CARDIAC INPATIENTS ARE HIGHLY INTERESTED IN VIRTUAL CARDIAC REHABILITATION

IF 4.3 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

American journal of preventive cardiology Pub Date : 2024-09-01 DOI:10.1016/j.ajpc.2024.100797

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引用次数: 0

Abstract

Therapeutic Area

Rehabilitation

Background

Cardiac rehabilitation (CR) improves cardiovascular health and decreases hospital readmissions; unfortunately, it is widely underused by patients. Digital health interventions offer a potential solution to increase participation in CR. However, patients’ interest and concerns regarding virtual CR have not been fully explored.

Methods

A Qualtrics survey was administered to cardiac inpatients in the progressive cardiac care unit at Johns Hopkins Hospital from 2020-2024. This study included English-speaking patients, >18 years of age who met medical eligibility for CR. One-way ANOVA, Chi-square, and Fisher's Exact test were used to assess differences in interest in engaging in virtual CR by age, sex, and race, respectively.

Results

A total of 150 cardiac inpatients were included: age 64 ± 13 years, 62% (93/150) male, 57% (85/150) White, and 41% (61/150) completing a 4-year degree or higher. 93% (139/150) of patients reported owning a smartphone. The patients reported that their primary barriers to CR participation were traveling to the CR center (49%, 73/150), costs/insurance coverage (29%, 44/150), and a tight schedule (28%, 42/150). Notably, the majority of patients (71%, 107/150) expressed interest in engaging in virtual CR. Interest in virtual CR did not differ by age (p=0.35) or sex (p=0.49); however, Black (90%, 46/51) and Asian (83%, 5/6) adults reported being more interested in virtual CR than White (61%, 52/85) adults (p<0.001). While 39% of patients (58/150) felt less safe exercising at home compared to a supervised center, 83% (48/58) of these patients reported they would feel more confident exercising at home if able to communicate by phone with specialized staff during training sessions. Additionally, 39% (58/150) of patients expressed concerns about decreased motivation training alone at home; however, 52% (30/58) of these patients felt group calls with other patients could enhance engagement.

Conclusions

Virtual CR may advance health equity by overcoming traditional barriers to participation, with the majority of patients, especially Black and Asian adults, expressing interest. High prevalence of smartphone ownership suggests this may be feasible. Virtual CR efforts should focus on addressing safety concerns and enhancing motivation via direct communication with staff and other patients.

查看原文本刊更多论文

心脏病住院患者对虚拟心脏康复非常感兴趣

治疗领域康复背景心脏康复（CR）可改善心血管健康并降低再入院率；但遗憾的是，患者对它的利用率普遍较低。数字健康干预为提高患者参与心脏康复提供了一个潜在的解决方案。然而，患者对虚拟 CR 的兴趣和担忧尚未得到充分探究。方法：2020-2024 年期间，对约翰霍普金斯医院渐进式心脏护理病房的心脏病住院患者进行了一项 Qualtrics 调查。研究对象包括英语患者，年龄在 18 周岁以上，符合 CR 的医疗条件。采用单因素方差分析、卡方检验和费雪精确检验分别评估不同年龄、性别和种族的患者对参与虚拟 CR 的兴趣差异。93%（139/150）的患者表示拥有智能手机。患者表示，他们参加 CR 的主要障碍是前往 CR 中心（49%，73/150）、费用/保险范围（29%，44/150）和日程安排紧张（28%，42/150）。值得注意的是，大多数患者（71%，107/150）表示有兴趣参与虚拟 CR。不同年龄（p=0.35）或性别（p=0.49）的患者对虚拟 CR 的兴趣不尽相同；但是，黑人（90%，46/51）和亚裔（83%，5/6）成人对虚拟 CR 的兴趣高于白人（61%，52/85）成人（p<0.001）。虽然 39% 的患者（58/150）认为在家锻炼比在有监督的中心锻炼更不安全，但其中 83% 的患者（48/58）表示，如果能在培训课程期间通过电话与专业人员沟通，他们会更有信心在家锻炼。此外，39%（58/150）的患者表示担心独自在家训练会降低积极性；但是，52%（30/58）的患者认为与其他患者进行小组通话可以提高参与度。智能手机的普及率很高，这表明虚拟 CR 是可行的。虚拟 CR 工作应侧重于解决安全问题，并通过与工作人员和其他患者的直接交流提高积极性。

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

American journal of preventive cardiology Cardiology and Cardiovascular Medicine

CiteScore

6.60

自引率

0.00%

发文量

审稿时长

76 days