Rucker T W
J Fam Pract. 1980 Mar;10(3):407-14.
In January 1978, a cardiac rehabilitation program was begun at Fort Ord, California. The program is unique in being designed and run by family physicians. In the Medical Intensive Care Unit, the patient with a myocardial infarction is started on a graduated exercise program and a structured course concerning heart disease. Eight weeks after the infarction, the patient is asked to join an out-patient exercise class meeting three times a week. The patient's progress is followed by serial treadmill and blood tests. After training for six months, the patients have shown an increase in exercise tolerance and a decrease in incidence of readmission for cardiac disease. Most importantly, the patients have become actively involved in their own treatment.
1978年1月,加利福尼亚州奥德堡启动了一项心脏康复计划。该计划的独特之处在于由家庭医生设计并实施。在医疗重症监护病房,心肌梗死患者开始接受循序渐进的运动计划以及有关心脏病的结构化课程。心肌梗死后八周,患者被要求参加每周三次的门诊运动课程。通过连续的跑步机测试和血液检测来跟踪患者的进展。经过六个月的训练,患者的运动耐量有所提高,心脏病再次入院的发生率有所降低。最重要的是,患者已积极参与到自身的治疗中。