Issue №3-20, 2020
Readiness of patients after acute coronary syndrome and coronary revascularization to participate in cardiorehabilitation programs
1 Gudukhin A.A., 1 Samoylov A.S., 2 Khodyakova E.P., 3 Prikhodko E.P., 1 Kornilov L.Y., 2 Chuprina S.E.
1 Ivanovo State Medical Academy, Ivanovo, Russian Federation
2 Voronezh regional clinical hospital №1, Voronezh, Russian Federation
3 Clinical cardiology dispensary, Omsk, Russian Federation
ABSTRACT
Rehabilitation measures lead to an increase in the duration and quality of life of patients. The current trend towardsintensification of the treatment process, early discharge of patients from hospital, as well as the duration of cardiorehabilitation programs, raises the question about the place of their implementation. The purpose of this work was to assessthe readiness of patients who have undergone acute coronary syndrome (ACS) and coronary revascularization to undergorehabilitation programs, including the use of remote technologies. The study was multicenter, conducted in hospitals ofIvanovo, Voronezh and Omsk, using a single original questionnaire agreed by the researchers. 232 patients were examined,including 124 patients with myocardial infarction, 59 patients with unstable stenocardia and 49 patients who underwentcoronary revascularization. The results of the study indicate that the majority of patients who have undergone acute coronarysyndrome and coronary revascularization are ready to undergo cardio rehabilitation programs, but, as a rule, in hospital or sanatorium environments. Only half of the interviewed patients have access to the Internet and know how to use it, and only15% of the respondents are ready to undergo rehabilitation remotely. Remote ways of communicating with patients andmonitoring the implementation of rehabilitation programs require both improving the ways of their technical support andraising awareness and training of patients to work with mobile devices and registrars.
KEYWORDS: acute coronary syndrome, myocardial revascularization, cardiorehabilitation, remote patient monitoring.
For citation: Gudukhin A.A., Samoylov A.S., Khodyakova E.P., Prikhodko E.P., Kornilov L.Y., Chuprina S.E. Readiness of patients after acute coronary syndrome and coronary revascularization to participate in cardiorehabilitation programs. Bulletin of rehabilitation medicine. 2020; 97 (3): 40-44. https://doi.org/10.38025/2078-1962-2020-97-3-40-44
References:
1. Starinskaya M.A., Samorodskaya I.V., Semenov V.YU., Kakorina E.P. Nozologicheskaja i vozrastnaja struktura smertnosti ot boleznej sistemy krovoo-brashhenija v 2006 i 2014 godah [Nosological and age structure of mortality from circulatory diseases in 2006 and 2014]. Rossijskij kardiologicheskij zhurnal. 2016; 6: 24-25. (In Russ.).
2. Shalnova S.A., Konradi A.O., Karpov YU.A., Koncevaya A.V., Deev A.D., Kapustina A.V., Hudyakov M.B., SHlyahto E.V., Bojcov S.A. Analiz smertnosti ot serdechno-sosudistyh zabolevanij v 12 regionah Rossijskoj Federacii, uchastvujushhih v issledovanii «Jepidemiologija serdechno-sosudistyh zabo-levanij v razlichnyh regionah Rossii» [Analysis of mortality from cardiovascular diseases in 12 regions of the Russian Federation participating in the study «Epidemiology of cardiovascular diseases in different regions of Russia».]. Rossijskij kardiologicheskij zhurnal. 2016; 6: 24-25. (In Russ.).
3. Ivanova G.E., Melnikova E.V., Beliaev A.T., Bodrova R.A., Builova T.V., Maltseva M.N., Mishina I.E., Prokopenko S.V., Sarana A.M., Stahovskaya L.V., Hasanova D.R., Thsikuniv M.B., Samalov N.A., Suvorov A.U., Shmonin A.A. Kak organizovat medicinskuju reabilitaciju? [How to organize medical rehabilitation?]. Vestnik vosstanovitel'noj mediciny. 2018; 2(84): 2-12. (In Russ.).
4. Dovgalyuk Y.V., Mishina I.E., Chistyakova Y.V. Dinamika tolerantnosti k fizicheskoj nagruzke v ocenke jeffektivnosti program reabilitacii bolnyh pere-nesshih ostryj koronarnyj sindrom na ambulatornom etape [The dynamics of tolerance to physical activity in evaluating the effectiveness of programs of rehabilitation of patients with acute coronary syndrome at the outdoor stage] Vestnik vosstanovitel'noj mediciny. 2019; 3(91): 11-14. (In Russ.).
5. Ivanova G.E., Melnikova E.V., Shmonin A.A., Verbitskay E.V., Aronov D.M., Belkin A.A., Belyaev A.F., Bodrova R.A., Bubnova M.G., Builova T.V., Maltseva M.N., Mishina I.E., Nesterin K.V., Nikiforov V.V., Prokopenko S.V., Sarana A.M, Stakhovskaya L.V., Suvorov A.Yu., Khasanova D.R., Tsykunov M.B., Shamalov N.A., Yashkov A.V. Pilotnyj proekt «Razvitie sistemy medicinskoj reabilitacii v Rossijskoj Federacii»: predvaritelnye rezultaty realizacii na pervom i vtorom jetapah medicinskoj reabilitacii [Pilot project «Development of the medical rehabilitation system in Russian federation (dome)»: preliminary results of implementation in the first and second stages]. Vestnik vosstanovitel'noj mediciny. 2017; 2(78): 10-15 (In Russ.).
6. Lyadov K.V., Snopkov P.S., SHapovalenko T.V., Sidyakina I.V. Distancionnaja reabilitacija: istoki, sostojanie, perspektivy [Distance rehabilitation: origins, condition, perspectives]. Fizioterapija, bal'neologija i reabilitacija. 2016; 15(3): 142 -145. (In Russ.).
7. Mishina I.E., Guduhin A.A., Sarana A.M., Urazov S.P. Analiz sovremennoj praktiki primenenija distancionnyh form medicinskih konsul'tacij i dispanser-nogo nabljudenija pacientov s ishemicheskoj bolezn'ju serdca [Analysis of modern practice of application of remote forms of medical consultations and dispensary supervision of patients with coronary heart disease]. CardioSomatika. 2019; 10(1): 42-50. (In Russ.).
8. GOST R ISO/TO 16056-1-2009. Informatizacija zdorov'ja. Funkcional'naja sovmestimost' sistem i setej telezdravoohranenija. M. Standartinform. 2011. (In Russ.).
9. Bjarnason-Wehrens B., McGee H., Zwisler A.D., Piepoli M.F., Benzer W., Schmid J.P., Dendale P., Pogosova N.G., Zdrenghea D., Niebauer J., Mendes M., Cardiac Rehabilitation Section European Association of Cardiovascular Prevention and Rehabilitation. Cardiac rehabilitation in Europe: results from the European Cardiac Rehabilitation Inventory Survey. The European Journal of Cardiovascular Prevention & Rehabilitation. 2010; 17(4): 410-418. DOI:10.1097/HJR.0b013e328334f42d.
10. Conraads V.M., Deaton C., Piotrowicz E., Santaularia N., Tierney S., Piepoli M.F., Pieske B., Schmid J.P., Dickstein K., Ponikowski P.P., Jaarsma T. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. European Journal of Heart Failure. 2012; 14(5): 451-458. DOI:10.1093/eurjhf/ hfs048.
11. Bubnova M.G., Novikova N.K., Aronov D.M., Krasnitsky V.B., Kadushina E.B. Klinicheskoe 16-letnee nabljudenie za bolnymi perenesshimi ostryj infarct miokarda fenomen vysokoj priverzhennosti k fizicheskoj reabilitacii [Clinical 16-year follow-up of patients after acute myocardial infarction: the phenomenon of high commitment to physical rehabilitation]. Vestnik vosstanovitel'noj mediciny. 2016; 4(74): 12-19. (In Russ.).
12. Ivanova G.E., Trukhanov A.I. Globalnye perspektivy razvitija medicinskoj reabilitacii [ Global prospects for the development of medical rehabilitation]. Vestnik vosstanovitel'noj mediciny. 2017; 6(82): 2-6. (In Russ.).
©
This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.
