Quality indicators for cardiac rehabilitation after myocardial infarction in China: a consensus panel and practice test.
Quality indicators for cardiac rehabilitation after myocardial infarction in China: a consensus panel and practice test.
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中国心肌梗死后心脏康复的质量指标：共识小组和实践测试
DOI：
10.1136/bmjopen-2020-039757
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发表时间：
2020-12-30
期刊：
影响因子：
2.9
通讯作者：
Yu B
中科院分区：
文献类型：
--
作者：
Zheng X;Zhang M;Zheng Y;Zhang Y;Wang J;Zhang P;Yang X;Li S;Ding R;Siqin G;Hou X;Chen L;Zhang M;Sun Y;Wu J;Yu B
目的心脏康复（Cardiac Rehabilitation，CR）治疗可改善心肌梗死（Myocardial Infarction，MI）后的预后，但在我国应用较少。本研究的目的是开发一套质量指标（QI），以改善临床实践，并确认所开发的QI在中国MI后CR患者中的可测量性和性能。设计和设置QIs由中国专家共识小组在面对面会议期间制定。使用全国调查表选出了最需要改进的五个质量指标。最后，在中国大学医院的一组MI幸存者中验证了QIs的完成率和可行性。参与者17名专业人士参加了共识小组，89名人员在CR领域参加了国家问卷调查和165 MI幸存者参加了实践测试。结果17篇符合条件的文献共产生26个潜在的质量指标，其中17个质量指标经专家组评审后确定。17个质量指标分为两个领域：（1）提高参与和依从性，（2）CR流程标准化。全国电话和微信调查确定了最需要改进的五个QIs。一项多中心实践测试（n=165）显示，根据MI后患者，拟定QIs的平均性能值为43.9%（9.9%-86.1%）。结论：共识小组确定了一套全面的MI后患者CR的QIs。一个全国性的问卷调查，以确定需要立即注意，以提高CR质量的QIs。虽然实践测试证实了拟议的QIs在临床实践中的可测量性，但QIs的实施需要改进。试验注册号本研究是在ClinicalTrials.gov（NCT 03528382）中注册的研究的一部分。
Objectives Cardiac rehabilitation (CR) improves outcomes after myocardial infarction (MI), but it is underused in China. The purpose of this study was to develop a set of quality indicators (QIs) to improve clinical practices and to confirm the measurability and performance of the developed QIs for CR in Chinese patients after MI. Design and setting The QIs were developed by a Chinese expert consensus panel during in-person meetings. The five QIs most in need of improvement were selected using a national questionnaire. Finally, the completion rate and feasibility of the QIs were verified in a group of MI survivors at university hospitals in China. Participants Seventeen professionals participated in the consensus panel, 89 personnel in the field of CR participated in the national questionnaire and 165 MI survivors participated in the practice test. Results A review of 17 eligible articles generated 26 potential QIs, among which 17 were selected by the consensus panel after careful evaluation. The 17 QIs were divided into two domains: (1) improving participation and adherence and (2) CR process standardisation. Nationwide telephone and WeChat surveys identified the five QIs most in need of improvement. A multicenter practice test (n=165) revealed that the mean performance value of the proposed QIs was 43.9% (9.9%–86.1%) according to patients with post-MI. Conclusions The consensus panel identified a comprehensive set of QIs for CR in patients with post-MI. A nationwide questionnaire survey was used to identify the QIs that need immediate attention to improve the quality of CR. Although practice tests confirmed the measurability of the proposed QIs in clinical practice, the implementation of the QIs needs to be improved. Trial registration number This study is part of a study registered in ClinicalTrials.gov (NCT03528382).
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DOI：
10.1097/hjr.0b013e328305df05
发表时间：
2008-10-01
影响因子：
--
作者：
Grace, Sherry L.;Gravely-Witte, Shannon;Stewart, Donna E.
通讯作者：
Stewart, Donna E.
DOI：
10.1097/hcr.0000000000000136
发表时间：
2016-03-01
影响因子：
3.8
作者：
Grace, Sherry L.;Tan, Yongyao;Suskin, Neville
通讯作者：
Suskin, Neville
影响因子：
8.9
作者：
Ades PA;Keteyian SJ;Wright JS;Hamm LF;Lui K;Newlin K;Shepard DS;Thomas RJ
通讯作者：
Thomas RJ
影响因子：
--
作者：
Grace, Sherry L.;Russell, Kelly L.;Stewart, Donna E.
通讯作者：
Stewart, Donna E.
在医疗补助患者中促进心脏康复参与和依从性的经济激励措施。
影响因子：
5.1
作者：
Gaalema DE;Savage PD;Rengo JL;Cutler AY;Higgins ST;Ades PA
通讯作者：
Ades PA