지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Purpose: The purpose of this retrospective study was to investigate the effect of revised cardiac rehabilitation Clinical Pathways (CPs) on the Cardiac Rehabilitation (CR) participation rate of patients with Myocardial Infarction (MI) undergoing Percutaneous Coronary Intervention (PCI). Methods: We reviewed the electronic medical record of patients who were referred for CR after MI from July 2015 to December 2016. In April 2016, the patient groups were divided into 9-month periods: pre- and post-CP revision. We reduced the mean number of hospital visits for CR and the wait times before starting CR and the first Cardio Pulmonary Exercise (CPX) test. We added a home-based CR program and reinforced the CR liaison nurse’s role. The changes in the CR wait time, mean number of hospital visits post-discharge, and participation rates at 1 and 3 months were investigated. Results: Ninety-two patients were recruited from July 2015 to March 2016. Twenty-four (26.1%) participated in CR at 1 month, and 11 (12.0%) were maintained up to 3 months. From April 2016 to December 2016, 107 patients were recruited. Sixty-five (60.7%) participated at 1 month, and 38 (35.5%) were maintained up to 3 months. The mean number of hospital visits was 3.5±0.8 versus 1.9±0.9 in the previous and revised CP groups. The average number of days to the first CPX test after MI was 43.4±17.6 versus 26.3±10.6. Conclusion: Following CP revision, the CR participation rate significantly improved among patients with PCI post-MI. CP revision in terms of inter-physician communication and additional nursing interventions should be considered.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONCLUSION
REFERENCES
참고문헌 (28)
참고문헌 신청
[학술지(정기간행물)] - Roger VL / 2012 / Heart disease and stroke statistics--2012 update: a report from the American Heart Association / Circulation 125 (1) : 188 ~ 197
[학술지(정기간행물)] - Anderson L / 2016 / Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and metaanalysis / Journal of the American College of Cardiology 67 (1) : 1 ~ 12
[학술지(정기간행물)] - Lawler PR / 2011 / Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction: a systematic review and meta-analysis of randomized controlled trials / American Heart Journal 162 (4) : 571 ~ 584
[학술지(정기간행물)] - Fletcher GF / 2013 / Exercise standards for testing and training: a scientific statement from the American Heart Association / Circulation 128 (8) : 873 ~ 934
[학술지(정기간행물)] - Suaya JA / 2007 / Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery / Circulation 116 (15) : 1653 ~ 1662
[학술지(정기간행물)] - Anderson L / 2016 / Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and metaanalysis / Journal of the American College of Cardiology 67 (1) : 1 ~ 12
[학술지(정기간행물)] - Lawler PR / 2011 / Efficacy of exercise-based cardiac rehabilitation post-myocardial infarction: a systematic review and meta-analysis of randomized controlled trials / American Heart Journal 162 (4) : 571 ~ 584
[학술지(정기간행물)] - Fletcher GF / 2013 / Exercise standards for testing and training: a scientific statement from the American Heart Association / Circulation 128 (8) : 873 ~ 934
[학술지(정기간행물)] - Suaya JA / 2007 / Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery / Circulation 116 (15) : 1653 ~ 1662
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UCI(KEPA) : I410-ECN-0101-2018-512-003548665