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Cardiac Rehabilitation Enhancing Programs in Patients with Myocardial Infarction: A literature Review

机译:心肌梗死患者的心脏康复增强计划:文献综述

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Background: Cardiac rehabilitation (CR) is a process that involves a multidisciplinary team of health professionals in order to optimize the status of patients’ physical, psychological, social, and vocational well being. The CR program has been proven to influence health outcomes in patients with cardiac diseases, particularly myocardial infarction (MI) and stable angina. However, patients’ compliance with cardiac rehabilitation programs remains a challenge.Purpose: The purpose of this study is to review and identify interventions that enhance cardiac rehabilitation behaviors in MI patients.Method: A literature review was conducted by analyzing related research reports published since 2000 to 2012. Only English language articles were included.Result: There were 10 experimental studies and 2 meta-analysis studies. Interventions widely used to enhance cardiac rehabilitation behaviors in MI patients were self-efficacy and self management derived programs. These programs involved interventions that enhance cardiac rehabilitation behaviors, including training exercise, behavioral change, education and psychological support, and lifestyle changing strategies. None have reported the use of culturally tailored intervention. Four phases of cardiac rehabilitation were accepted as each phase represents a different aspect of care: inpatient care, early post discharge period, exercise training, and long term follow up. Critical factors for patients in maintaining an optimum health condition after a cardiac event are, in order, status of patient’s physical, psychological, social, and vocational well being.Conclusion: Cardiac Rehabilitation program has been shown to improve quality of life and decrease mortality in MI patients. The development of culturally specific interventions to increase cardiac rehabilitation behaviors will provide a significant improvement for cardiac patient’s care that ultimately results in better health outcomes. Health care professionals should be involved in CR programs in order to enhance patients’ performance in CR behaviors; moreover, further study is also needed to examine the existing intervention studies to improve the CR program.
机译:背景:心脏康复(CR)是一个由多学科的医疗专业人员组成的团队,旨在优化患者身体,心理,社会和职业健康状况。事实证明,CR计划会影响心脏病患者,特别是心肌梗塞(MI)和稳定型心绞痛患者的健康结局。然而,患者对心脏康复计划的依从性仍然是一个挑战。目的:本研究的目的是审查和确定增强MI患者心脏康复行为的干预措施。方法:通过分析自2000年以来发表的相关研究报告进行文献综述至2012年。仅包括英文文章。结果:共有10项实验研究和2项荟萃分析研究。广泛用于增强MI患者心脏康复行为的干预措施包括自我效能感和自我管理衍生程序。这些计划涉及增强心脏康复行为的干预措施,包括训练运动,行为改变,教育和心理支持以及生活方式改变策略。没有人报告使用针对文化的干预措施。接受心脏康复的四个阶段,因为每个阶段代表护理的不同方面:住院护理,出院后早期,运动训练和长期随访。对患者而言,在心脏事件后维持最佳健康状况的关键因素是患者的身体,心理,社会和职业健康状况。结论:心脏康复计划已被证明可以改善患者的生活质量并降低死亡率。 MI患者。针对特定文化的干预措施的发展,以增加心脏康复行为,将为心脏病患者的护理提供重大改善,最终改善健康状况。医疗保健专业人员应参与CR计划,以提高患者在CR行为方面的表现;此外,还需要进一步研究以检查现有的干预研究以改善CR计划。

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