Cardiac rehabilitation exercise and self-care for chronic heart failure.
Cardiac rehabilitation exercise and self-care for chronic heart failure.
复制标题
DOI：
10.1016/j.jchf.2013.09.002
复制
发表时间：
2013-12
期刊：
影响因子：
--
通讯作者：
Rich MW
中科院分区：
文献类型：
--
作者：
Ades PA;Keteyian SJ;Balady GJ;Houston-Miller N;Kitzman DW;Mancini DM;Rich MW
慢性心力衰竭(CHF)在老年人中非常普遍，是导致发病率、死亡率、住院和残疾的主要原因。心脏康复(CR)、运动训练和CHF自我护理咨询都被证明可以改善CHF的临床状况和临床结果。仅对CR运动训练(没有咨询)的系统评价和荟萃分析表明，除了减少心脏死亡率和住院率外，CHF症状也有持续的改善，尽管个人试验对后两项发现不太确定。最大的单一试验HF-ACTION显示，所有原因死亡或住院的综合终点的调整后风险降低(HR：0.89，95%CI：0.81-0.99；P=0.03)。生活质量和精神抑郁也有所改善。CHF相关咨询，无论是单独提供还是与CR运动训练相结合，都能改善临床结果，减少CHF相关住院。我们回顾了有关CHF患者接受CR和自我护理咨询的益处和风险的现有证据，为第三方付款人提供了患者选择的建议，并讨论了CR在促进自我护理和行为改变方面的作用。
Chronic heart failure (CHF) is highly prevalent in older individuals and a major cause of morbidity, mortality, hospitalizations and disability. Cardiac rehabilitation (CR) exercise training and CHF self-care counseling have each been shown to improve clinical status and clinical outcomes in CHF. Systematic reviews and meta-analyses of CR exercise training alone (without counseling) have demonstrated consistent improvements in CHF symptoms in addition to reductions of cardiac mortality and hospitalizations, although individual trials have been less conclusive of the latter two findings. The largest single trial, HF-ACTION, showed a reduction in the adjusted risk for the combined end point of all-cause mortality or hospitalization (HR: 0.89, 95% CI: 0.81-0.99; P=0.03). Quality of life and mental depression also improved. CHF-related counseling whether provided in isolation or in combination with CR exercise training improves clinical outcomes and reduces CHF-related hospitalizations We review current evidence on the benefits and risks of CR and self-care counseling in patients with CHF, provide recommendations for patient selection for third party payers, and discuss the role of CR in promoting self-care and behavioral changes.
登录
查看更多内容
影响因子：
2.1
作者：
Jovicic, Aleksandra;Holroyd-Leduc, Jayna M;Straus, Sharon E
通讯作者：
Straus, Sharon E
影响因子：
24
作者：
Haykowsky, Mark J.;Brubaker, Peter H.;Stewart, Kathryn P.;Morgan, Timothy M.;Eggebeen, Joel;Kitzman, Dalane W.
通讯作者：
Kitzman, Dalane W.
影响因子：
37.8
作者：
Balady, Gary J.;Williams, Mark A.;Southard, Douglas
通讯作者：
Southard, Douglas
影响因子：
37.8
作者：
Arena, Ross;Myers, Jonathan;Guazzi, Marco
通讯作者：
Guazzi, Marco
影响因子：
37.8
作者：
Belardinelli, R;Georgiou, D;Purcaro, A
通讯作者：
Purcaro, A