Sekundärprävention 
Koronarkranker nach stationärer Rehabilitation

Völler, Heinz; Klein, Gunnar; Gohlke, H; Dovifat, C.; Binting, Sylvia; Müller‐Nordhorn, Jacqueline; Willich, Stefan N.

doi:10.1055/s-2000-8667

Cited by 20 publications

(21 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In particular, the HAPA was applied to identify correlates of phase III CR motivation and participation 6 months after phase II CR, and predictors of CR dropout 6 months later. The rate of phase III CR participation 6 months after phase II CR was low (31%), which is in accordance with previous research (BjarnasonWehrens, Kretschmann, Lang, et al 1998;Keck and Budde 1999;Löwel, Lewis, Härtel, et al 1994;Müller-Fahrnow, Nowossadeck, Dohnke, et al 2006;Völler, Klein, Gohlke, et al 2000). An additional 13% of patients still intended to participate regularly.…”

Section: Discussionsupporting

confidence: 79%

“…in phase II CR, but only 20%-30% of phase II patients comply within the first year after discharge (e.g., Bjarnason-Wehrens, Kretschmann, Lang, et al 1998;Keck and Budde 1999;Löwel, Lewis, Härtel, et al 1994;Müller-Fahrnow, Nowossadeck, Dohnke, et al 2006;Völler, Klein, Gohlke, et al 2000). Furthermore, many of the patients who do participate later drop out (Bjarnason-Wehrens, Kretschmann, Lang, et al 1998;Budde and Keck 1999).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Motivation and Participation in a Phase III Cardiac Rehabilitation Programme: An Application of the Health Action Process Approach

Dohnke

Nowossadeck

Müller-Fahrnow

2010

Research in Sports Medicine

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 99%

Motivation and Participation in a Phase III Cardiac Rehabilitation Programme: An Application of the Health Action Process Approach

Dohnke

Nowossadeck

Müller-Fahrnow

2010

Research in Sports Medicine

View full text Add to dashboard Cite

“…Mehrere Untersuchungen haben gezeigt, dass der initiale Rehabilitationserfolg (Phase II nach WHO) hinsichtlich lebensstilabhängiger kardiovaskulärer Risikofaktoren über Jahresfrist ohne gezielte Nachsorge nicht aufrechtzuerhalten ist [21,22].…”

Section: Nachsorgeunclassified

Kardiologische Rehabilitation

Hahmann¹

2011

Herz

View full text Add to dashboard Cite

The goal of cardiac rehabilitation is to support heart patients using a multidisciplinary team in order to obtain the best possible physical and mental health and achieve long-term social reintegration. In addition to improving physical fitness, cardiac rehabilitation restores self-confidence, thus better equipping patients to deal with mental illness and improving their social reintegration ("participation"). Once the causes of disease have been identified and treated as effectively as possible, drug and lifestyle changes form the focus of cardiac rehabilitation measures. In particular diseases, rehabilitation offers the opportunity for targeted educational courses for diabetics or drug dose escalation, as well as special training for heart failure patients. A nationwide network of outpatient heart groups is available for targeted follow-up. Cardiac patients predominantly rehabilitated in follow-up rehabilitation are older and have greater morbidity than in the past; moreover, they generally come out of acute clinical care earlier and are discharged from hospital more quickly. The proportion of severely ill and multimorbid patients presents a diagnostic and therapeutic challenge in cardiac rehabilitation, although cardiac rehabilitation was not initially conceived for this patient group. The benefit of cardiac rehabilitation has been a well documented reduction in morbidity and mortality. However, hurdles remain, partly due to the patients themselves, partly due to the health insurers. Some insurance providers still refuse rehabilitation for non-ST-segment elevation infarction. In principle rehabilitation can be carried out in an inpatient or an outpatient setting. Specific allocation criteria have not yet been established, but the structure and process quality of outpatient rehabilitation should correspond to that of the inpatient setting. The choice between the two settings should be based on pragmatic criteria. Both settings should be possible for an individual patient. Cardiac rehabilitation is already focusing on older, sicker and polymorbid patients; this will become ever more the case in the future. There is still a need for future clinical research for these patients.

show abstract

“…Darüber hinaus war die Versorgung der Patienten mit einem Heimtrainer statt mit einem Stent billiger [30]. Beides trägt dazu bei, dass nach kardiovaskulären Ereignissen dieses therapeutische Prinzip zunehmend genutzt wird, so sind gegenwärtig 68,1% der Patienten nach kardiovaskulärem Ereignis mit einem β-Blocker versorgt [12].Andererseits verliert sich der Gebrauch von β-Blockern mit zunehmendem zeitlichen Abstand von der stationären Anschlussheilbehandlung [41].Auch bei β-Blockern scheint daher das präventive Potenzial nicht ganz ausgenützt zu werden.…”

Section: Bewegung Sportunclassified

“…Die Trainingseinheiten werden hingegen in der stationären bzw. ambulanten Rehabilitation erreicht -allerdings nur für 3 Wochen.Im weiteren Verlauf wird kaum noch trainiert [41]. Es gibt einzelne Bemühungen auf ehrenamtlicher Basis um eine bessere Integration des Trainings in die kardiovaskuläre Prävention [26],es ist aber unverständlich,warum ein therapeutisch so wertvolles und kostengünstiges Prinzip weitestgehend ungenutzt bleibt.…”

Section: Lipidsenkerunclassified

Kardiovaskuläre Prävention und Rehabilitation

Schacky

2003

Internist

View full text Add to dashboard Cite

The distinction between primary and secondary prevention has been abandoned in favor of cardiovascular prevention, mandating individual risk assessment. First, the individual cardiovascular risk of a person is determined by index diseases like myocardial infarction, peripheral arterial disease or other, or, if absent, by a score consisting of a number of conventional risk factors. According to current guidelines, cardiovascular prevention is indicated, as soon as the risk for fatal cardiovascular disease is > or = 5 %, equivalent to a risk for a major cardiovascular event of > or = 20 %. Non-pharmaceutical approaches are: refraining from smoking, mediterranean diet with fatty fish, physical activity and normal body weight. Blood pressure and diabetes mellitus are optimized. In addition, the following agents are used: platelet inhibitors, beta-blockers, ACE-inhibitors, statins and omega-3 fatty acids. A number of structural problems add to individual factors impeding optimal implementation of cardiovascular prevention in Germany.

show abstract

Sekundärprävention Koronarkranker nach stationärer Rehabilitation

Cited by 20 publications

References 11 publications

Motivation and Participation in a Phase III Cardiac Rehabilitation Programme: An Application of the Health Action Process Approach

Motivation and Participation in a Phase III Cardiac Rehabilitation Programme: An Application of the Health Action Process Approach

Kardiologische Rehabilitation

Kardiovaskuläre Prävention und Rehabilitation

Contact Info

Product

Resources

About