心脏康复计划后心力衰竭患者功能能力的变化。

IF 3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Current Problems in Cardiology Pub Date : 2025-01-08 DOI:10.1016/j.cpcardiol.2025.102978
Carolina Castro Gómez , Angelica Cardona Hernández , Helen Johana Ortiz Rojas , Andrea Valencia Orozco , Angela María Murillo Anzola
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引用次数: 0

摘要

目的:评估2017年至2023年卡利市一家高复杂性医院心脏康复(CR)计划对心力衰竭患者功能能力的影响。方法:一项回顾性描述性研究,包括127名18岁以上诊断为心力衰竭的患者,他们完成了36个康复疗程,并在项目开始和结束时完成了6分钟步行测试(6MWT)、人体测量和生理测量的完整记录。分类变量被总结为绝对频率和百分比。因变量采用配对样本的Wilcoxon sign -rank检验。统计学意义为0.05。结果:中位年龄65岁。总的来说,在步行测试中的距离和CR计划的耗氧量方面观察到显著的改善。60岁以下患者距离由479.0米增加到598.5米,60岁以上患者距离由419.0米增加到523.0米。结论:CR方案可有效改善患者的功能能力和生活质量。这些发现强调了对心血管疾病患者实施结构化康复计划的重要性。
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Changes in functional capacity of heart failure patients following a cardiac rehabilitation program

Purpose

To evaluate the effectiveness of a cardiac rehabilitation (CR) program on functional capacity in patients with heart failure at a high-complexity hospital in the city of Cali during the period from 2017 to 2023.

Methods

A retrospective descriptive study that included 127 patients over 18 years of age diagnosed with heart failure, who completed 36 rehabilitation sessions with complete records of the 6-minute walk test (6MWT), anthropometric and physiological measurements at the beginning and end of the program. Categorical variables were summarized as absolute frequencies and percentages. For dependent variables, the Wilcoxon signed-rank test for paired samples was applied. Statistical significance was set at 0.05.

Results

The median age was 65 years. Overall, a significant improvement was observed in the distance covered during the walk test and oxygen consumption with the CR program. In patients under 60 years of age, the distance increased from 479.0 to 598.5 meters, while in the group over 60 years, the distance improved from 419.0 to 523.0 meters.

Conclusion

The CR program proved to be effective in improving functional capacity and quality of life in patients. These findings highlight the importance of implementing structured rehabilitation programs for patients with cardiovascular diseases.
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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.
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