Kardiyovasküler Hastalıklarda Telerehabilitasyon

Yıl 2023, Cilt: 6 Sayı: 2, 41 - 55, 30.08.2023

Kıymet Muammar

https://doi.org/10.51536/tusbad.1224858

Öz

Kardiyovasküler hastalıklar dünya çapında ana ölüm nedenidir. Yüksek ölüm oranına bağlı olarak sağlık sisteminde ekonomik yük artmaktadır. Dünya Sağlık Örgütü (DSÖ) tarafından 2016 yılında kardiyovasküler hastalıklar nedeniyle yaklaşık 17,9 milyon ölüm olduğu (%31) rapor edilmiştir. Gelişmiş ülkelerde toplumların yaşlanması ve yaşam ömrünün uzaması kardiyovasküler hastalıkların sayısını artırmaktadır. Ülkemizin nüfus yapısı halen genç nüfus olmakla birlikte gelişmekte olan ülkelere benzerdir. Kardiyovasküler hastalıklarda kardiyak rehabilitasyon mortalite ve yeniden hastaneye yatışı azaltmada maliyeti uygun çok bileşenli etkili bir müdahaledir. Kardiyak rehabilitasyonun kanıtlanmış faydalarına rağmen hastaların kardiyak rehabilitasyon programlarına katılımı düşüktür. Güncel kılavuzlar kardiyovasküler hastalıkların önlenmesinde kapsamlı kardiyak rehabilitasyona ve hastaların kardiyak rehabilitasyon programlarına katılımına odaklanmaktadır. Son yıllarda kardiyak rehabilitasyon programlarına katılımı artırmak amacıyla kardiyovasküler hastalıklarda ‘‘kardiyak telerehabilitasyon’’ modeli yeni bir strateji olarak uygulanmaktadır. Bu derlemede kardiyovasküler hastalıklarda kanıta dayalı telerehabilitasyon uygulamaları incelenmiştir. Sonuç olarak düşük ve orta riskli koroner arter hastalarında telerehabilitasyonun güvenli ve etkin olduğu, bununla birlikte yüksek riskli kardiyak hastalarda çalışmaların az ve sınırlı olduğu görülmektedir. Kardiyovasküler hastalıklarda telerehabilitasyona yönelik teknolojik yaklaşımların uzun vadeli etkinliği ve güvenliği için daha fazla çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

Kardiyak rehabilitasyon, Rehabilitasyon, Telerehabilitasyon, Teletıp

Telerehabilitation in Cardiovascular Diseases

Öz

Cardiovascular diseases are the main cause of death in worldwide. Due to the high mortality rate, the economic burden is increasing in the health system. It was reported by the World Health Organization (WHO) that there were approximately 17.9 million deaths (31%) due to cardiovascular diseases in 2016. In developed countries, the aging of societies and the prolongation of life expectancy increase the number of cardiovascular diseases. Although the population structure of our country is still young, it is similar to developing countries. Cardiac rehabilitation in cardiovascular diseases is a cost-effective multi-component intervention to reduce mortality and rehospitalization. Despite the proven benefits of cardiac rehabilitation, patient participation in cardiac rehabilitation programs is low. Current guidelines focus on comprehensive cardiac rehabilitation and patient participation in cardiac rehabilitation programs for the prevention of cardiovascular disease. In recent years ‘‘cardiac telerehabilitation’’ model in cardiovascular diseases has been implemented as new strategy to increase participation in cardiac rehabilitation programs. In this review evidence-based telerehabilitation practices in cardiovascular diseases were examined. In conclusion telerehabilitation seems to be safe and effective procedure in coronary artery patients who have low and moderate risk, however studies are few and limited in high risk cardiac patients. More studies are needed to determine the long-term efficacy and safety of the technological approaches for telerehabilitation in cardiovascular diseases.

Anahtar Kelimeler

Cardiac rehabilitation, Rehabilitation, Telerehabilitation, Telemedicine

Kaynakça

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