การฟื้นฟูสมรรถภาพหัวใจที่บ้านสำหรับผู้ป่วยโรคหลอดเลือดหัวใจ
คำสำคัญ:
การฟื้นฟูสมรรถภาพหัวใจ, การฟื้นฟูหัวใจที่บ้าน, โรคหลอดเลือดหัวใจบทคัดย่อ
โรคหลอดเลือดหัวใจส่งผลกระทบต่อผู้ป่วยในระยะยาว โดยเฉพาะอย่างยิ่งด้านสมรรถนะการทำหน้าที่ของร่างกาย การฟื้นฟูสมรรถภาพหัวใจเป็นกระบวนการทางเวชศาสตร์ฟื้นฟูที่มีเป้าหมายส่งเสริมสภาวะทางด้านร่างกายและจิตสังคมให้ผู้ป่วยโรคหลอดเลือดหัวใจสามารถกลับไปทำหน้าที่ได้มากที่สุด แม้ว่าโปรแกรมการฟื้นฟูสมรรถภาพหัวใจจะมีเป้าหมายคล้ายคลึงกันแต่มีรายละเอียดแตกต่างกันจึงทำให้รูปแบบการฟื้นฟูที่ใช้อยู่ในปัจจุบันมีความหลากหลายและมีผลลัพธ์แตกต่างกันไป บทความนี้มีวัตถุประสงค์เพื่อทบทวนองค์ความรู้เกี่ยวกับการฟื้นฟูสมรรถภาพหัวใจด้วยตนเองและผลลัพธ์ของการฟื้นฟูฯ ในผู้ป่วยโรคหลอดเลือดหัวใจ เพื่อนำไปสู่ข้อเสนอแนะในการปฏิบัติสำหรับบุคคลากรทางสุขภาพในการส่งเสริมผู้ป่วยให้ฟื้นฟูสมรรถภาพหัวใจด้วยตนเองที่บ้านอย่างมีประสิทธิภาพ
References
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[Internet]. 2019 [cited 2020 Apr 25]; 139(10):
e56-e528. Available from: http://1ab.in/oby
2. Global Health Estimates 2016: Deaths by cause, age, sex, by country and by region, 2000-2016. Geneva, Switzerland: World Health Organization [Internet]. 2018 [cited 2020 Apr 25]. Available from: http://1ab.in/oem
3. Public Health Statistics A.D. 2018. [Internet]. 2018 [cited 2020 Apr 26]. Available from:
http://1ab.in/oeo (in Thai)
4. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39(2): 119-77.
5. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD, et al.Fourth universal definition of myocardial infarction (2018). Circ 2018; 138(20): e618-e651.
6. De Vries H, Kemps HM, van Engen-Verheul MM, Kraaijenhagen RA, Peek N. Cardiac rehabilita- tion and survival in a large representative 2015;
community cohort of Dutch patients. Eur Heart J
36(24): 1519-28.
7. Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE, et al. Home-based cardiac rehabilitation. Circ 2019; 140: e69-e89.
8. Ji H, Fang L, Yuan L, Zhang Q. Effects of
exercise-based cardiac rehabilitation in patients with acute coronary syndrome: A meta-analysis. Med Sci Monit 2019; 25: 5015-27.
9. Bakker M, Uijl I, Hoeve N, Domburg RT, Geleijnse ML, Berge-Emons RJ, et al. Association between exercise capacity and health related quality of life during and after cardiac rehabilitation in ACS patients: A sub- study of the OPTICARE randomized controlled trial. Arch Phys Med Rehabil 2020; 101: 650-7.
10. Ruano-Ravina A, Pena-Gil C, Abu-Assi E, Raposeiras S, van 't Hof A, Meindersma E, et al. Participation and adherence to cardiac rehabilitation programs. A systematic review. Int J Cardiol 2016; 223: 436-43.
11. Aragam KG, Dai D, Neely ML, Bhatt DL, Roe MT, Rumsfeld JS, et al. Gaps in referral to cardiac rehabilitation of patients undergoing percutaneous coronary intervention in the United States. J Am Coll Cardiol 2015; 65(19): 2079-88.
12. Dalal HM, Doherty P, Taylo R.Cardiac rehabilitation. BMJ [Internet] 2015 [cited 2020 Apr 27]. Available from: http://1ab.in/oeC
13. Kabboul NN, Tomlinson G, Francis TA, Grace SL, Chaves G, Rac V, et al. Comparative effectiveness of the core components of cardiac rehabilitation on mortality and morbidity: A systematic review and network meta-analysis. J Clin Med [internet]. 2018 [cited 2020 Apr 28]; 7(12). Available from: http://1ab.in/oeO
14. Kim C, Sung J, Lee JH, Kim WH, Lee GJ, Jee S,
et al. Clinical practice guideline for cardiac rehabilitation in Korea. Ann Rehabil Med 2019; 43(3): S1-S89.
15. Rosa SA, Abreu A, Soares RM, Rio P, Filipe C, Rodrigues I, et al. Cardiac rehabilitation after acute coronary syndrome:do all patients derive the same benefit?. Cardiol 2017; 36(3):169-76.
16. Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease:
Cochrane systematic review and meta-analysis.
J Am Coll Cardiol 2016; 67(1): 1-12.
17. Hoeve N, Sunamura M, Stam HJ, Domburg RT, Berg-Emons RJ. A secondary analysis of data from the OPTICARE randomized controlled trial investigating the effects of extended cardiac rehabilitation on functional capacity, fatigue, and
participation in society. Clin Rehabil 2019; 33(8):
1355-66.
18. Richards SH, Anderson L, Jenkinson CE, Whalley B, Rees K, Davies P, et al. Psychological interventions for coronary heart disease. Cochrane database syst rev 2017 Apr 28; 4(4): CD002902.
19. McMahon SR, Ades PA, Thompson PD. The role of cardiac rehabilitation in patients with heart disease. Trends Cardiovasc Med 2017; 27: 420-5.
20. Elshazly A, Khorshid H, Hanna H, Ali A. Effect of exercise training on heart rate recovery in
patients post anterior myocardial infarction.
Egypt Heart J 2018; 70: 283-5.
21. Katzenberg C, Silva E, Young MJ, Gilles G. Outcomes in a community-based intensive cardiac rehabilitation program: Comparison with hospital-based and academic programs. AM J MED 2018; 131: 967-71.
22. Zheng X, Zheng Y, Ma J, Zhang M, Zhang Y, Liu X, et al. Effect of exercise-based cardiac rehab-
ilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis. Heart Lung 2019; 48: 1-7.
23. Su JJ, Yu DS. Effectiveness of eHealth cardiac
rehabilitation on health outcomes of coronary heart disease patients: a randomized controlled trial protocol. BMC Cardiovasc. Disord [internet]. 2019 [cited 2020 Apr 27]. Available from: http://1ab.in/ofc
24. Sunamura M, Hoeve N, Berg-Emons R, Boersma E, Domburg RT, Geleijnse ML. Cardiac
rehabilitation in patients with acute coronary syndrome with primary percutaneous coronary intervention is associated with improved 10-year survival. Eur Heart J 2018; 4: 168-72.
25. Turk-Adawi K, Sarrafzadegan N, Grace SL. Global availability of cardiac rehabilitation. Nat. Rev. Cardiol 2014; 11(10): 586.
26. Menezes AR, Lavie CJ, Milani RV, Forman DE, King M, Williams MA. Cardiac rehabilitation in the United States. Prog Cardiovasc Dis 2014; 56(5): 522-9.
27. Ghisi GL, Polyzotis P, Oh P, Pakosh M, Grace SL.
Physician factors affecting cardiac rehabilitation referral and patient enrollment:a systematic review. Clin Cardiol 2013; 36(6): 323-35.
28. Watanasawad P, Nateetanasamba K, Wattradul D. The effects of a supportive-educative nursing system on cardiac rehabilitation among coronary artery disease patients that have undergone percutaneous coronary intervention.Thai J Cardio-Thorac Nurs 2014; 25(2): 17-31.
29. Clark AM, King-Shier KM, Duncan A, Spaling M, Stone JA, Jaglal S, et al. Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review. Eur J Prev Cardiol 2013; 20(4): 692-700.
30. Preeyachot P. Selected factors related to cardiac rehabilitation participation among women with cardiovascular disease: Chulalongkorn Univ; 2008.
31. Clark AM, King-Shier KM, Spaling MA, Duncan AS, Stone JA, Jaglal SB, et al. Factors influencing participation in cardiac rehabilitation programmes after referral and initial attendance: qualitative systematic review and meta-synthesis. Clin Rehabil 2013; 27(10): 948-59.
32. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2016; 37(29): 2315–81.
33. Bjarnason-Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, et al. Cardiac rehabilitation in Europe: results from the Euro- pean Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17: 410-8.
34. Pelliccia A, Sharma S, Gati S, Back M, Borjesson M, Caselli S, et al. ESC scientific document group, 2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease: The task force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC). Eur Heart J 2020: 1–80.
35. American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Guidelines for cardiac rehabilitation programs. 6th ed. Champaign, IL: Human Kinetics; 2020.
36. Franklin BA, Bonzheim K, Gordon S, Timmis GC. Safety of medically supervised outpatient cardiac rehabilitation exercise therapy: a 16-year follow-up. Chest 1998 Sep; 114(3): 902-6.
37. Santiago de Araújo Pio C, Beckie TM, Varnfield M, Sarrafzadegan N, Babu AS, Baidya S, et al. Promoting patient utilization of outpatient cardiac rehabilitation: A joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation position statement. Int J Cardiol 2020 Jan 1; 298: 1-7.
38. Grace SL, Poirier P, Norris CM, Oakes GH, Somanader DS, Suskin N. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol 2014; 30(8): 945–8.
39. Grace SL, Chessex C, Arthur H, Chan S, Cyr C, Dafoe W, et al. Systematizing inpatient referral to cardiac rehabilitation 2010.J Cardiopulm Rehabil Prev 2011; 31(3): 192–9.
40. The Heart Association of Thailand Under The Royal Patronage of H.M. The King. Cardiac Rehabilitation Guideline [internet]. 2010 [cited 2020 Aug 5]. Available from: http://1ab.in/ofQ
41. Supervia M, Turk-Adawi K, Lopez-Jimenez F, Pesah E, Ding R, R. Britto R, et al. Nature of cardiac rehabilitation around the globe. EClinicalMedicine 2019; 13: 46-56.
42. Servio TC, Britto RR, De Melo Ghisi GL, Da Silva LP, Silva LDN, Lima MMO, et al. Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients. BMC Health Serv Res 2019; 19(1): 1–10.
43. Krishnamurthi N, Schopfer DW, Ahi T, Bettencourt M, Piros K, Ringer R, et al. Predictors of patient participation and completion of home-based cardiac rehabilitation in the Veterans Health Administration for patients with coronary heart disease. Am J Cardiol 2019; 123(1):19–24.
44. Lunde P, Bye A, Bergland A, Grimsmo J, Jarstad
E, Nilsson BB. Long-term follow-up with a smartphone application improves exercise capacity post cardiac rehabilitation: A randomized controlled trial. Eur J Prev Cardiol. 2020; 0(00): 1–11.
[Internet]. 2019 [cited 2020 Apr 25]; 139(10):
e56-e528. Available from: http://1ab.in/oby
2. Global Health Estimates 2016: Deaths by cause, age, sex, by country and by region, 2000-2016. Geneva, Switzerland: World Health Organization [Internet]. 2018 [cited 2020 Apr 25]. Available from: http://1ab.in/oem
3. Public Health Statistics A.D. 2018. [Internet]. 2018 [cited 2020 Apr 26]. Available from:
http://1ab.in/oeo (in Thai)
4. Ibanez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation:the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39(2): 119-77.
5. Thygesen K, Alpert JS, Jaffe AS, Chaitman BR, Bax JJ, Morrow DA, White HD, et al.Fourth universal definition of myocardial infarction (2018). Circ 2018; 138(20): e618-e651.
6. De Vries H, Kemps HM, van Engen-Verheul MM, Kraaijenhagen RA, Peek N. Cardiac rehabilita- tion and survival in a large representative 2015;
community cohort of Dutch patients. Eur Heart J
36(24): 1519-28.
7. Thomas RJ, Beatty AL, Beckie TM, Brewer LC, Brown TM, Forman DE, et al. Home-based cardiac rehabilitation. Circ 2019; 140: e69-e89.
8. Ji H, Fang L, Yuan L, Zhang Q. Effects of
exercise-based cardiac rehabilitation in patients with acute coronary syndrome: A meta-analysis. Med Sci Monit 2019; 25: 5015-27.
9. Bakker M, Uijl I, Hoeve N, Domburg RT, Geleijnse ML, Berge-Emons RJ, et al. Association between exercise capacity and health related quality of life during and after cardiac rehabilitation in ACS patients: A sub- study of the OPTICARE randomized controlled trial. Arch Phys Med Rehabil 2020; 101: 650-7.
10. Ruano-Ravina A, Pena-Gil C, Abu-Assi E, Raposeiras S, van 't Hof A, Meindersma E, et al. Participation and adherence to cardiac rehabilitation programs. A systematic review. Int J Cardiol 2016; 223: 436-43.
11. Aragam KG, Dai D, Neely ML, Bhatt DL, Roe MT, Rumsfeld JS, et al. Gaps in referral to cardiac rehabilitation of patients undergoing percutaneous coronary intervention in the United States. J Am Coll Cardiol 2015; 65(19): 2079-88.
12. Dalal HM, Doherty P, Taylo R.Cardiac rehabilitation. BMJ [Internet] 2015 [cited 2020 Apr 27]. Available from: http://1ab.in/oeC
13. Kabboul NN, Tomlinson G, Francis TA, Grace SL, Chaves G, Rac V, et al. Comparative effectiveness of the core components of cardiac rehabilitation on mortality and morbidity: A systematic review and network meta-analysis. J Clin Med [internet]. 2018 [cited 2020 Apr 28]; 7(12). Available from: http://1ab.in/oeO
14. Kim C, Sung J, Lee JH, Kim WH, Lee GJ, Jee S,
et al. Clinical practice guideline for cardiac rehabilitation in Korea. Ann Rehabil Med 2019; 43(3): S1-S89.
15. Rosa SA, Abreu A, Soares RM, Rio P, Filipe C, Rodrigues I, et al. Cardiac rehabilitation after acute coronary syndrome:do all patients derive the same benefit?. Cardiol 2017; 36(3):169-76.
16. Anderson L, Oldridge N, Thompson DR, Zwisler AD, Rees K, Martin N, et al. Exercise-based cardiac rehabilitation for coronary heart disease:
Cochrane systematic review and meta-analysis.
J Am Coll Cardiol 2016; 67(1): 1-12.
17. Hoeve N, Sunamura M, Stam HJ, Domburg RT, Berg-Emons RJ. A secondary analysis of data from the OPTICARE randomized controlled trial investigating the effects of extended cardiac rehabilitation on functional capacity, fatigue, and
participation in society. Clin Rehabil 2019; 33(8):
1355-66.
18. Richards SH, Anderson L, Jenkinson CE, Whalley B, Rees K, Davies P, et al. Psychological interventions for coronary heart disease. Cochrane database syst rev 2017 Apr 28; 4(4): CD002902.
19. McMahon SR, Ades PA, Thompson PD. The role of cardiac rehabilitation in patients with heart disease. Trends Cardiovasc Med 2017; 27: 420-5.
20. Elshazly A, Khorshid H, Hanna H, Ali A. Effect of exercise training on heart rate recovery in
patients post anterior myocardial infarction.
Egypt Heart J 2018; 70: 283-5.
21. Katzenberg C, Silva E, Young MJ, Gilles G. Outcomes in a community-based intensive cardiac rehabilitation program: Comparison with hospital-based and academic programs. AM J MED 2018; 131: 967-71.
22. Zheng X, Zheng Y, Ma J, Zhang M, Zhang Y, Liu X, et al. Effect of exercise-based cardiac rehab-
ilitation on anxiety and depression in patients with myocardial infarction: A systematic review and meta-analysis. Heart Lung 2019; 48: 1-7.
23. Su JJ, Yu DS. Effectiveness of eHealth cardiac
rehabilitation on health outcomes of coronary heart disease patients: a randomized controlled trial protocol. BMC Cardiovasc. Disord [internet]. 2019 [cited 2020 Apr 27]. Available from: http://1ab.in/ofc
24. Sunamura M, Hoeve N, Berg-Emons R, Boersma E, Domburg RT, Geleijnse ML. Cardiac
rehabilitation in patients with acute coronary syndrome with primary percutaneous coronary intervention is associated with improved 10-year survival. Eur Heart J 2018; 4: 168-72.
25. Turk-Adawi K, Sarrafzadegan N, Grace SL. Global availability of cardiac rehabilitation. Nat. Rev. Cardiol 2014; 11(10): 586.
26. Menezes AR, Lavie CJ, Milani RV, Forman DE, King M, Williams MA. Cardiac rehabilitation in the United States. Prog Cardiovasc Dis 2014; 56(5): 522-9.
27. Ghisi GL, Polyzotis P, Oh P, Pakosh M, Grace SL.
Physician factors affecting cardiac rehabilitation referral and patient enrollment:a systematic review. Clin Cardiol 2013; 36(6): 323-35.
28. Watanasawad P, Nateetanasamba K, Wattradul D. The effects of a supportive-educative nursing system on cardiac rehabilitation among coronary artery disease patients that have undergone percutaneous coronary intervention.Thai J Cardio-Thorac Nurs 2014; 25(2): 17-31.
29. Clark AM, King-Shier KM, Duncan A, Spaling M, Stone JA, Jaglal S, et al. Factors influencing referral to cardiac rehabilitation and secondary prevention programs: a systematic review. Eur J Prev Cardiol 2013; 20(4): 692-700.
30. Preeyachot P. Selected factors related to cardiac rehabilitation participation among women with cardiovascular disease: Chulalongkorn Univ; 2008.
31. Clark AM, King-Shier KM, Spaling MA, Duncan AS, Stone JA, Jaglal SB, et al. Factors influencing participation in cardiac rehabilitation programmes after referral and initial attendance: qualitative systematic review and meta-synthesis. Clin Rehabil 2013; 27(10): 948-59.
32. Piepoli MF, Hoes AW, Agewall S, Albus C, Brotons C, Catapano AL, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J 2016; 37(29): 2315–81.
33. Bjarnason-Wehrens B, McGee H, Zwisler AD, Piepoli MF, Benzer W, Schmid JP, et al. Cardiac rehabilitation in Europe: results from the Euro- pean Cardiac Rehabilitation Inventory Survey. Eur J Cardiovasc Prev Rehabil 2010; 17: 410-8.
34. Pelliccia A, Sharma S, Gati S, Back M, Borjesson M, Caselli S, et al. ESC scientific document group, 2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease: The task force on sports cardiology and exercise in patients with cardiovascular disease of the European Society of Cardiology (ESC). Eur Heart J 2020: 1–80.
35. American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). Guidelines for cardiac rehabilitation programs. 6th ed. Champaign, IL: Human Kinetics; 2020.
36. Franklin BA, Bonzheim K, Gordon S, Timmis GC. Safety of medically supervised outpatient cardiac rehabilitation exercise therapy: a 16-year follow-up. Chest 1998 Sep; 114(3): 902-6.
37. Santiago de Araújo Pio C, Beckie TM, Varnfield M, Sarrafzadegan N, Babu AS, Baidya S, et al. Promoting patient utilization of outpatient cardiac rehabilitation: A joint International Council and Canadian Association of Cardiovascular Prevention and Rehabilitation position statement. Int J Cardiol 2020 Jan 1; 298: 1-7.
38. Grace SL, Poirier P, Norris CM, Oakes GH, Somanader DS, Suskin N. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol 2014; 30(8): 945–8.
39. Grace SL, Chessex C, Arthur H, Chan S, Cyr C, Dafoe W, et al. Systematizing inpatient referral to cardiac rehabilitation 2010.J Cardiopulm Rehabil Prev 2011; 31(3): 192–9.
40. The Heart Association of Thailand Under The Royal Patronage of H.M. The King. Cardiac Rehabilitation Guideline [internet]. 2010 [cited 2020 Aug 5]. Available from: http://1ab.in/ofQ
41. Supervia M, Turk-Adawi K, Lopez-Jimenez F, Pesah E, Ding R, R. Britto R, et al. Nature of cardiac rehabilitation around the globe. EClinicalMedicine 2019; 13: 46-56.
42. Servio TC, Britto RR, De Melo Ghisi GL, Da Silva LP, Silva LDN, Lima MMO, et al. Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients. BMC Health Serv Res 2019; 19(1): 1–10.
43. Krishnamurthi N, Schopfer DW, Ahi T, Bettencourt M, Piros K, Ringer R, et al. Predictors of patient participation and completion of home-based cardiac rehabilitation in the Veterans Health Administration for patients with coronary heart disease. Am J Cardiol 2019; 123(1):19–24.
44. Lunde P, Bye A, Bergland A, Grimsmo J, Jarstad
E, Nilsson BB. Long-term follow-up with a smartphone application improves exercise capacity post cardiac rehabilitation: A randomized controlled trial. Eur J Prev Cardiol. 2020; 0(00): 1–11.
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