Статья
Актуальные проблемы участия и обучения кардиологических пациентов в программах кардиореабилитации и вторичной профилактики
В обзоре обсуждаются вопросы участия больных ишемической болезнью сердца, перенесших острый инфаркт миокарда и оперативные вмешательства на сосудах сердца, в программах кардиореабилитации (КР) и вторичной профилактике. Рассматриваются проблемы («барьеры») не включения больных в реабилитационные программы и причины низкой приверженности этим программам. Обсуждается вклад немедикаментозной терапии в успех достижения конечных целей КР и вторичной профилактики. Предлагаются разные «направительные» стратегии для вовлечения больных в программы КР и подходы к повышению их приверженности. Особое внимание уделяется роли обучения больных в образовательных «Школах» в рамках реабилитационно-профилактических программ.
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