门诊-居家结合的心脏康复模式在经皮冠状动脉介入治疗术后患者中的应用进展OA
Advances in the application of hybrid outpatient and home-based cardiac rehabilitation model in patients after percutaneous coronary intervention
经皮冠状动脉介入治疗(PCI)虽能高效实现血运重建,挽救患者生命,但术后患者的长期预后仍面临挑战.心脏康复是兼具临床获益与成本效益的冠心病二级预防措施,能降低心肌梗死复发风险、降低再住院率,改善患者生活质量及临床预后.然而,传统门诊康复因地理、时间、经济成本等因素,面临参与率与依从性低的全球性困境,由此门诊-居家结合的心脏康复模式应运而生.本文阐述了门诊-居家结合的心脏康复模式的内涵与定义,介绍了其基本构成要素与常见分类,进而综述了其在 PCI 术后患者运动能力、心理状态及生活质量、依从性及参与度等方面的改善作用,分析了现存挑战及未来发展方向,以期为其在PCI术后患者中的应用提供参考.
Although percutaneous coronary intervention(PCI)effectively achieves revascularization and saves lives,the long-term prognosis of postoperative patients remains challenging.Cardiac rehabilitation,a clinically effective and cost-effective secondary prevention strategy for coronary artery disease,can reduce the risk of recurrent myocardial infarction,decrease rehospitalization rates,and improve patients'quality of life and clinical prognosis.However,traditional center-based cardiac rehabilitation programs are faced with a global dilemma of low participation and adherence rates due to geographical,time,and financial constraints.In response,a hybrid outpatient and home-based cardiac rehabilitation model has emerged.This article elucidates the definition and connotation of hybrid outpatient and home-based cardiac rehabilitation model,introduces its basic components and common classifications,reviews its beneficial effects on exercise capacity,psychological status,quality of life,adherence,and participation in patients following PCI,and analyzes current challenges and future directions,aiming to provide reference for the application of this model in post-PCI patients.
许红萍;韦天文;李蝶;孙玉肖;张奇
200120 上海,同济大学附属东方医院心内科200120 上海,同济大学附属东方医院心内科200120 上海,同济大学附属东方医院心内科200120 上海,同济大学附属东方医院心内科200120 上海,同济大学附属东方医院心内科
门诊-居家结合的心脏康复模式冠心病经皮冠状动脉介入治疗
Hybrid outpatient and home-based cardiac rehabilitation modelCoronary heart diseasePercutaneous coronary intervention
《心脑血管病防治》 2026 (8)
37-42,6
上海市浦东新区卫生系统重点学科群建设项目(PWZxq2022-02)《上海市东方医院(同济大学附属东方医院)天使计划暨青年护士成长计划》项目(DFTS-2227)
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