Abstract 20646: To Explore the Efficacy and Safety of Tertiary Hospital Guided, Community-Driven Family Self-Help Cardiac Rehabilitation Model
Objective: To explore the efficacy and safety of tertiary hospital guided, community-driven family self-help cardiac rehabilitation model.
Methods: This study is a prospective randomized controlled study, included 80 patients with acute coronary syndrome, intervention group received tertiary hospital guided, community-driven family self-help cardiac rehabilitation model for 3 months, control group received current routine secondary treatment for 3 months, collected patients’ objective indicators such as 6-min walk distance, quality of life, lifestyle habits, self-management competency, anxiety and depression etc. at baseline and after treatment for 3 months.
Results: Compared with 28 patients in control group, 6-min walk distance of 52 patients received cardiac rehabilitation increased significantly after intervention (60.15±6.78 vs 24.86±10.50,p<0.005), increases of “patients with regular exercise” (50.25% vs 0%, p<0.05), patients’ number increases in “Limit sugary foods” (53.22% vs 1.1%,p<0.05) “Eat fruits (78.61 % vs 0%,p<0.05) and vegetables (9.74% vs 0%,p<0.05)every day” and the increases in the number of patients answering “Very confident” to questions such as “Let the physicians know about your diseases” (40.17% vs 5%,p<0.05), “Know how to take medicines” (44.52% vs 5%,p<0.05) , “Know how much exercise is right for yourself” were significantly better than those of the control group. Compared with control group, quality of life differences (0.14+-3.90 vs -7.44+-5.85,p>0.05), anxiety scores differences (-0.16+-2.12 vs 0.7+-1.13,p>0.05) and depression scores differences (-1.17+-2.79 vs 0.6+-0.36,p>0.05) showed improving trends in the intervention group, but showed worsening trends in the control group. There were no cardiac rehabilitation training related cardiovascular events.
Conclusion: “Tertiary hospital guided, community-driven family self-help cardiac rehabilitation model” is a economic and feasible management model of cardiovascular disease in chronic phase, it is necessary to further expand the study population to verify the effectiveness and social economic evaluation of this model.
Author Disclosures: R. Ding: None. L. Gao: None. L. Zhu: None. W. Xie: None. X. Wang: None. Q. Tang: None. H. Wang: None. D. Hu: None.
- © 2016 by American Heart Association, Inc.