探索中东和北非地区的心肺康复:挑战与机遇的叙述性回顾。

IF 3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2024-08-31 DOI:10.1016/j.cpcardiol.2024.102829
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引用次数: 0

摘要

背景和目标:心肺康复 (CR) 对于控制充血性心力衰竭 (CHF)、慢性阻塞性肺病 (COPD) 和 COVID-19 后并发症等疾病至关重要。本综述研究了中东和北非地区(MENA)的 CR 实践,探讨了挑战、差异和新趋势:方法:在 PubMed、Scopus 和 Web of Science 中进行了全面的文献检索,以确定从开始到 2024 年 4 月 24 日之间发表的研究,重点关注中东和北非地区的 CR 项目、结果、挑战和策略。数据提取包括研究设计、人群特征、 CR 干预措施和主要发现:中东和北非地区的 CR 项目在范围和执行方面差异很大。虽然正在努力将 CR 服务纳入国家医疗保健政策,但仍存在重大挑战,包括基础设施有限、训练有素的专业人员短缺以及文化障碍。新出现的趋势包括使用远程医疗和数字监测工具来扩大 CR 服务的可及性,以及旨在改善服务提供和患者可及性的政策改革:CR 在改善心肺疾病患者(包括中东和北非地区的心肺疾病患者)的生活质量和健康状况方面发挥着至关重要的作用。然而,巨大的挑战阻碍了 CR 项目的广泛采用和有效性。要应对这些挑战,就必须努力加强公众教育、降低成本、扩大资金投入并加强跨专业合作。未来的研究应评估虚拟康复、文化调整和长期疗效,以便根据中东和北非地区的需求量身定制干预措施,最终提高 CR 的可及性和患者疗效。
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Exploring cardiopulmonary rehabilitation in the middle east and North Africa region: A narrative review of challenges and opportunities

Background and Objectives

Cardiopulmonary Rehabilitation (CR) is crucial for managing conditions like congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and post-COVID-19 complications. This review examines CR practices in the Middle East and North Africa (MENA) region, exploring challenges, disparities, and emerging trends.

Methods

A comprehensive literature search was conducted in PubMed, Scopus, and Web of Science to identify studies published between date of inception and April 24th, 2024, focusing on CR programs, outcomes, challenges, and strategies specific to the MENA region. Data extraction included study design, population characteristics, CR interventions, and key findings.

Results

CR programs in the MENA region vary widely in scope and execution. While efforts are underway to integrate CR services into national healthcare policies, significant challenges persist, including limited infrastructure, shortages of trained professionals, and cultural barriers. Emerging trends include the use of telehealth and digital monitoring tools to expand access to CR services and policy reforms aimed at improving service delivery and patient access.

Conclusion

CR plays a crucial role in improving the quality of life and health outcomes for cardiopulmonary patients, including those in the MENA region. However, significant challenges hinder the widespread adoption and effectiveness of CR programs. Addressing these challenges requires efforts to increase public education, reduce costs, expand funding, and enhance interprofessional collaboration. Future research should assess virtual rehabilitation, cultural adjustments, and long-term outcomes to tailor interventions to MENA's needs, ultimately enhancing CR accessibility and patient outcomes.

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来源期刊
Current Problems in Cardiology
Current Problems in Cardiology 医学-心血管系统
CiteScore
4.80
自引率
2.40%
发文量
392
审稿时长
6 days
期刊介绍: Under the editorial leadership of noted cardiologist Dr. Hector O. Ventura, Current Problems in Cardiology provides focused, comprehensive coverage of important clinical topics in cardiology. Each monthly issues, addresses a selected clinical problem or condition, including pathophysiology, invasive and noninvasive diagnosis, drug therapy, surgical management, and rehabilitation; or explores the clinical applications of a diagnostic modality or a particular category of drugs. Critical commentary from the distinguished editorial board accompanies each monograph, providing readers with additional insights. An extensive bibliography in each issue saves hours of library research.
期刊最新文献
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