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.

IF 3.2 3区生物学 Q1 BIOLOGY

Life-Basel Pub Date : 2024-09-05 DOI:10.3390/life14091122

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

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引用次数: 0

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_2max).

Results: Within-group comparisons showed significant improvements in VO_2max (P_CR-Mobile = 0.011 vs. P_CR-Usual = 0.020) and METs (P_CR-Mobile = 0.011 vs. P_CR-Usual = 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.

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急性心肌梗死患者使用移动医疗应用程序优化运动处方进行家庭心脏康复的效果：随机对照试验

背景：尽管心脏康复（CR）效果显著，但实际参与率却很低。虽然家庭式心脏康复提供了一种可行的选择，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，家庭式心脏康复的参与率面临挑战。在咨询过程中使用移动医疗应用程序（App）对患者来说可能是一种有效的策略。因此，本研究旨在评估使用移动应用程序进行为期 6 周的居家 CR 和运动再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：将符合居家康复治疗条件的急性心肌梗死后患者随机分为干预组（CR-Mobile）和对照组（CR-Usual），前者遵循通常的居家康复治疗方案。两组患者都参加了为期 6 周的居家 CR 计划，每两周进行一次运动调整和鼓励。CR-Mobile组通过手机应用中记录的数据进行监督，而CR-Usual组则通过电话咨询进行监督。测量的主要结果是最大耗氧量（VO2max）：组内比较显示，两组的最大氧耗量（PCR-Mobile = 0.011 vs. PCR-Usual = 0.020）和METs（PCR-Mobile = 0.011 vs. PCR-Usual = 0.011）均有显著提高：这些研究结果表明，为期 6 周的基于家庭的 CR 计划以及使用移动应用程序进行的运动再调整有可能与口头指导一样有效地提高运动能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Life-Basel Biochemistry, Genetics and Molecular Biology-General Biochemistry,Genetics and Molecular Biology

CiteScore

4.30

自引率

6.20%

发文量

1798

审稿时长

11 weeks

期刊介绍： Life (ISSN 2075-1729) is an international, peer-reviewed open access journal of scientific studies related to fundamental themes in Life Sciences, especially those concerned with the origins of life and evolution of biosystems. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers.