ORGANIZATIONAL ISSUES OF CARDIOREHABILITATION SERVICE IN RUSSIA. THE RESULTS OF PILOT PROJECT “DEVELOPMENT OF REHABILITATION SYSTEM OF CARDIOVASCULAR PATIENTS IN MEDICAL INSTITUTIONS OF RUSSIAN FEDERATION ENTITIES”

D. M. Aronov; M. G. Bubnova; S. A. Boytsov; G. Е. Ivanova; A. G. Andreev; О. L. Barbarash; V. V. Belova; V. N. Belov; B. V. Borisov; Е. V. Ivanov; I. М. Karamova; A. V. Karpukhin; V. B. Krasnitskiy; Е. S. Kyblanova; P. А. Lebedev; Е. А. Lisnyak; N. P. Lyamina; Т. N. Mizurova; О. F. Misyura; I. E. Mishina; О. V. Mischenko; S. Yu. Nikulina; N. I. Ostroushko; S. А. Poteshkina; А. S. Sidorov; А. А. Sprikut; I. S. Sukhinina; А. G. Tkacheva; S. А. Ustyugov; G. А. Chumakova

doi:10.15829/1728-8800-2016-6-4-12

ORGANIZATIONAL ISSUES OF CARDIOREHABILITATION SERVICE IN RUSSIA. THE RESULTS OF PILOT PROJECT “DEVELOPMENT OF REHABILITATION SYSTEM OF CARDIOVASCULAR PATIENTS IN MEDICAL INSTITUTIONS OF RUSSIAN FEDERATION ENTITIES”

D. M. Aronov, M. G. Bubnova, S. A. Boytsov, G. Е. Ivanova, A. G. Andreev, О. L. Barbarash, V. V. Belova, V. N. Belov, B. V. Borisov, Е. V. Ivanov, I. М. Karamova, A. V. Karpukhin, V. B. Krasnitskiy, Е. S. Kyblanova, P. А. Lebedev, Е. А. Lisnyak, N. P. Lyamina, Т. N. Mizurova, О. F. Misyura, I. E. Mishina, О. V. Mischenko, S. Yu. Nikulina, N. I. Ostroushko, S. А. Poteshkina, А. S. Sidorov, А. А. Sprikut, I. S. Sukhinina, А. G. Tkacheva, S. А. Ustyugov, G. А. Chumakova

https://doi.org/10.15829/1728-8800-2016-6-4-12

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Abstract

Aim. To analyze, how is, under the framework of the Pilot Project, organized and being conducted the improvement of work of the known departments in exact medical institutions (MI) of RF for rehabilitation of cardiovascular diseases (CVD) patients at the three steps under the current “Order of medical care and medical rehabilitation”, and how do the scientifically proven and types and methods of cardiorehabilitation (CR) being implemented, and to try to elaborate on an exact algorithm for patients course.

Material and methods. Into the Pilot Project, 17 MI included, from 13 entities of RF. For the analysis of effectiveness of organizational models of CR in MI the unified charts were developed making to assess the equality to the Order of the rehabilitation care provided to patients with CVD, of multidisciplinary team involved in care, the staff list and MI equipment. Specific charts included the units assessing the efficacy of work on three stages of CR: I stage — in resuscitation and intensive care unit or specialized cardiology department, II — in in-patient department, III — in polyclinics. The article presents data from CR analysis of Jan 2013 to Dec 2015. Results. The CR was organized at the stage I in 10 MI, stage II in 10 MI and stage III in 7 MI. By the year 2015, almost in all MI the multidisciplinary teams were shaped, including cardiologist, cardiorehabilitologist, exercise specialist, clinical psychologist, physiotherapist; the rooms for exercise were equipped, as the halls for education of patients. The start of rehabilitation process from ICU made it to decrease the remaining of patient on the bedside for 0,7 days in average (2013-2015) and for 1 day in cardiovascular department. About 67% myocardial infarction patients in average were transferred to the stage II of CR. In all MI there were educational Schools organized, and the explanatory talks with the relatives were done as well. By now, the project is on its way. Conclusion. The analysis of three-staged CR system for myocardial infarction patients according to current laws, showed significant improvement of rehabilitational activeness of the newly created multidisciplinary teams at all stages of CR, increase of the number of methods of CR and better fulfillment of those, as demonstrated the safety of proposed principals of physical rehabilitation according to the Russian clinical guidelines “Myocardial infarction with ST elevation: rehabilitation and secondary prevention” under the framework of the organizational model of CR.

Keywords

cardiovascular rehabilitation, acute myocardial infarction, organization, exercise treatment, rehabilitation stages

About the Authors

D. M. Aronov

National Research Center for Preventive Medicine
Россия

M. G. Bubnova

National Research Center for Preventive Medicine
Россия

S. A. Boytsov

National Research Center for Preventive Medicine
Россия

G. Е. Ivanova

N. I. Pirogov Russian National Research Medical University
Россия

A. G. Andreev

City Clinical Hospital № 3
Россия

О. L. Barbarash

Research Institute for Complex Issues of Cardiovascular Diseases
Россия

V. V. Belova

Ivanovo State Medical Academy
Россия

V. N. Belov

Voronezh City Clinical Hospital №3
Россия

B. V. Borisov

Republic Hospital № 2 — Center for Urgent Medical Care
Россия

Е. V. Ivanov

M. Gorky Sanitarium
Россия

I. М. Karamova

Hospital for Urgent Medical Care
Россия

A. V. Karpukhin

LLC Sanitarium Black River
Россия

V. B. Krasnitskiy

National Research Center for Preventive Medicine
Россия

Е. S. Kyblanova

M. E. Ammosov North-Eastern Federal University
Россия

P. А. Lebedev

Samara State Medical University
Россия

Е. А. Lisnyak

I. S. Berzon RMCH № 20
Россия

N. P. Lyamina

V. I. Razumovskiy Research Institute of Cardiology of Saratov Medical University
Россия

Т. N. Mizurova

Republic Cardiological Dispensary of Chuvashia Ministry of Health
Россия

О. F. Misyura

LLC Sanitarium Black River
Россия

I. E. Mishina

Ivanovo State Medical Academy
Россия

О. V. Mischenko

V. D. Seredavin Samara Regional Clinical Hospital
Россия

S. Yu. Nikulina

V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Россия

N. I. Ostroushko

Healthcare Department of Voronezh Region
Россия

S. А. Poteshkina

Research Institute for Complex Issues of Cardiovascular Diseases
Россия

А. S. Sidorov

Republic Hospital № 3
Россия

А. А. Sprikut

City Clinical Hospital № 2
Россия

I. S. Sukhinina

M. Gorky Sanitarium
Россия

А. G. Tkacheva

City Clinical Hospital № 2
Россия

S. А. Ustyugov

Regional Clinical Hospital № 1
Россия

G. А. Chumakova

Altai State Medical University
Россия

References

1. Aronov DM, Bubnova MG, Barbarash OL, et al. Russian clinical Guidelines “Acute myocardial infarction in patients presenting with ST-segment elevation: rehabilitation and secondary prevention”. Cardiosomatics 2014; Suppl.1: 4-42. Russian (Аронов Д. М., Бубнова М. Г., Барбараш О. Л. др. Российские клинические рекомендации “Острый инфаркт миокарда с подъемом сегмента ST электрокардиограммы: реабилитация и вторичная профилактика” CardioСоматика (Кардиосоматика) 2014; Приложение № 1: 4-42).

2. Bubnova MG, Kholmogorova GT, Hudjakov MB, et al. How do patients with cardiovascular diseases understand some medical terms? Preventive Medicine 2016; 2: 36-42. Russian (Бубнова М. Г., Холмогорова Г. Т., Худяков М. Б. и др. Как больные с сердечно-сосудистыми заболеваниями понимают некоторые медицинские термины? Профилактическая медицина 2016, 2: 36-42).

3. Ivanova GE, Aronov DM, Belkin AA, et al. The pilot project “Development of the medical rehabilitation system in Russian Federation. Journal of Restorative Medicine and Rehabilitation 2016; 2: 2-6. Russian (Иванова Г. Е., Аронов Д. М., Белкин А. А. др. Пилотный проект “Развитие системы медицинской реабилитации в Российской Федерации”. Вестник восстановительной медицины 2016; 2: 2-6).

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For citations:

Aronov D.M., Bubnova M.G., Boytsov S.A., Ivanova G.Е., Andreev A.G., Barbarash О.L., Belova V.V., Belov V.N., Borisov B.V., Ivanov Е.V., Karamova I.М., Karpukhin A.V., Krasnitskiy V.B., Kyblanova Е.S., Lebedev P.А., Lisnyak Е.А., Lyamina N.P., Mizurova Т.N., Misyura О.F., Mishina I.E., Mischenko О.V., Nikulina S.Yu., Ostroushko N.I., Poteshkina S.А., Sidorov А.S., Sprikut А.А., Sukhinina I.S., Tkacheva А.G., Ustyugov S.А., Chumakova G.А. ORGANIZATIONAL ISSUES OF CARDIOREHABILITATION SERVICE IN RUSSIA. THE RESULTS OF PILOT PROJECT “DEVELOPMENT OF REHABILITATION SYSTEM OF CARDIOVASCULAR PATIENTS IN MEDICAL INSTITUTIONS OF RUSSIAN FEDERATION ENTITIES”. Cardiovascular Therapy and Prevention. 2016;15(6):4-12. (In Russ.) https://doi.org/10.15829/1728-8800-2016-6-4-12

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Cardiovascular Therapy and Prevention

ORGANIZATIONAL ISSUES OF CARDIOREHABILITATION SERVICE IN RUSSIA. THE RESULTS OF PILOT PROJECT “DEVELOPMENT OF REHABILITATION SYSTEM OF CARDIOVASCULAR PATIENTS IN MEDICAL INSTITUTIONS OF RUSSIAN FEDERATION ENTITIES”

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Abstract

Keywords

About the Authors

References

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