[1]李文瑾,王慧丽,杜 娟.北京市社区冠心病患者心脏康复获得情况[J].医学信息,2019,32(23):126-128,131.[doi:10.3969/j.issn.1006-1959.2019.23.037]
　LI Wen-jin,WANG Hui-li,DU Juan.Study on the Status of Cardiac Rehabilitation in Patients with Coronary Heart Disease in Beijing[J].Medical Information,2019,32(23):126-128,131.[doi:10.3969/j.issn.1006-1959.2019.23.037]
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北京市社区冠心病患者心脏康复获得情况()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年23期
页码:
126-128,131
栏目:
调查分析
出版日期:
2019-12-01

文章信息/Info

Title:
Study on the Status of Cardiac Rehabilitation in Patients with Coronary Heart Disease in Beijing
文章编号:
1006-1959（2019）23-0126-04
作者:
李文瑾; 王慧丽; 杜 娟
（首都医科大学全科医学与继续教育学院，北京 100069）
Author(s):
LI Wen-jin; WANG Hui-li; DU Juan
(College of General Medicine and Continuing Education,Capital Medical University,Beijing 100069, China)
关键词:
冠心病; 心脏康复; 院外康复; 社区
Keywords:
Coronary heart disease; Cardiac rehabilitation; Out-of-hospital rehabilitation;  Community
分类号:
R541.4
DOI:
10.3969/j.issn.1006-1959.2019.23.037
文献标志码:
A
摘要:
目的 了解北京市社区冠心病患者心脏康复实际获得情况。方法 选取2018年2月~6月对中关村、学院路及万寿路三个社区卫生服务中心的277例冠心病患者进行心脏康复获得情况的问卷调查。结果 社区冠心病患者主要获得的心脏康复内容分别是生活方式指导、危险因素评估、其他慢性病指导，获得率分别为83.03%、68.59%、66.06%；而用药指导、运动计划、睡眠指导、心理疏导、心功能运动风险评估获得率仅分别为52.35%、36.82%、17.33%、6.14%、4.69%。结论 心脏康复具体内容在对社区冠心病患者心脏康复实施中有差异。社区冠心病患者对生活方式指导、危险因素评估、其他慢性病指导获得率较高，而对睡眠指导、心理疏导、心功能运动风险评估获得率较低，要全面实施社区心脏康复，应加强同专科医院合作，同时对全科医师行睡眠、心理等内容的系统培训，提高重视程度并配备适用的康复设备。
Abstract:
Objective To Understand the actual acquisition of cardiac rehabilitation in patients with coronary heart disease in Beijing. Methods From February to June 2018, a questionnaire survey was conducted on 277 patients with coronary heart disease at three community health service centers in Zhongguancun, Xueyuan Road and Wanshou Road. Results The main cardiac rehabilitation contents of patients with coronary heart disease in the community were lifestyle guidance, risk factor assessment, and other chronic disease guidance. The acquisition rates were 83.03%, 68.59%, and 66.06%, respectively. Medication guidance, exercise planning, sleep guidance, and psychological counseling were used. The rate of cardiac function exercise risk assessment was only 52.35%, 36.82%, 17.33%, 6.14%, and 4.69%, respectively. Conclusion The specific content of cardiac rehabilitation is different in the implementation of cardiac rehabilitation in patients with coronary heart disease in the community. Community coronary heart disease patients have higher rates of lifestyle guidance, risk factors assessment, and other chronic disease guidance, while the rate of sleep guidance, psychological counseling, and cardiac function exercise risk assessment is low. To fully implement community cardiac rehabilitation, the same specialist should be strengthened. The hospital cooperates, and at the same time, systematic training of general practitioners on sleep, psychology, etc., to increase the importance and equip with appropriate rehabilitation equipment.

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更新日期/Last Update: 2019-12-01