Adherence in cardiac and pulmonary rehabilitation.
Adherence in cardiac and pulmonary rehabilitation.
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坚持心脏和肺康复。
DOI：
10.1097/00008483-199511000-00005
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Emery,CF
中科院分区：
文献类型：
--
作者：
Emery,CF
420 J Cardiovascular Rehabil 1995; 15：420-423坚持是任何处方性医疗或干预的必要条件。在心肺康复中，坚持性通常由患者参加计划的运动课程来定义。其他常见的依从性指标包括（1）正确使用处方药;（2）遵循饮食建议;（3）戒烟;（4）改变生活方式，如改变工作时间表或使用压力管理技术。对于康复计划的每个行为目标，依从性由在给定时间范围内达到目标的患者比例以及个体患者随时间推移遵循或维持治疗计划的程度来定义。虽然有关于心脏康复患者依从性研究的优秀评论，但结果仍然缺乏一致性，并且缺乏评估提高心脏病患者依从性的有效策略的研究。肺康复文献提供了更少的研究，预测的遵守或战略，以提高肺患者的遵守。本报告的目的是简要讨论心肺康复计划中有关依从性的数据，并强调在心肺康复环境中监测和提高依从性的相关问题。在研究和临床文献中，术语“依从性”和“依从性”几乎同义使用。由于与依从性（例如，患者被动）相关的负面含义越来越多，因此在研究文献中经常使用依从性，并将在本文中使用。然而，这一领域的许多早期和最有用的文献都使用了合规一词。
420 J Cardiopulmonary Rehabil 1995; 15: 420–423 dherence is the sine qua non of any prescriptive medical treatment or intervention. In cardiac and pulmonary rehabilitation, adherence is most often defined by the patient's attendance at scheduled exer-cise sessions. Other common indicators of adherence include (1) proper use of prescribed medications;(2) following dietary recommendations;(3) smoking cessation; and (4) implementing lifestyle modifications, such as altering work schedules or using stress management techniques. For each behavioral goal of the rehabilitation program, adherence is defined both by the proportion of patients attaining the goal within a given time frame, and by the extent to which individual patients follow or maintain a treatment plan over time. Although excellent reviews of the research in adherence among cardiac rehabilitation patients are available, º there remains a lack of consistency in the results and a paucity of studies evaluating effective strategies for enhancing adherence among cardiac patients. The pulmonary rehabilitation literature provides even fewer studies of predictors of adherence or strategies to enhance adherence among pulmonary patients. The purpose of this report is to discuss briefly the data regarding adherence within cardiac and pulmonary rehabilitation programs, and to highlight issues relevant for monitoring and enhancing adherence in the cardiopulmonary rehabilitation setting.In the research and clinical literature, the terms “adherence" and “compliance" have been used virtually synonymously. Because of the negative connotation increasingly associated with compliance (eg, patient passivity), adherence is frequently used in the research literature and will be used in this paper. However, much of the early and most useful literature in this area makes use of the term compliance.