• Categories:Yiweite news
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• Time of issue:2019-12-26
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(Summary description)Research data show that cardiac rehabilitation for patients with cardiovascular disease can effectively reduce the risk of rehospitalization and mortality after coronary stenting in patients with myocardial infarction. At present, cardiac rehabilitation integrates prevention and rehabilitation. The cardiac rehabilitation team is a multidisciplinary team, which is completed by doctors, exercise physiology experts, nurses and nutritionists. The doctor is responsible for the operation and risk assessment of the whole team, the nurse is responsible for the coordination work within the medical team, and the exercise physiologist is responsible for the formulation of exercise prescription and the guidance of exercise plan. The standard configuration of heart rehabilitation center in hospital mainly includes patient area, medical area, exercise area, ECG monitoring equipment, rescue equipment, cardiopulmonary exercise tester and a series of auxiliary equipment. In addition, a very important link is the cardiovascular disease prevention clinic. Its main functions include screening of cardiovascular disease risk in healthy population, assessment of cardiovascular disease risk in high-risk patients and follow-up management of patients who have completed cardiac rehabilitation.
The standard process of cardiac rehabilitation includes the following steps: first, the automatic referral before discharge; secondly, the second evaluation of patients by doctors, nurses and exercise therapists; secondly, the rehabilitation process; and finally, the re evaluation during the follow-up period. The assessment of cardiac rehabilitation includes exercise risk assessment (6-minute walking test, cardiopulmonary exercise test, exercise treadmill test, etc.), risk factors assessment, psychological and quality of life assessment, nutritional assessment, tobacco dependence assessment and prognosis assessment. For the following types of patients, we need to pay special attention to: first, patients with more than three cardiovascular risk factors are not controlled; second, patients with CAD neglect or misconception; third, patients with unhealthy lifestyle or lack of ability to cope with disease. In the aspect of cardiac rehabilitation, one is to rely on the individualized cardiac rehabilitation prescription of the cardiac rehabilitation center, and at the same time pay attention to the family cardiac rehabilitation link, and regularly carry out health education for patients. In terms of quality control of cardiac rehabilitation, we should pay attention to the core competence of cardiac rehabilitation personnel, including risk assessment, secondary preventive medication, risk factor management and exercise consultation. At the same time, we should also pay attention to the pre job training and operation assessment of the participants. The treatment team also has a group discussion once a week.
In view of the current situation of the development of cardiac rehabilitation in China, there are still some deficiencies. In the future, we will establish multiple integrated centers for cardiac rehabilitation and prevention, from "Mastering theory", "prescription landing", "quality control", "quality promotion" to "precise rehabilitation", step by step, to make this plan well done, refined and refined, and strive to make medicine and health become a closed loop as soon as possible.