Current status of early cardiac rehabilitation management after cardiac surgery in China_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 LI Juan , KANG Ying , ZHANG Lan , BAI Xue

Beijing GM Rehabilitation Clinic, Beijing, 100029, P.R.China;

Corresponding?author：

LI Juan, Email: zhenxi05@163.com

Keywords：

Cardiac surgery; early rehabilitation; current status

DOI：

10.7507/1007-4848.201812009

Video：

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Cardiac rehabilitation can safely and effectively improve the quality of patient's life and reduce readmission rate and mortality after cardiac surgery. Early cardiac rehabilitation after cardiac surgery is an indispensable part of cardiac rehabilitation. It can speed up the recovery of patient's exercise endurance, prevention of postoperative complications, shorten the time of returning to the family, increase the confidence of sustained rehabilitation, and lay foundation and set rehabilitation targets for the later stage of cardiac rehabilitation. This paper reviews the development history of early cardiac rehabilitation after cardiac surgery, and summarizes the current status, problems and outlook of rehabilitation management in China.

Citation： LI Juan, KANG Ying, ZHANG Lan, BAI Xue. Current status of early cardiac rehabilitation management after cardiac surgery in China. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(9): 910-915. doi: 10.7507/1007-4848.201812009 Copy

1.	陳偉偉, 高潤霖, 劉力生. 《中國心血管病報告2017》概要. 中國循環雜志, 2018, 33(1): 1-8.
2.	陳凜, 張珂誠. 加速康復外科與手術并發癥防治. 中國實用外科雜志, 2017, 24(1): 329-331.
3.	Zhou W, Liu GH, Yang SH, et al. Low-intensity treadmill exercise promotes rat dorsal wound healing. J Huazhong Univ Sci Technolog Med Sci, 2016, 36(1): 121-126.
4.	Leosco D, Rengo G, Iaccarino G, et al. Prior exercise improves age-dependent vascular endothelial growth factor downregulation and angiogenesis responses to hind-limb ischemia in old rats. J Gerontol A Biol Sci Med Sci, 2007, 62(5): 471-480.
5.	郭媛, 彭然, 許丹焰, 等. 心臟康復的適宜人群及其獲益證據. 中國動脈硬化雜志, 2014, 22(7): 752-756.
6.	Butchart EG, Gohlke-B?rwolf C, Antunes MJ, et al. Recommendations for the management of patients after heart valve surgery. Eur Heart J, 2005, 26(22): 2463-2471.
7.	Hirschhorn AD, Richards D, Mungovan SF, et al. Supervised moderate intensity exercise improves distance walked at hospital discharge following coronary artery bypass graft surgery--a randomised controlled trial. Heart Lung Circ, 2008, 17(2): 129-138.
8.	高明宇, 孫雪巖. 冠狀動脈移植術后心臟康復治療的作用. 心血管康復醫學雜志, 2013, 22(2): 189-192.
9.	Winkelmann ER, Dallazen F, Bronzatti AB, et al. Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase. Rev Bras Cir Cardiovasc, 2015, 30(1): 40-48.
10.	溫雅, 蔣曉蓮, 白陽靜, 等. 心臟瓣膜置換術后患者生存質量研究現狀. 華西醫學, 2016, 31(6): 1137-1141.
11.	章慶春, 尹海輝, 曹苗苗, 等. 運動康復結合飲食指導對心臟瓣膜置換患者術后的影響. 心血管康復醫學雜志, 2017, 26(1): 16-20.
12.	de Macedo RM, Faria-Neto JR, Costantini CO, et al. Phase Ⅰ of cardiac rehabilitation: A new challenge for evidence based physiotherapy. World J Cardiol, 2011, 3(7): 248-255.
13.	劉華, 劉遂心, 張文亮, 等. 住院期康復治療對心臟外科手術后患者生存質量和心理狀態的影響. 中國康復醫學雜志, 2017, 32(6): 676-680.
14.	胡大一. 中國心血管疾病康復/二級預防指南. 北京: 北京科學技術出版社, 2015.
15.	de Pablo Zarzosa C, Maroto Montero JM. Informed consent in cardiac rehabilitation. Rev Esp Cardiol, 1999, 52(5): 362-363.
16.	Piepoli MF, Corrà U, Benzer W, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil, 2010, 17(1): 1-17.
17.	Piepoli MF, Conraads V, Corrà U, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail, 2011, 13(4): 347-357.
18.	Leon AS, Franklin BA, Costa F, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 2005, 111(3): 369-376.
19.	Suaya JA, Shepard DS, Normand SL, et al. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation, 2007, 116(15): 1653-1662.
20.	Proudfoot C, Thow M, Rafferty DA. UK survey of phase 1 cardiac rehabilitation for patients with acute coronary syndrome. Physiotherapy, 2007, 93(3): 183-188.
21.	吳大偉. 體外循環與非體外循環下冠脈搭橋手術臨床研究. 中西醫結合心血管病電子雜志, 2017, 5(31): 87-88.
22.	Hsu CJ, Chen SY, Su S, et al. The effect of early cardiac rehabilitation on health-related quality of life among heart transplant recipients and patients with coronary artery bypass graft surgery. Transplant Proc, 2011, 43(7): 2714-2717.
23.	Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients. J Cardiovasc Nurs, 2009, 24(6): 454-464.
24.	馮雪, 李四維, 吳岳, 等. Ⅰ期心臟康復對冠狀動脈旁路移植術后患者的短期療效觀察. 中國循環雜志, 2017, 32(4): 318-321.
25.	丁榮晶. 心臟康復評估內容與方法. 中華護理教育, 2016, 13(1): 75-77.
26.	美國心肺康復協會, 周明成, 洪怡, 譯. 美國心臟康復和二級預防項目指南. 上海: 上海科學技術出版社, 2016. 176-199.
27.	Karapolat H, Durmaz B. Exercise in cardiac rehabilitation. Anadolu Kardiyol Derg, 2008, 8(1): 51-57.
28.	馮雪, 主編. 中西醫結合Ⅰ期心臟康復專家共識. 北京: 人民衛生出版社, 2016. 1-2.
29.	康英, 付靜, 王莉. 心外科不同手術類型術后Ⅰ期心臟康復體會. 中西醫結合心血管病電子雜志, 2018, 6(21): 8-9.
30.	丁榮晶. 《穩定性冠心病心臟康復藥物處方管理專家共識》解讀. 中國實用內科雜志, 2016, 36(4): 284-287.
31.	李四維, 徐浩, 陳可冀. 心肺運動試驗在心臟康復評估中的應用. 中國循環雜志, 2017, 32(4): 331-333.
32.	Granger CL, Parry SM, Edbrooke L, et al. Deterioration in physical activity and function differs according to treatment type in non-small cell lung cancer - future directions for physiotherapy management. Physiotherapy, 2016, 102(3): 256-263.
33.	高墨涵, 錢星星, 王若, 等. 心臟外科術后患者出院前6分鐘步行試驗結果及影響因素分析. 中華護理雜志, 2018, 53(4): 428-432.
34.	Casillas JM, Hannequin A, Besson D, et al. Walking tests during the exercise training: specific use for the cardiac rehabilitation. Ann Phys Rehabil. Med, 2013, 56(7-8): 561-575.
35.	Katona PG, McLean M, Dighton DH, et al. Sympathetic and parasympathetic cardiac control in athletes and nonathletes at rest. J Appl Physiol Respir Environ Exerc Physiol, 1982, 52(6): 1652-1657.
36.	Carter JB, Banister EW, Blaber AP. Effect of endurance exercise on autonomic control of heart rate. Sports Med, 2003, 33(1): 33-46.
37.	Lucini D, Milani RV, Costantino G, et al. Effects of cardiac rehabilitation and exercise training on autonomic regulation in patients with coronary artery disease. Am Heart J, 2002, 143(6): 977-983.
38.	黎介壽. 營養支持治療與加速康復外科. 腸外與腸內營養, 2015, 22(2): 65-67.
39.	Mehrabani S, Mohammadifard N, Mehrabani S, et al. The effect of nutrition consultation on dietary diversity score of cardiac patients referred to cardiac rehabilitation research center Isfahan Cardiovascular Research Institute during 2008-2013. Int J Prev Med, 2016, 7: 121.
40.	Sharif F, Shoul A, Janati M, et al. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord, 2012, 12: 40.
41.	Boggon R, Timmis A, Hemingway H, et al. Smoking cessation interventions following acute coronary syndrome: a missed opportunity? Eur J Prev Cardiol, 2014, 21(6): 767-773.
42.	胡大一. 中國心臟康復的現狀與發展思路. 中國實用內科學雜志, 2017, 37(7): 581-582.
43.	曹小翠. 廣東省25家醫院Ⅰ期心臟康復開展狀況調查分析. 護理學報, 2012, 19(6): 28-30.

1. 陳偉偉, 高潤霖, 劉力生. 《中國心血管病報告2017》概要. 中國循環雜志, 2018, 33(1): 1-8.
2. 陳凜, 張珂誠. 加速康復外科與手術并發癥防治. 中國實用外科雜志, 2017, 24(1): 329-331.
3. Zhou W, Liu GH, Yang SH, et al. Low-intensity treadmill exercise promotes rat dorsal wound healing. J Huazhong Univ Sci Technolog Med Sci, 2016, 36(1): 121-126.
4. Leosco D, Rengo G, Iaccarino G, et al. Prior exercise improves age-dependent vascular endothelial growth factor downregulation and angiogenesis responses to hind-limb ischemia in old rats. J Gerontol A Biol Sci Med Sci, 2007, 62(5): 471-480.
5. 郭媛, 彭然, 許丹焰, 等. 心臟康復的適宜人群及其獲益證據. 中國動脈硬化雜志, 2014, 22(7): 752-756.
6. Butchart EG, Gohlke-B?rwolf C, Antunes MJ, et al. Recommendations for the management of patients after heart valve surgery. Eur Heart J, 2005, 26(22): 2463-2471.
7. Hirschhorn AD, Richards D, Mungovan SF, et al. Supervised moderate intensity exercise improves distance walked at hospital discharge following coronary artery bypass graft surgery--a randomised controlled trial. Heart Lung Circ, 2008, 17(2): 129-138.
8. 高明宇, 孫雪巖. 冠狀動脈移植術后心臟康復治療的作用. 心血管康復醫學雜志, 2013, 22(2): 189-192.
9. Winkelmann ER, Dallazen F, Bronzatti AB, et al. Analysis of steps adapted protocol in cardiac rehabilitation in the hospital phase. Rev Bras Cir Cardiovasc, 2015, 30(1): 40-48.
10. 溫雅, 蔣曉蓮, 白陽靜, 等. 心臟瓣膜置換術后患者生存質量研究現狀. 華西醫學, 2016, 31(6): 1137-1141.
11. 章慶春, 尹海輝, 曹苗苗, 等. 運動康復結合飲食指導對心臟瓣膜置換患者術后的影響. 心血管康復醫學雜志, 2017, 26(1): 16-20.
12. de Macedo RM, Faria-Neto JR, Costantini CO, et al. Phase Ⅰ of cardiac rehabilitation: A new challenge for evidence based physiotherapy. World J Cardiol, 2011, 3(7): 248-255.
13. 劉華, 劉遂心, 張文亮, 等. 住院期康復治療對心臟外科手術后患者生存質量和心理狀態的影響. 中國康復醫學雜志, 2017, 32(6): 676-680.
14. 胡大一. 中國心血管疾病康復/二級預防指南. 北京: 北京科學技術出版社, 2015.
15. de Pablo Zarzosa C, Maroto Montero JM. Informed consent in cardiac rehabilitation. Rev Esp Cardiol, 1999, 52(5): 362-363.
16. Piepoli MF, Corrà U, Benzer W, et al. Secondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Cardiovasc Prev Rehabil, 2010, 17(1): 1-17.
17. Piepoli MF, Conraads V, Corrà U, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail, 2011, 13(4): 347-357.
18. Leon AS, Franklin BA, Costa F, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American association of Cardiovascular and Pulmonary Rehabilitation. Circulation, 2005, 111(3): 369-376.
19. Suaya JA, Shepard DS, Normand SL, et al. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation, 2007, 116(15): 1653-1662.
20. Proudfoot C, Thow M, Rafferty DA. UK survey of phase 1 cardiac rehabilitation for patients with acute coronary syndrome. Physiotherapy, 2007, 93(3): 183-188.
21. 吳大偉. 體外循環與非體外循環下冠脈搭橋手術臨床研究. 中西醫結合心血管病電子雜志, 2017, 5(31): 87-88.
22. Hsu CJ, Chen SY, Su S, et al. The effect of early cardiac rehabilitation on health-related quality of life among heart transplant recipients and patients with coronary artery bypass graft surgery. Transplant Proc, 2011, 43(7): 2714-2717.
23. Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients. J Cardiovasc Nurs, 2009, 24(6): 454-464.
24. 馮雪, 李四維, 吳岳, 等. Ⅰ期心臟康復對冠狀動脈旁路移植術后患者的短期療效觀察. 中國循環雜志, 2017, 32(4): 318-321.
25. 丁榮晶. 心臟康復評估內容與方法. 中華護理教育, 2016, 13(1): 75-77.
26. 美國心肺康復協會, 周明成, 洪怡, 譯. 美國心臟康復和二級預防項目指南. 上海: 上海科學技術出版社, 2016. 176-199.
27. Karapolat H, Durmaz B. Exercise in cardiac rehabilitation. Anadolu Kardiyol Derg, 2008, 8(1): 51-57.
28. 馮雪, 主編. 中西醫結合Ⅰ期心臟康復專家共識. 北京: 人民衛生出版社, 2016. 1-2.
29. 康英, 付靜, 王莉. 心外科不同手術類型術后Ⅰ期心臟康復體會. 中西醫結合心血管病電子雜志, 2018, 6(21): 8-9.
30. 丁榮晶. 《穩定性冠心病心臟康復藥物處方管理專家共識》解讀. 中國實用內科雜志, 2016, 36(4): 284-287.
31. 李四維, 徐浩, 陳可冀. 心肺運動試驗在心臟康復評估中的應用. 中國循環雜志, 2017, 32(4): 331-333.
32. Granger CL, Parry SM, Edbrooke L, et al. Deterioration in physical activity and function differs according to treatment type in non-small cell lung cancer - future directions for physiotherapy management. Physiotherapy, 2016, 102(3): 256-263.
33. 高墨涵, 錢星星, 王若, 等. 心臟外科術后患者出院前6分鐘步行試驗結果及影響因素分析. 中華護理雜志, 2018, 53(4): 428-432.
34. Casillas JM, Hannequin A, Besson D, et al. Walking tests during the exercise training: specific use for the cardiac rehabilitation. Ann Phys Rehabil. Med, 2013, 56(7-8): 561-575.
35. Katona PG, McLean M, Dighton DH, et al. Sympathetic and parasympathetic cardiac control in athletes and nonathletes at rest. J Appl Physiol Respir Environ Exerc Physiol, 1982, 52(6): 1652-1657.
36. Carter JB, Banister EW, Blaber AP. Effect of endurance exercise on autonomic control of heart rate. Sports Med, 2003, 33(1): 33-46.
37. Lucini D, Milani RV, Costantino G, et al. Effects of cardiac rehabilitation and exercise training on autonomic regulation in patients with coronary artery disease. Am Heart J, 2002, 143(6): 977-983.
38. 黎介壽. 營養支持治療與加速康復外科. 腸外與腸內營養, 2015, 22(2): 65-67.
39. Mehrabani S, Mohammadifard N, Mehrabani S, et al. The effect of nutrition consultation on dietary diversity score of cardiac patients referred to cardiac rehabilitation research center Isfahan Cardiovascular Research Institute during 2008-2013. Int J Prev Med, 2016, 7: 121.
40. Sharif F, Shoul A, Janati M, et al. The effect of cardiac rehabilitation on anxiety and depression in patients undergoing cardiac bypass graft surgery in Iran. BMC Cardiovasc Disord, 2012, 12: 40.
41. Boggon R, Timmis A, Hemingway H, et al. Smoking cessation interventions following acute coronary syndrome: a missed opportunity? Eur J Prev Cardiol, 2014, 21(6): 767-773.
42. 胡大一. 中國心臟康復的現狀與發展思路. 中國實用內科學雜志, 2017, 37(7): 581-582.
43. 曹小翠. 廣東省25家醫院Ⅰ期心臟康復開展狀況調查分析. 護理學報, 2012, 19(6): 28-30.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Current status of early cardiac rehabilitation management after cardiac surgery in China

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