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Rehabilitation Practice and Science

Translated Title

接受冠狀動脈繞道手術或心臟瓣膜手術患者第一期心肺復健－某醫學中心之經驗

Abstract

Background and Purpose: Cardiac rehabilitation (CR) is a long-term program that includes exercise prescription, education, and counseling on the limitation of physiological and psychological effects of cardiac disease and to enhance the psychosocial and vocational status of selected patients. In spite of CR being approved for patients who have experienced the consequences of coronary artery disease and for those who have had heart valve surgery, CR is widely underused. The aim of this study was to research the current status of CR for patients receiving coronary artery bypass graft (CABG) or heart valve replacement (HVR) in a medical center in Taiwan.Methods: We retrospectively reviewarticleed the medical records of 101 patients who received CABG or HVR at our hospital from January to June 2011 to investigate the consultation process and participation in CR. We excluded 26 patients who did not meet our criteria. 75 patients were enrolled and divided into two groups (CABG: 37; HVR: 38). Baseline information, hospital duration, and the phase I CR process were all recorded.Results: Both groups had received phase I CR (100%) during hospitalization. The mean hospitalization duration was 28.5±19.2 hours (CABG) and 22.9±8.8 hours (HVR). Mean duration from admission to consultation was 37.3±56.0 hours (CABG) and 18.7±26.4 hours (HVR); for completing consultation, 18.8±12.5 (CABG) and 19.3±10.9 hours (HRV); for initiating therapy after CR prescription, 10.6±22.4 (CABG) and 15.6±20.6 hours (HRV). Only 12 patients 7(CABG) and 5(HVR) continued regular follow-up and entered phase II CR.Conclusions: All patients receiving CABG or HVR participated in the phase I CR programs. The participation rate in phase II CR was very low. To improve the phase II CR participation rate in the further, emphasizing the importance of phase II CR to the patient and the cardiac surgeon and facilitating the process of outpatient transfer should be considered.

Language

Traditional Chinese

First Page

181

Last Page

188

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