medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2022-17-23-29medalphabet-2747Research ArticleСтатьиПроблема приверженности больных с сердечно-сосудистыми заболеваниями в программах кардиореабилитации. Насколько это необходимо?Problem of participation ofpatients with cardio-vascular diseases in cardiac rehabilitation programs. How necessary is it?https://orcid.org/0000-0002-6180-2619КакучаяТ. Т.KakuchayaT. T.

Теа Тамазовна Какучая, д. м. н., зав. отделением

ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А. Н. Бакулева»

отделение кардиохирургического лечения и реабилитации взрослых больных с сердечной патологией

Москва

Tea T. Kakuchaya,  DM Sci (habil.), head of Dept

Dept of Cardiac Surgery and Rehabilitation of Adult Patients with Cardiac Pathology

Moscow

https://orcid.org/0000-0002-2133-9674КууларА. М.KuularA. M.

Аржана Макаровна Куулар, к. м. н., н. с.

ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии имени А. Н. Бакулева»

Москва

Arzhana M. Kuular,  PhD Med, researcher

Moscow

lebed8507@mail.ruhttps://orcid.org/0000-0003-2355-8819КазимовС. В.KazimovS. V.

Сергей Владимирович Казимов, рук. направления физиотерапии

Москва

Sergey V. Kazimov, head of Physiotherapy Dept

Moscow

Минздрав РоссииРоссияNational Medical Research Centre for Cardiovascular Surgery n. a. A. N. BakulevRussian FederationЦентр реабилитации ООО «Медскан»РоссияRehabilitation Centre ‘Medscan’Russian Federation202207092022017Кардиология. Неотложная медицина (2)2329Copyright © Какучая Т.Т., Куулар А.М., Казимов С.В., 20222022Какучая Т.Т., Куулар А.М., Казимов С.В.Kakuchaya T.T., Kuular A.M., Kazimov S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/2747

   В настоящее время перспективным является изучение влияния кардиореабилитации на риск возникновения сердечно-сосудистых событий, повторные госпитализации и смертность у пациентов с сердечно-сосудистыми заболеваниями, а именно у взрослых больных с инфарктом миокарда, стенокардией, перенесших операцию аортокоронарное шунтирования и чрескожные коронарные вмешательства. Установлено, что количество посещаемости сеансов кардиореабилитации влияет на смертность от сердечно-сосудистых заболеваний. В разных странах существует проблема низкой приверженности пациентов к посещению амбулаторных учреждений и курсов кардиореабилитации, что зависит от множества факторов. В данной статье рассматриваются вопросы участия пациентов с сердечно-сосудистыми заболеваниями в программах кардиореабилитации и поиск новых подходов для активации посещаемости курсов кардиореабилитации. Одним из сравнительно новых методов является использование мобильного телефона с соответствующим приложением для увеличения мотивации к физическим тренировкам, что, кроме клинического значения, также может стать экономически выгодным для пациентов. В целом программы кардиореабилитации не должны быть эпизодическими мероприятиями, ведь этапность и непрерывность – важные условия успешности и эффективности таких программ. Основная цель любого профилактического вмешательства – выработка устойчивых стереотипов желательного поведения (полезных привычек), которые останутся с пациентом на всю жизнь.

   Currently, it is promising to study the effect of cardiorehabilitation on the risk of cardiovascular events, re-hospitalization and mortality in patients with cardiovascular diseases, namely in adult patients with myocardial infarction, angina pectoris, who underwent coronary artery bypass grafting and percutaneous coronary interventions. It was found that the number of attendances at cardiorehabilitation sessions affects mortality from cardiovascular diseases. In different countries, there is a problem of low patient adherence to outpatient clinics and cardiorehabilitation courses, which depends on many factors. This article discusses the participation of patients with cardiovascular diseases in cardiorehabilitation programs and the search for new approaches to activate the attendance of cardiorehabilitation courses. One of the relatively new methods is the use of a mobile phone with an appropriate application to increase motivation for physical training, which, in addition to clinical significance, can also become cost-effective for patients. In general, cardiorehabilitation programs should not be episodic events, because phasing and continuity are important conditions for the success and effectiveness of such programs. The main goal of any preventive intervention is to develop stable stereotypes of desirable behavior (useful habits) that will remain with the patient for life.

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The authors declare that there are no conflicts of interest present.