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長庚護理

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篇名 心衰竭患者之運動復健
卷期 23:4=80
並列篇名 Exercise-based Rehabilitation in Patients with Heart Failure
作者 林佳慧曾雯琦蔣尚霖蔣立琦
頁次 455-463
關鍵字 心衰竭心臟復健運動復健heart failurecardiac rehabilitationexercise-based rehabilitation
出刊日期 201212

中文摘要

心衰竭病患比一般健康人或所有其他心减疾病患者有較高的罹病率和死亡率,更是老年人 中最常見的疾病。活動無耐力及身體活動的受限一直是心衰竭患者最主要的問題之一,不僅帶 給患者生活上的困擾,降低生活品質,更增添照顧者的負荷。心臟復健是臨床上心衰竭重要的 治療考量,更是提升活動耐力的途徑,其中又以運動復健爲最主要策略。透過運動復健不僅可 以增加患者的身體功能、延缓疾病的進展、降低再住院率和死亡率,甚至有效提昇患者的生活 品質。因此,本文嘗試整合相關運動復健之實證資料,期能作爲臨床實務之參考。

英文摘要

Patients with heart failure have higher overall morbidity and mortality rates than the healthy population of the same age, particularly elderly people or those suffering from other cardiovascular diseases. Activity intolerance or limitation is one of the major problems in patients with heart failure. It may not only contribute to many disturbances in daily life, lower quality of life, but even increase the burden of caregivers. Thus, cardiac rehabilitation especially exercise-based rehabilitation has been the crucial strategy for heart failure in clinics and the most effective way to improve activity tolerance.Exercise-based rehabilitation can be applied to increase functional capacity, delay the progression of disease, reduce re-admission rate or mortality rate, and even increase patients’ quality of life. Therefore,in this article we tried to integrate relevant evidence-based data and provide a reference for clinical practice.

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