < 0.001) and mental (MCS) component scores (47.5 ± 7.9 to 51.0 ± 5.6, = 0.005) improved significantly in all populations following RCR. The PCS improved significantly in the I and NI groups, respectively. By contrast, only in the I group, the MCS improved. However, the change in PCS or MCS was not significantly different between the two groups. The increases of MCS significantly associated with days from admission to the beginning of RCR (rs = -0.51, = 0.007). In multifaced contents of HRQOL, the scores in PCS or MCS changed differently from the change in exercise capacity.
远程心脏康复（RCR）正在成为门诊康复的替代方案。然而，关于其对健康相关生活质量（HRQOL）影响的证据有限。这是对RecRCR研究的一项亚分析，RecRCR研究是一项多中心、非随机试验，评估出院后对心血管疾病（CVD）患者进行实时远程监测的RCR的疗效和安全性。采用简短健康调查问卷-8评估RCR前后及2至3个月后的HRQOL。根据运动耐量的改善情况，将患者分为I组（改善>10%）和NI组（改善≤10%）。在57例完成RCR的患者中，31例患者被纳入HRQOL分析，其中15例（I组）和16例（NI组）。所有患者在RCR后，身体（PCS）（45.5±8.0至52.5±4.0，<0.001）和精神（MCS）成分得分（47.5±7.9至51.0±5.6，=0.005）均显著改善。PCS在I组和NI组中分别显著改善。相比之下，仅在I组中，MCS有所改善。然而，两组之间PCS或MCS的变化无显著差异。MCS的增加与从入院到开始RCR的天数显著相关（rs=-0.51，=0.007）。在HRQOL的多方面内容中，PCS或MCS的得分变化与运动能力的变化不同。
