cardiovascularКардиоваскулярная терапия и профилактикаCardiovascular Therapy and Prevention1728-88002619-0125«SILICEA-POLIGRAF» LLC10.15829/1728-8800-2020-2649cardiovascular-2649Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEW ARTICLESАктуальные проблемы участия и обучения кардиологических пациентов в программах кардиореабилитации и вторичной профилактикиRelevant problems of participation and education of patients in cardiac rehabilitation and secondary prevention programshttps://orcid.org/0000-0003-2250-5942БубноваМ. Г.BubnovaM. G.

Марина Геннадьевна Бубнова — Доктор медицинских наук, профессор, руководитель отдела реабилитации и вторичной профилактики сердечно-сосудистых заболеваний

spin 2134-9520

Москва

mbubnova@gnicpm.ruФГБУ “Национальный медицинский исследовательский центр терапии и профилактической медицины” Минздрава РоссииNational Research Center for Therapy and Preventive Medicine20202810202019626492649Copyright © Бубнова М.Г., 20202020Бубнова М.Г.Bubnova M.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://cardiovascular.elpub.ru/jour/article/view/2649

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.

The review discusses the participation of patients with coronary artery disease after acute myocardial infarction and revascularization surgeries in cardiac rehabilitation (CR) and secondary prevention programs. The problems of patients not being included in rehabilitation programs and the reasons for low adherence to these programs are considered. The contribution of non-drug therapy to achievement of CR and secondary prevention goals is discussed. Various strategies are proposed for involving and increasing adherence of patients to CR programs.

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The authors declare that there are no conflicts of interest present.