Issue №6-22, 2023

Original article

https://doi.org/10.38025/2078-1962-2023-22-6-55-66

Efficiency of Remote Monitoring of Rehabilitation of Patients after Myocardial Infarction

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1 ORCIDDmitriy A. Elfimov,1 ORCIDIrina V. Elfimova ,1 ORCIDMikhail D. Kosterin ,1 ORCIDAlyona A. Golubeva ,2 ORCIDOlga V. Andreeva

1Tyumen State Medical University
2Municipal Polyclinic No. 17


ABSTRACT

INTRODUCTION. Rehabilitation of cardiac patients is based on a set of measures of a rehabilitation nature (medical, physical, social, psychological and pedagogical). The purpose of this type of activity is aimed at restoring health as much as possible in a particular case, as well as psychological status. Despite widespread urbanization, the share of rural residents still remains significant and amounts to 25.1 %. They face limited access to health care more often than urban populations. This is especially true for the population of remote areas.

AIM. Evaluation of the effectiveness of the use of remote technologies during rehabilitation measures in patients who have suffered an acute myocardial infarction.

MATERIALS AND METHODS. The study included 200 patients who had suffered acute myocardial infarction, receiving outpatient rehabilitation at the City Clinic No. 17, living in the city of Tyumen. The patients were divided into two equal groups of 100 people. The average duration of treatment in both groups was 21 days. The rehabilitation program included a therapeutic and physical training complex, which took place in a face-to-face group as part of joint classes, and in a remote group — at home using video instructions, previously sent by email.

RESULTS AND DISCUSSION. Rehabilitation with the use of remote technologies showed a result comparable to the full-time program. In both groups, there is a statistically significant improvement in the indicators of the Rankin, and rehabilitation routing scales. However, according to the Aronov scale, positive changes are present only in the remote group.

CONCLUSION. Based on the results of the study, a conclusion was made about the comparable effectiveness of cardiac rehabilitation in full-time and remote groups. This suggests that biomedical technologies can be used in the implementation of cardiac rehabilitation programs in areas remote from large settlements.


KEYWORDS: cardiac rehabilitation, physical therapy, outpatients, health services accessibility

Acknowledgments: The study had no sponsorship.

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Elfimov D.A., Elfimova I.V., Andreeva O.V., Kosterin M.D., Golubeva A.A. Efficiency of Remote Monitoring of Rehabilitation of Patients after Myocardial Infarction. Bulletin of Rehabilitation Medicine. 2023; 22(6):55-66. https://doi.org/10.38025/2078-1962-2023-22-6-55-66 (In Russ.).

Для корреспонденции: Irina V. Elfimova, E-mail: iyelfimova@mail.ru, elfimovaiv@tyumsmu.ru



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.