Patient preferences for home-based versus hospital-based cardiac rehabilitation.
Patient preferences for home-based versus hospital-based cardiac rehabilitation.
复制标题
DOI：
10.1097/00008483-200501000-00006
复制
发表时间：
2005-01-01
期刊：
影响因子：
--
通讯作者：
Caruso, Veola
中科院分区：
文献类型：
--
作者：
Grace, Sherry L;McDonald, Jennifer;Caruso, Veola
方法大学健康网络心脏护理和心脏健康项目位于一个主要大都市中心市中心的一个多民族社区。在第一次访问综合二级预防计划小组教育会议时，患者可以选择参加基于家庭或医院的CR。在初步评估中，运动专家审查分级运动测试，讨论患者的运动史和运动注意事项，根据美国运动医学院指南24开出运动处方，并讨论后续计划(即联系频率和方式、活动记录)。在以家庭为基础的计划中，患者通常每两周通过电话或电子邮件联系一次，持续4个月。这些联系的内容可能包括对活动模式的审查、药物和营养教育、对生活方式改变的审查，以及根据需要进行转介。患者还被要求每月来现场回顾他们的进展，并确保他们进行了适当的锻炼。该计划可以灵活地满足个别患者在接触频率、模式和持续时间方面的需求。在以医院为基础的计划中，25名参与者进行了48次现场锻炼。参与者还被提供教育课程，并在现场访问期间被要求在家中锻炼。
METHODSThe University Health Network Cardiac Care and Heart Health Program is located in a multiethnic community in the downtown area of a major metropolitan center. At the initial visit to the comprehensive secondary prevention program group education session, patients are provided with the option to attend home-or hospital-based CR. During the initial assessment, the exercise specialist reviews the graded exercise test, discusses the patient's exercise history and exercise precautions, composes an exercise prescription based on American College of Sports Medicine guidelines, 24 and discusses follow-up plans (ie, frequency and mode of contact, record of activity). In the home-based program, patients are generally contacted by telephone or e-mail every 2 weeks for 4 months. The content of these contacts may include a review of activity patterns, medication and nutrition education, review of lifestyle changes, and referrals as required. Patients are also asked to come on-site monthly to review their progress and to ensure that they are exercising properly. The program is flexible to meet individual patient needs with regard to frequency, mode, and duration of contact. In the hospital-based program, 25 participants exercise on-site for 48 sessions. Participants are also offered education sessions and asked to exercise at home between on-site visits.