관상동맥질환 환자의 지역 기반 심장 재활 프로그램: 체계적 문헌 고찰

Community-Based Cardiac Rehabilitation Programs for Patients with Coronary Artery Disease: A Systematic Review

Purpose: This study sought to present a systematic analysis of the exercise composition and evaluation methods employed in community-based cardiac rehabilitation (CBCR) programs for patients with coronary artery disease. It aimed to provide evidence and enhance the practical applicability of the programs and improve patients’ quality of life. Methods: In accordance with the COSI model proposed by the US National Library of Medicine, a search was conducted for studies published between January 1, 2010, and October 22, 2024, using PubMed, Embase, and Cochrane databases. A total of five randomized controlled trials were selected from the retrieved studies, which commenced coverage of CBCR under Medicare Part B. The selection of the studies was based on the PRISMA guidelines and the PEDro scale. Results: The five selected studies recommended that patients in phases II and III engage in 30-60 min of moderate-to-vigorous aerobic exercises three or more times per week combined with group and leisure activities tailored to the local setting. Some studies also included monitoring using physical activity tracking devices. Program effectiveness was assessed using various metrics, including body composition, cardiopulmonary fitness, and muscle strength. Conclusion: This study offers a robust foundation for understanding the clinical efficacy, safety, and necessity of CBCR programs, providing a valuable scientific basis for future research.