医院主导的家庭心脏康复中国专家共识

心脏康复(cardiac rehabilitation,CR)是心血管疾病(CVD)慢性期循证结构化干预技术,包括患者教育、健康行为矫正、社会心理因素管理、药物治疗和运动训练,证据显示其进一步改善了CVD患者的二级预防疗效。我国CR使用率明显不足,符合条件的患者只有少数接受到CR治疗,迫切需要提出新的策略提高CR参与度。医院主导的家庭心脏康复(center guided home-based cardiac rehabilitation,CHBCR)模式是一种可能的有效策略。与医疗监督下的心脏康复中心(center-based cardiac rehabilitation,CBCR)模式服务不同,CHBCR依靠远程指导和间接的运动监督,患者接受CR的场所不在传统的心脏康复中心而在家庭。本共识的目的是明确CHBCR的优势、适应证、禁忌证,以及CHBCR中心建设、核心构成和质量控制等,以推动CHBCR在我国的科学实施,让更多CVD患者获益。

China expert consensus on center guided home-based cardiac rehabilitation

Cardiac rehabilitation(CR)is a structured evidence-based intervention technology in chronic stage of patients with cardiovascular disease(CVD),including patient education,health behavior modification,drug treatment and exercise training.Evidence has showed that CR therapy further improved secondary prevention outcomes in patients with CVD.However,its utilization rate in China is very low.Among eligible patients,only a few have received CR treatment.Therefore,it is extremely urgent to propose new strategies to improve CR participation.Center guided home-based cardiac rehabilitation(CHBCR)is a potential effective strategy.In contrast to center-based cardiac rehabilitation(CBCR)service under medical supervision,CHBCR relies on remote guidance and indirect exercise supervision,in which patients receive CR at home,not in the traditional cardiac rehabilitation center.The purpose of this consensus is to provide the advantages,indications,contraindications,construction of CHBCR center,core components and quality control of CHBCR,in order to promote the scientific implementation of CHBCR in China,and benefit more cardiovascular disease patients.