Exercise-based cardiac rehabilitation in patients with chronic heart failure: a Dutch practice guideline.

Exercise-based cardiac rehabilitation in patients with chronic heart failure: a Dutch practice guideline.
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DOI:
10.1007/s12471-014-0612-2
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发表时间:
2015-01
影响因子:
2
通讯作者:
Hendriks, E. J. M.
Hendriks, E. J. M.
中科院分区:
医学4区
文献类型:
--
作者:
Achttien, R. J.;Staal, J. B.;van der Voort, S.;Kemps, H. M.;Koers, H.;Jongert, M. W. A.;Hendriks, E. J. M.

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为了提高慢性心力衰竭 (CHF) 患者基于运动的心脏康复 (CR) 的质量,荷兰皇家物理治疗学会 (KNGF) 制定了实践指南。我们进行了系统的文献检索,以得出关于 CHF 患者在所有 CR 阶段基于运动的干预效果的结论。根据荷兰循证指南制定标准对证据进行分级(1-4)。制定了基于运动的 CR 的建议,涵盖以下主题:临床阶段的肺部症状动员和治疗(如有必要),门诊 CR 阶段的有氧运动、力量训练(吸气肌训练和外周肌肉训练)和放松疗法,以及门诊 CR 后的采用和监测训练。本指南为物理治疗师提供了基于证据的工具,以协助有关 CHF 患者的临床决策。该指南在临床实践中的实施情况还需要进一步评价。本指南概述了物理治疗师关于 CHF 患者基于运动的 CR 的最佳实践标准。需要研究策略,以改善监督 CR 后维持身体活跃生活方式的监测和随访。
To improve the quality of exercise-based cardiac rehabilitation (CR) in patients with chronic heart failure (CHF) a practice guideline from the Dutch Royal Society for Physiotherapy (KNGF) has been developed. A systematic literature search was performed to formulate conclusions on the efficacy of exercise-based intervention during all CR phases in patients with CHF. Evidence was graded (1–4) according the Dutch evidence-based guideline development criteria. Recommendations for exercise-based CR were formulated covering the following topics: mobilisation and treatment of pulmonary symptoms (if necessary) during the clinical phase, aerobic exercise, strength training (inspiratory muscle training and peripheral muscle training) and relaxation therapy during the outpatient CR phase, and adoption and monitoring training after outpatient CR. This guideline provides the physiotherapist with an evidence-based instrument to assist in clinical decision-making regarding patients with CHF. The implementation of the guideline in clinical practice needs further evaluation. This guideline outlines best practice standards for physiotherapists concerning exercise-based CR in CHF patients. Research is needed on strategies to improve monitoring and follow-up of the maintenance of a physical active lifestyle after supervised CR.
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