Current challenges in cardiac rehabilitation: strategies to overcome social factors and attendance barriers.
Current challenges in cardiac rehabilitation: strategies to overcome social factors and attendance barriers.
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DOI：
10.1080/14779072.2020.1816464
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发表时间：
2020-11
影响因子：
2
通讯作者：
Shen J
中科院分区：
文献类型：
--
作者：
Chindhy S;Taub PR;Lavie CJ;Shen J
心脏康复 (CR) 可显着减少继发性心血管事件和死亡率，是美国心脏协会 (AHA) 和美国心脏病学会 (ACC) 的 1A 级推荐。然而，它仍然是一项未得到充分利用的干预措施，许多符合条件的患者未能参加或完成 CR 计划。本次审查的目的是确定 CR 出席的障碍并讨论克服这些障碍的策略。将审查 CR 出席和参与的具体障碍。随后将讨论帮助克服这些障碍的解决方案/策略，特别关注家庭 CR (HBCR)。单独使用 HBCR 或与基于中心的 CR (CBCR) 结合使用可以帮助克服传统 CBCR 参与的许多障碍，例如日程灵活性、时间投入、旅行距离、成本和患者偏好。通过使用远程指导和间接运动监督，HBCR 已被证明具有与 CBCR 相当的益处。然而，目前资金仍然是将 HBCR 普遍纳入卫生系统的主要障碍，因此需要进行额外的成本效益分析和结果研究。最终 HBCR 的选择应基于患者的偏好和资源的可用性。
Cardiac rehabilitation (CR) significantly reduces secondary cardiovascular events and mortality and is a class 1A recommendation by the American Heart Association (AHA) and American College of Cardiology (ACC). However, it remains an underutilized intervention and many eligible patients fail to enroll or complete CR programs. The aim of this review is to identify barriers to CR attendance and discuss strategies to overcome them. Specific barriers to CR attendance and participation will be reviewed. This will be followed by a discussion of solutions/strategies to help overcome these barriers with a particular focus on home-based CR (HBCR). HBCR alone or in combination with center-based CR (CBCR) can help overcome many barriers to traditional CBCR participation, such as schedule flexibility, time commitment, travel distance, cost, and patient preference. Using remote coaching with indirect exercise supervision, HBCR has been shown to have comparable benefits to CBCR. At this time however, funding remains the main barrier to universal incorporation of HBCR into health systems, necessitating the need for additional cost benefit analysis and outcome studies. Ultimately the choice for HBCR should be based on patient preference and availability of resources.
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影响因子：
2.8
作者：
Al-Sharifi, Fatima;Frederiksen, Hanne Winther;Zwisler, Ann-Dorthe
通讯作者：
Zwisler, Ann-Dorthe
影响因子：
5.7
作者：
Allen, JK;Scott, LB;Young, DR
通讯作者：
Young, DR
影响因子：
2.5
作者：
Cossette, Sylvie;Frasure-Smith, Nancy;Guertin, Marie-Claude
通讯作者：
Guertin, Marie-Claude
影响因子：
4.9
作者：
Brual, Janette;Gravely-Witte, Shannon;Grace, Sherry L.
通讯作者：
Grace, Sherry L.
影响因子：
2.8
作者：
Carlson, JJ;Johnson, JA;VanderLaan, RL
通讯作者：
VanderLaan, RL