经皮冠状动脉介入治疗后冠心病患者参加心脏康复治疗和坚持二级预防的障碍:横断面调查。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of the Saudi Heart Association Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.37616/2212-5043.1392
Ahmed M Almoghairi, Jane O'Brien, Anna Doubrovsky, Jed Duff
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引用次数: 0

摘要

研究目的本研究旨在评估经皮冠状动脉介入治疗后的冠心病患者对二级预防措施的依从性,并确定心脏康复注册的障碍:通过计算机辅助电话访问,对沙特阿拉伯苏尔坦亲王心脏中心近期接受经皮冠状动脉介入治疗的患者进行了观察性横断面调查:在接受调查的 104 名冠心病患者中,85 名(82%)为男性,平均年龄为 59.5 岁。肥胖率为 28%(n = 29),合并症发病率高:82(79%)、63(61%)和 62(60%)名患者分别患有高脂血症、糖尿病和高血压。尽管服药依从性很高(97%),但二级预防措施的依从性却很低(21%)。坚持体育锻炼和监测体重以防止体内积液的比例明显较低,分别为 35% 和 9%。只有 11 名(10.6%)患者被转介到心脏康复中心,其中只有 4 名(36.4%)参加了康复治疗。69%的农村患者特别指出了一些重大障碍,如缺乏工作人员的联系、医生支持不足以及距离心脏康复机构太远等:这项研究强调了沙特阿拉伯冠心病血运重建术后患者的重要心脏风险因素和二级预防措施的低依从性。转诊率低和其他组织障碍,以及前往医院心脏康复中心的路途遥远,都阻碍了该计划的实施。要提高心脏康复的可及性,关键是要修改出院计划、实施自动转诊系统、在所有地区扩大服务范围并采用其他服务模式。
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Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention: A Cross-sectional Survey.

Objectives: This study aimed to evaluate adherence to secondary prevention measures and to identify barriers to cardiac rehabilitation enrolment among patients with coronary heart disease after percutaneous coronary intervention.

Methods: An observational cross-sectional survey was conducted through computer-assisted telephone interviews to assess recently treated percutaneous coronary intervention patients at the Prince Sultan Cardiac Center in Saudi Arabia.

Results: Out of 104 surveyed patients with coronary heart disease, 85 (82%) were male, with an average age of 59.5 years. The obesity rate was 28% (n = 29), with a high prevalence of comorbidities: 82 (79%), 63 (61%), and 62 (60%) patients had hyperlipidemia, diabetes, and hypertension, respectively. Despite high medication compliance (97%), adherence to secondary prevention measures was low (21%). Adherence to physical exercise and weight monitoring for fluid body build-up was notably poor at 35% and 9%, respectively. Only 11 (10.6%) patients were referred for cardiac rehabilitation, of whom only four (36.4%) attended. Significant barriers such as a lack of staff contact, insufficient physician support, and distance to cardiac rehabilitation facilities were particularly noted by 69% of rural patients.

Conclusions: This study underscores the significant cardiac risk factors and low adherence to secondary prevention measures among post revascularization patients with coronary heart disease in Saudi Arabia. Low referral and other organizational barriers, as well as the travel distance to hospital-based cardiac rehabilitation, hinder program enrolment. To improve cardiac rehabilitation accessibility, it is crucial to revise the discharge plans, implement automated referral systems, expand the services across all regions, and utilize alternative delivery models.

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来源期刊
Journal of the Saudi Heart Association
Journal of the Saudi Heart Association CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.40
自引率
0.00%
发文量
30
审稿时长
15 weeks
期刊最新文献
Mitral Valve Prolapse with Syncope: Don't Judge the Book by its Cover! Comparison of Sternotomy Access Versus Thoracotomy Access in the Surgical Treatment of Aortic Coarctation: A Propensity Score-matched Study. A Saudi Heart Association Position Statement on Obesity and Cardiovascular Disease. Barriers to Cardiac Rehabilitation Enrollment and Secondary Prevention Adherence in Patients with Coronary Heart Disease Following Percutaneous Coronary Intervention: A Cross-sectional Survey. Comparative Outcomes of Transcatheter Versus Surgical Aortic Valve Replacement in Elderly Patients With Severe Symptomatic Aortic Stenosis: A Systematic Review.
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