Hybrid Cardiac Telerehabilitation After Acute Coronary Syndrome: Self-selection Predictors and Outcomes.

IF 2.5 Q1 REHABILITATION International Journal of Telerehabilitation Pub Date : 2023-05-11 eCollection Date: 2023-01-01 DOI:10.5195/ijt.2023.6475

José Bernardo Ferreira, Margarida Cabral, Rita Santos, Marta Ferreira, Rui Fonseca-Pinto, Alexandre Antunes, Filipa Januário

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Abstract

Aims: To evaluate the effectiveness of a hybrid cardiac telerehabilitation (HCTR) program after acute coronary syndrome (ACS) on patient quality of life (QoL) and physical activity indices throughout phases 2-3 and establish predictors for hybrid program self-selection.

Methodology: This single-centre longitudinal retrospective study included patients who attended a cardiac rehabilitation program (CRP) between 2018-2021. Patients self-selected between two groups: Group 1 - conventional CRP (CCRP); Group 2 - HCTR. Baseline characteristics were registered. EuroQol-5D (EQ-5D) and International Physical Activity Questionnaire (IPAQ) were applied at three times: T0 - phase 2 onset; T1 - phase 3 onset; T2 - 3 months after T1.

Results: 59 patients participated (Group 1 - 27; Group 2 - 32). We found significant between-group differences regarding occupation (p=0.003). Diabetic patients were less likely to self-select into HCTR (OR=0.21; p<0.05). EQ-5D visual analogue scale and IPAQ result significantly improved between T0-T2 only for HCTR (p=0.001; p=0.021).

Conclusions: HCTR was superior to CCRP on physical activity indices and QoL of ACS patients.

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急性冠脉综合征后的混合心脏远程康复:自我选择预测因素和结果

目的:评价急性冠脉综合征(ACS)后混合心脏远程康复(HCTR)方案对患者2-3期生活质量(QoL)和体力活动指标的影响，建立混合方案自我选择的预测指标。方法:这项单中心纵向回顾性研究纳入了2018-2021年间参加心脏康复计划(CRP)的患者。患者自行选择两组:1组-常规CRP (CCRP);第二组- HCTR。记录基线特征。EuroQol-5D (EQ-5D)和国际身体活动问卷(IPAQ)应用于3次:T0 - 2期发病;T1 -第3期发病;T2 - T1后3个月。结果:59例患者参与研究(1 ~ 27组;第2 - 32组)。我们发现在职业方面组间差异显著(p=0.003)。糖尿病患者自我选择进入HCTR的可能性较小(OR=0.21;p < 0.05)。仅HCTR在T0-T2期间EQ-5D视觉模拟量表和IPAQ结果显著改善(p=0.001;p = 0.021)。结论:HCTR在ACS患者的身体活动指标和生活质量方面优于CCRP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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