Exploration and Implementation of Management Path of Community/Home-based Cardiac Rehabilitation

doi:10.12114/j.issn.1007-9572.2019.00.355

Abstract

Abstract: In recent years，hospital-based cardiac rehabilitation in China has developed rapidly，but community/home-based cardiac rehabilitation has hardly been carried out，and the rate of patients with acute myocardial infarction（AMI） receiving such rehabilitation is very low.We detailedly discussed how to deliver community/home-based safe and effective cardiac rehabilitation for post-discharge AMI patients，to main their exercise habit associated with treatment，develop an exercise-centered health-promoting lifestyle，adhere to use pharmacological treatment for secondary prevention of cardiovascular events，ensure a good mental state，and return to work and social life.Moreover，we discussed the community/home-based models suitable for delivering cardiac rehabilitation for AMI patients in China，including developing structured exercise prescriptions and the simplification method，and ways for maintaining diversification and amusement of community/home-based exercise training forms，by which the enthusiasm of AMI patients in participating in community/home-based cardiac rehabilitation can be increased，the recurrence rate and case fatality rate of acute cardiovascular events in AMI patients can be decreased.

Key words: Cardiac rehabilitation, Myocardial infarction, Community health services, Management path

摘要： 近年来我国医院的心脏康复发展迅速，但社区/家庭心脏康复几乎没有开展，尤其是急性心肌梗死患者参与心脏康复治疗率较低。本文重点探讨急性心肌梗死患者出院后如何在社区/家庭进行安全而有效的心脏康复，以维持患者的运动治疗习惯，建立以运动为核心的生活方式，促进其坚持二级预防用药，保证良好的心理状态，恢复社会生活和工作。此外，本文还探讨了适合我国急性心肌梗死患者在社区/家庭实施心脏康复的模式，包括建立结构化运动处方及其易化方法，保持社区/家庭心脏康复运动训练形式多样化和趣味性，进而增加患者在社区/家庭运动训练的主动性，提高我国冠心病患者在急性心肌梗死治疗后的心脏康复参与率，降低急性心血管事件复发率和病死率。

关键词: 心脏康复, 心肌梗死, 社区卫生服务, 管理路径

ZHANG Zhaoguo,JIANG Hongyan,WANG Yanhui, et al. Exploration and Implementation of Management Path of Community/Home-based Cardiac Rehabilitation　[J]. Chinese General Practice, 2019, 22(31): 3779-3785. DOI: 10.12114/j.issn.1007-9572.2019.00.355.
张兆国,姜红岩,王彦辉等. 社区/家庭心脏康复管理模式与路径研究[J]. 中国全科医学, 2019, 22(31): 3779-3785. DOI: 10.12114/j.issn.1007-9572.2019.00.355.

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