The Birmingham Rehabilitation Uptake Maximisation Study (BRUM). Home-based compared with hospital-based cardiac rehabilitation in a multi-ethnic population: cost-effectiveness and patient adherence

Abstract

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Análise da aderência em diferentes programas de reabilitação cardíaca: estudo preliminar

“…Estes dados iniciais corroboram com alguns estudos em que pacientes com DAC aderiram, de forma superior, às sessões de RCPM submetidos à programas baseados em domicílio, quando comparados com pacientes que realizam o tratamento em centros de reabilitação supervisionados. 11,12,[17][18][19] O alto índice de aderência do GD, pode em partes ser explicado pela habilidade de auto regulação do paciente. Em um ensaio clínico randomizado, Janseen e cols.…”

Review of Barriers to Engaging Black and Minority Ethnic Groups in Physical Activity in the United Kingdom

“…The qualitative studies employed methodologies that range from case studies to semi-structured interviews, and in-depth interviews to focus groups discussions. There were three intervention studies identified (Snape & Binks 2008;Jolly et al 2007;Carroll et al 2002), one evaluated the intervention programmes by way of a RCT (Randomised Controlled Trial) (Jolly et al 2007), while others gave case studies reports of the interventions. Sample sizes ranged from six to 175 in the qualitative studies, and from 25 to 4452 in the quantitative studies.…”

Avaliação Do Uso Da Telessaúde Aplicada a Reabilitação Cardíaca: Revisão Sistemática

“…Nos estudos de Whittakere e Wade 13 e Kraal 15 ficou constatado que ao comparar o grupo monitorado por Telessaúde a um grupo convencional de RC não houveram diferenças significativas, no entanto, ambos os grupos apresentaram melhora significativa em parametros clínicos como: índice de massa corporal, circunferência da cintura, teste de caminhada de 6 minutos, depressão e ansiedade, consumo de oxigênio (VO2), qualidade de vida e dieta, desta maneira, pode-se afirmar que a reabilitação cardíaca ofertada por Telessaúde possui vantagens óbvias e a opção deve estar disponível para todos os pacientes que são elegíveis para reabilitação cardíaca 8,10,16,17,18 .…”

“…Artigos localizados nas bases de dados Pubmed, PEDro, BVS sobre o uso da telessaúde aplicada a reabilitação cardíaca (continuação) Baker et al 17 que ao observar o efeito progressivo na RC, reforçado pela educação por telefone e aconselhamento versus uma intervenção educacional breve, ficou evidente a melhora no auto-cuidado, proporcionando um melhor conhecimento da doença, no comportamento de saúde e ainda a redução de custos como visto em outros estudos 5,10,11 . Em contrapartida, Lusignan et al 19 , ao examinar a aceitabilidade, eficácia e fiabilidade da telemonitorização domiciliar, concluiu que a telemonitorização é uma intervenção de confiança aceitável.…”

“…Uma possibilidade de aumentar a participação dos pacientes em programas de reabilitação cardíaca seria programas de reabilitação realizados no domicilio do paciente 4,5,10 .…”