Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention
Background: Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabi...
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| Veröffentlicht in: | Telemedicine journal and e-health 2019-04, Vol.25 (4), p.288-293 |
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| container_title | Telemedicine journal and e-health |
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| creator | Fang, Jiaying Huang, Bin Xu, Duanmin Li, Jilin Au, William W. |
| description | Background:
Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabilitation (HBCTR) is an alternative to hospital-based or center-based cardiac rehabilitation, and is an innovative approach to enhance recovery, but the approach is seldom used in China. Our preliminary survey in Shantou, China, indicated that most CHD patients showed a positive attitude toward the HBCTR technology. Our follow-up study was focused on assessing the effect of the HBCTR program in low-risk patients after percutaneous coronary intervention (PCI).
Materials and Methods:
A two-arm randomized controlled trial was conducted at the First Affiliated Hospital of the Shantou University Medical College, China. The effectiveness of this program was measured by using blood pressure, Six-Minute Walking Test (6MWT), Fagerstrom Test for Nicotine Dependence (FTND), Cardiac Depression Scale (CDS), and SF-36 Health Survey (SF36).
Results:
A total of 80 post-PCI patients were recruited and randomly divided into two equal groups. Based upon our effort, the usual care (UC) group received paper-based CHD educational booklets and biweekly outpatient review. The HBCTR group carried out outdoor walking/jogging exercise with real-time physiological monitoring along with CHD education materials. After the 6-week intervention, the 6MWT, SF36 (PCS, MCS), FTND and CDS in both groups were found to have significantly improved compared with baseline. In addition, the improvements in SF36, FTND scores, and 6MWT distance in the HBCTR group were significantly better than those in the UC group (
p
< 0.05).
Conclusion:
Our observations indicated that the HBCTR program may be applied successfully in Chinese patients who had very little technical skills and its application may be highly cost-effective
. |
| doi_str_mv | 10.1089/tmj.2018.0064 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2101272226</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2101272226</sourcerecordid><originalsourceid>FETCH-LOGICAL-c403t-651b3498c7c1de122c5d530d192dd5e0218875c341ae3ecb1fcb1109154f3773</originalsourceid><addsrcrecordid>eNqFkU1v2zAMhoViRdu1Pe5a6LiLM1Hy5zEz-hGgQIOtd0OW6EWBLWWSEmB_ZL-3MtzuuoNAgnz0guRLyBdgK2B18y1O-xVnUK8YK_MzcgVFUWaiLJtPcy5YVpS8uiSfQ9gzxnKo-AW5FAwazoFdkb8ba91JRnNCuj4cRqNS7ix1A5X0yU2YfZcBNZVW0x84uYj0J9pg7C_aSq-NVKm8k70ZTVx-br2LTrmRGkvbnbEYkG5TC20MdD1E9HSLXh2jtOiOgbbOOyv9H7qxqXdKWFK5IeeDHAPevsdr8vpw_9o-Zc8vj5t2_ZypnImYlQX0Im9qVSnQCJyrQqedddpO6wIZh7quCiVykChQ9TCkB6yBIh9EVYlr8nWRPXj3-4ghdpMJCsdxma1LJwJecc7LhGYLqrwLwePQHbyZ0twdsG52oktOdLMT3exE4u_epY_9hPof_XH6BIgFmMvS2tFgjz7-R_YNzBuXiw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2101272226</pqid></control><display><type>article</type><title>Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Fang, Jiaying ; Huang, Bin ; Xu, Duanmin ; Li, Jilin ; Au, William W.</creator><creatorcontrib>Fang, Jiaying ; Huang, Bin ; Xu, Duanmin ; Li, Jilin ; Au, William W.</creatorcontrib><description>Background:
Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabilitation (HBCTR) is an alternative to hospital-based or center-based cardiac rehabilitation, and is an innovative approach to enhance recovery, but the approach is seldom used in China. Our preliminary survey in Shantou, China, indicated that most CHD patients showed a positive attitude toward the HBCTR technology. Our follow-up study was focused on assessing the effect of the HBCTR program in low-risk patients after percutaneous coronary intervention (PCI).
Materials and Methods:
A two-arm randomized controlled trial was conducted at the First Affiliated Hospital of the Shantou University Medical College, China. The effectiveness of this program was measured by using blood pressure, Six-Minute Walking Test (6MWT), Fagerstrom Test for Nicotine Dependence (FTND), Cardiac Depression Scale (CDS), and SF-36 Health Survey (SF36).
Results:
A total of 80 post-PCI patients were recruited and randomly divided into two equal groups. Based upon our effort, the usual care (UC) group received paper-based CHD educational booklets and biweekly outpatient review. The HBCTR group carried out outdoor walking/jogging exercise with real-time physiological monitoring along with CHD education materials. After the 6-week intervention, the 6MWT, SF36 (PCS, MCS), FTND and CDS in both groups were found to have significantly improved compared with baseline. In addition, the improvements in SF36, FTND scores, and 6MWT distance in the HBCTR group were significantly better than those in the UC group (
p
< 0.05).
Conclusion:
Our observations indicated that the HBCTR program may be applied successfully in Chinese patients who had very little technical skills and its application may be highly cost-effective
.</description><identifier>ISSN: 1530-5627</identifier><identifier>EISSN: 1556-3669</identifier><identifier>DOI: 10.1089/tmj.2018.0064</identifier><identifier>PMID: 30192210</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Aged ; Cardiac Rehabilitation - methods ; Cardiovascular Diseases - therapy ; China ; Exercise Therapy - methods ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Monitoring, Physiologic - methods ; Original Research ; Percutaneous Coronary Intervention - methods ; Remote Sensing Technology - methods ; Surveys and Questionnaires ; Telerehabilitation - methods</subject><ispartof>Telemedicine journal and e-health, 2019-04, Vol.25 (4), p.288-293</ispartof><rights>2019, Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c403t-651b3498c7c1de122c5d530d192dd5e0218875c341ae3ecb1fcb1109154f3773</citedby><cites>FETCH-LOGICAL-c403t-651b3498c7c1de122c5d530d192dd5e0218875c341ae3ecb1fcb1109154f3773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27933,27934</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30192210$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fang, Jiaying</creatorcontrib><creatorcontrib>Huang, Bin</creatorcontrib><creatorcontrib>Xu, Duanmin</creatorcontrib><creatorcontrib>Li, Jilin</creatorcontrib><creatorcontrib>Au, William W.</creatorcontrib><title>Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention</title><title>Telemedicine journal and e-health</title><addtitle>Telemed J E Health</addtitle><description>Background:
Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabilitation (HBCTR) is an alternative to hospital-based or center-based cardiac rehabilitation, and is an innovative approach to enhance recovery, but the approach is seldom used in China. Our preliminary survey in Shantou, China, indicated that most CHD patients showed a positive attitude toward the HBCTR technology. Our follow-up study was focused on assessing the effect of the HBCTR program in low-risk patients after percutaneous coronary intervention (PCI).
Materials and Methods:
A two-arm randomized controlled trial was conducted at the First Affiliated Hospital of the Shantou University Medical College, China. The effectiveness of this program was measured by using blood pressure, Six-Minute Walking Test (6MWT), Fagerstrom Test for Nicotine Dependence (FTND), Cardiac Depression Scale (CDS), and SF-36 Health Survey (SF36).
Results:
A total of 80 post-PCI patients were recruited and randomly divided into two equal groups. Based upon our effort, the usual care (UC) group received paper-based CHD educational booklets and biweekly outpatient review. The HBCTR group carried out outdoor walking/jogging exercise with real-time physiological monitoring along with CHD education materials. After the 6-week intervention, the 6MWT, SF36 (PCS, MCS), FTND and CDS in both groups were found to have significantly improved compared with baseline. In addition, the improvements in SF36, FTND scores, and 6MWT distance in the HBCTR group were significantly better than those in the UC group (
p
< 0.05).
Conclusion:
Our observations indicated that the HBCTR program may be applied successfully in Chinese patients who had very little technical skills and its application may be highly cost-effective
.</description><subject>Aged</subject><subject>Cardiac Rehabilitation - methods</subject><subject>Cardiovascular Diseases - therapy</subject><subject>China</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monitoring, Physiologic - methods</subject><subject>Original Research</subject><subject>Percutaneous Coronary Intervention - methods</subject><subject>Remote Sensing Technology - methods</subject><subject>Surveys and Questionnaires</subject><subject>Telerehabilitation - methods</subject><issn>1530-5627</issn><issn>1556-3669</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v2zAMhoViRdu1Pe5a6LiLM1Hy5zEz-hGgQIOtd0OW6EWBLWWSEmB_ZL-3MtzuuoNAgnz0guRLyBdgK2B18y1O-xVnUK8YK_MzcgVFUWaiLJtPcy5YVpS8uiSfQ9gzxnKo-AW5FAwazoFdkb8ba91JRnNCuj4cRqNS7ix1A5X0yU2YfZcBNZVW0x84uYj0J9pg7C_aSq-NVKm8k70ZTVx-br2LTrmRGkvbnbEYkG5TC20MdD1E9HSLXh2jtOiOgbbOOyv9H7qxqXdKWFK5IeeDHAPevsdr8vpw_9o-Zc8vj5t2_ZypnImYlQX0Im9qVSnQCJyrQqedddpO6wIZh7quCiVykChQ9TCkB6yBIh9EVYlr8nWRPXj3-4ghdpMJCsdxma1LJwJecc7LhGYLqrwLwePQHbyZ0twdsG52oktOdLMT3exE4u_epY_9hPof_XH6BIgFmMvS2tFgjz7-R_YNzBuXiw</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Fang, Jiaying</creator><creator>Huang, Bin</creator><creator>Xu, Duanmin</creator><creator>Li, Jilin</creator><creator>Au, William W.</creator><general>Mary Ann Liebert, Inc., publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention</title><author>Fang, Jiaying ; Huang, Bin ; Xu, Duanmin ; Li, Jilin ; Au, William W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c403t-651b3498c7c1de122c5d530d192dd5e0218875c341ae3ecb1fcb1109154f3773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Cardiac Rehabilitation - methods</topic><topic>Cardiovascular Diseases - therapy</topic><topic>China</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monitoring, Physiologic - methods</topic><topic>Original Research</topic><topic>Percutaneous Coronary Intervention - methods</topic><topic>Remote Sensing Technology - methods</topic><topic>Surveys and Questionnaires</topic><topic>Telerehabilitation - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fang, Jiaying</creatorcontrib><creatorcontrib>Huang, Bin</creatorcontrib><creatorcontrib>Xu, Duanmin</creatorcontrib><creatorcontrib>Li, Jilin</creatorcontrib><creatorcontrib>Au, William W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Telemedicine journal and e-health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fang, Jiaying</au><au>Huang, Bin</au><au>Xu, Duanmin</au><au>Li, Jilin</au><au>Au, William W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention</atitle><jtitle>Telemedicine journal and e-health</jtitle><addtitle>Telemed J E Health</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>25</volume><issue>4</issue><spage>288</spage><epage>293</epage><pages>288-293</pages><issn>1530-5627</issn><eissn>1556-3669</eissn><abstract>Background:
Medical care for the Chinese population has been focused on first-line activities, that is, therapy, but with little follow-up on treated patients. However, efficacy of therapy is highly dependent upon post-therapy recovery. For coronary heart disease (CHD), home-based cardiac telerehabilitation (HBCTR) is an alternative to hospital-based or center-based cardiac rehabilitation, and is an innovative approach to enhance recovery, but the approach is seldom used in China. Our preliminary survey in Shantou, China, indicated that most CHD patients showed a positive attitude toward the HBCTR technology. Our follow-up study was focused on assessing the effect of the HBCTR program in low-risk patients after percutaneous coronary intervention (PCI).
Materials and Methods:
A two-arm randomized controlled trial was conducted at the First Affiliated Hospital of the Shantou University Medical College, China. The effectiveness of this program was measured by using blood pressure, Six-Minute Walking Test (6MWT), Fagerstrom Test for Nicotine Dependence (FTND), Cardiac Depression Scale (CDS), and SF-36 Health Survey (SF36).
Results:
A total of 80 post-PCI patients were recruited and randomly divided into two equal groups. Based upon our effort, the usual care (UC) group received paper-based CHD educational booklets and biweekly outpatient review. The HBCTR group carried out outdoor walking/jogging exercise with real-time physiological monitoring along with CHD education materials. After the 6-week intervention, the 6MWT, SF36 (PCS, MCS), FTND and CDS in both groups were found to have significantly improved compared with baseline. In addition, the improvements in SF36, FTND scores, and 6MWT distance in the HBCTR group were significantly better than those in the UC group (
p
< 0.05).
Conclusion:
Our observations indicated that the HBCTR program may be applied successfully in Chinese patients who had very little technical skills and its application may be highly cost-effective
.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>30192210</pmid><doi>10.1089/tmj.2018.0064</doi><tpages>6</tpages></addata></record> |
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| ispartof | Telemedicine journal and e-health, 2019-04, Vol.25 (4), p.288-293 |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Cardiac Rehabilitation - methods Cardiovascular Diseases - therapy China Exercise Therapy - methods Female Follow-Up Studies Humans Male Middle Aged Monitoring, Physiologic - methods Original Research Percutaneous Coronary Intervention - methods Remote Sensing Technology - methods Surveys and Questionnaires Telerehabilitation - methods |
| title | Innovative Application of a Home-Based and Remote Sensing Cardiac Rehabilitation Protocol in Chinese Patients After Percutaneous Coronary Intervention |
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