冠状动脉疾病的心脏康复:改善预后和依从性

Mohammad Ullah, Md Toufiqur Rahman, AKM Monwarul Islam, AAS Majumder
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引用次数: 0

摘要

心脏康复(CR)是一个旨在通过多学科方法改善冠状动脉疾病(CAD)患者心血管健康的项目。CR通常包括运动训练、风险因素调整、社会心理支持和教育。研究表明,CR可以提高运动能力,减轻心绞痛症状,提高整体生活质量,降低心血管事件复发的风险。尽管CR有好处,但依从性仍然是一个挑战,许多CAD患者不参加这些计划。提高CR依从性的策略包括患者教育、个性化目标设定、动机性访谈和同伴支持。鼓励和支持CAD患者参与CR项目对其病情的二级预防和长期管理至关重要。虽然CR计划是有效的,但对一些患者来说,特别是那些服务不足的社区或农村地区的患者,获得这些计划的机会可能有限。远程康复是一种利用技术提供远程CR服务的方法,它有望为那些无法接受传统面对面治疗的患者提供更多的CR服务。总的来说,CR是CAD管理的重要组成部分,其益处不仅限于心血管健康,还包括整体生活质量的改善。重要的是提高对CR重要性的认识,并努力增加所有CAD患者获得这些计划的机会。心血管病[j] 2023;16 (1): 40-46
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiac Rehabilitation in Coronary Artery Disease: Improving Outcomes and Adherence
Cardiac rehabilitation (CR) is a program that aims to improve the cardiovascular health of patients with coronary artery disease (CAD) through a multidisciplinary approach. CR typically includes exercise training, risk factor modification, psychosocial support, and education. Studies have shown that CR can improve exercise capacity, reduce angina symptoms, enhance overall quality of life, and reduce the risk of recurrent cardiovascular events. Despite the benefits of CR, adherence remains a challenge, and many patients with CAD do not participate in these programs. Strategies to improve adherence to CR include patient education, personalized goal setting, motivational interviewing, and peer support. Encouraging and supporting patients with CAD to participate in CR programs is crucial for the secondary prevention and long-term management of their condition. While CR programs are effective, access to these programs may be limited for some patients, particularly those in underserved communities or rural areas. Tele-rehabilitation, which uses technology to provide remote delivery of CR services, has shown promise in increasing access to CR for patients who may not have access to traditional in-person programs. Overall, CR is a vital component of the management of CAD, and its benefits extend beyond cardiovascular health to include improvements in overall quality of life. It is important to raise awareness about the importance of CR and to work towards increasing access to these programs for all patients with CAD. Cardiovasc j 2023; 16(1): 40-46
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