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.	陈伟伟, 高润霖, 刘力生. 《中国心血管病报告2017》概要. 中国循环杂志, 2018, 33(1): 1-8.
2.	陈凛, 张珂诚. 加速康复外科与手术并发症防治. 中国实用外科杂志, 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, 许丹焰, 等. 心脏康复的适宜人群及其获益证据. 中国动脉硬化杂志, 2014, 22(7): 752-756.
6.	Butchart EG, Gohlke-Bärwolf 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, 孙雪岩. 冠状动脉移植术后心脏康复治疗的作用. 心血管康复医学杂志, 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.	温雅, 蒋晓莲, 白阳静, 等. 心脏瓣膜置换术后患者生存质量研究现状. 华西医学, 2016, 31(6): 1137-1141.
11.	章庆春, 尹海辉, 曹苗苗, 等. 运动康复结合饮食指导对心脏瓣膜置换患者术后的影响. 心血管康复医学杂志, 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.	刘华, 刘遂心, 张文亮, 等. 住院期康复治疗对心脏外科手术后患者生存质量和心理状态的影响. 中国康复医学杂志, 2017, 32(6): 676-680.
14.	胡大一. 中国心血管疾病康复/二级预防指南. 北京: 北京科学技术出版社, 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.	吴大伟. 体外循环与非体外循环下冠脉搭桥手术临床研究. 中西医结合心血管病电子杂志, 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.	冯雪, 李四维, 吴岳, 等. Ⅰ期心脏康复对冠状动脉旁路移植术后患者的短期疗效观察. 中国循环杂志, 2017, 32(4): 318-321.
25.	丁荣晶. 心脏康复评估内容与方法. 中华护理教育, 2016, 13(1): 75-77.
26.	美国心肺康复协会, 周明成, 洪怡, 译. 美国心脏康复和二级预防项目指南. 上海: 上海科学技术出版社, 2016. 176-199.
27.	Karapolat H, Durmaz B. Exercise in cardiac rehabilitation. Anadolu Kardiyol Derg, 2008, 8(1): 51-57.
28.	冯雪, 主编. 中西医结合Ⅰ期心脏康复专家共识. 北京: 人民卫生出版社, 2016. 1-2.
29.	康英, 付静, 王莉. 心外科不同手术类型术后Ⅰ期心脏康复体会. 中西医结合心血管病电子杂志, 2018, 6(21): 8-9.
30.	丁荣晶. 《稳定性冠心病心脏康复药物处方管理专家共识》解读. 中国实用内科杂志, 2016, 36(4): 284-287.
31.	李四维, 徐浩, 陈可冀. 心肺运动试验在心脏康复评估中的应用. 中国循环杂志, 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, 钱星星, 王若, 等. 心脏外科术后患者出院前6分钟步行试验结果及影响因素分析. 中华护理杂志, 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.	黎介寿. 营养支持治疗与加速康复外科. 肠外与肠内营养, 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. 中国心脏康复的现状与发展思路. 中国实用内科学杂志, 2017, 37(7): 581-582.
43.	曹小翠. 广东省25家医院Ⅰ期心脏康复开展状况调查分析. 护理学报, 2012, 19(6): 28-30.

1. 陈伟伟, 高润霖, 刘力生. 《中国心血管病报告2017》概要. 中国循环杂志, 2018, 33(1): 1-8.
2. 陈凛, 张珂诚. 加速康复外科与手术并发症防治. 中国实用外科杂志, 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, 许丹焰, 等. 心脏康复的适宜人群及其获益证据. 中国动脉硬化杂志, 2014, 22(7): 752-756.
6. Butchart EG, Gohlke-Bärwolf 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, 孙雪岩. 冠状动脉移植术后心脏康复治疗的作用. 心血管康复医学杂志, 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. 温雅, 蒋晓莲, 白阳静, 等. 心脏瓣膜置换术后患者生存质量研究现状. 华西医学, 2016, 31(6): 1137-1141.
11. 章庆春, 尹海辉, 曹苗苗, 等. 运动康复结合饮食指导对心脏瓣膜置换患者术后的影响. 心血管康复医学杂志, 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. 刘华, 刘遂心, 张文亮, 等. 住院期康复治疗对心脏外科手术后患者生存质量和心理状态的影响. 中国康复医学杂志, 2017, 32(6): 676-680.
14. 胡大一. 中国心血管疾病康复/二级预防指南. 北京: 北京科学技术出版社, 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. 吴大伟. 体外循环与非体外循环下冠脉搭桥手术临床研究. 中西医结合心血管病电子杂志, 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. 冯雪, 李四维, 吴岳, 等. Ⅰ期心脏康复对冠状动脉旁路移植术后患者的短期疗效观察. 中国循环杂志, 2017, 32(4): 318-321.
25. 丁荣晶. 心脏康复评估内容与方法. 中华护理教育, 2016, 13(1): 75-77.
26. 美国心肺康复协会, 周明成, 洪怡, 译. 美国心脏康复和二级预防项目指南. 上海: 上海科学技术出版社, 2016. 176-199.
27. Karapolat H, Durmaz B. Exercise in cardiac rehabilitation. Anadolu Kardiyol Derg, 2008, 8(1): 51-57.
28. 冯雪, 主编. 中西医结合Ⅰ期心脏康复专家共识. 北京: 人民卫生出版社, 2016. 1-2.
29. 康英, 付静, 王莉. 心外科不同手术类型术后Ⅰ期心脏康复体会. 中西医结合心血管病电子杂志, 2018, 6(21): 8-9.
30. 丁荣晶. 《稳定性冠心病心脏康复药物处方管理专家共识》解读. 中国实用内科杂志, 2016, 36(4): 284-287.
31. 李四维, 徐浩, 陈可冀. 心肺运动试验在心脏康复评估中的应用. 中国循环杂志, 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, 钱星星, 王若, 等. 心脏外科术后患者出院前6分钟步行试验结果及影响因素分析. 中华护理杂志, 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. 黎介寿. 营养支持治疗与加速康复外科. 肠外与肠内营养, 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. 中国心脏康复的现状与发展思路. 中国实用内科学杂志, 2017, 37(7): 581-582.
43. 曹小翠. 广东省25家医院Ⅰ期心脏康复开展状况调查分析. 护理学报, 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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