中国心血管疾病患者居家康复专家共识.pdfVIP

中国心血管疾病患者居家康复专家共识 中国心血管疾病患者居家康复专家共识编写组 摘要 心脏康复已被证实可有效减少心血管疾病患者再入院率、死亡率以及心血管事件风险，并改善与健康相关的生 活质量。居家心脏康复作为门诊心脏康复的替代选择，可通过远程监护间接指导患者进行康复训练，克服了交通、 时间不便等诸多障碍，扩大了患者健康教育、康复咨询和康复监督的范围。但这种模式在中国尚刚起步，且大多数 国内机构无标准流程和实践经验参考。本专家共识从居家心脏康复管理的路径及纳入标准、核心组成部分（运动、营 养、睡眠、心理、危险因素等的管理 ）、质量评价指标、存在问题以及开展策略等方面提出初步建议，提供居家心脏 康复医疗质量与医疗安全的质控措施，供拟开展居家心脏康复的机构进行参考，提供规范服务。 关键词 心脏康复；居家心脏康复；心血管疾病；专家共识 Experts Consensus on Home-based Cardiac Rehabilitation in China Experts Consensus Group on Home-based Cardiac Rehabilitation in China. Corresponding Author: FENG Xue, Email: Abstract Cardiac rehabilitation (CR) has been shown to be effective in reducing hospital readmissions, mortality, cardiovascular events, and improving health-related quality of life in patients with cardiovascular disease (CVD). As an alternative to center- based cardiac rehabilitation, home-based cardiac rehabilitation (HBCR) can provide indirect exercise supervision to patients through remote coaching, so as to overcome many obstacles such as inconvenient transportation and time. HBCR also expand the scope of health education, rehabilitation consultation and supervision for patients. However, we have little experience with HBCR in China, and most domestic institutions have no standard procedures and reference of practical experience for HBCR. The purpose of this expert consensus is to identify the path and inclusion criteria, core components (physical activity, nutrition, sleep, psychology and risk factors management), the quality evaluation, strengths, limitations, and development strategy to guide the future delivery of HBCR in China. We hope that it can provide quality control measures and reference to institutions of HBCR to offer standardized HBCR services. Key words cardiac rehabilitation; home-based cardiac rehabilitation; cardiovascular disease; expert c