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”
https://doi.org/10.15829/1728-8800-2016-6-4-12
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.
About the Authors
D. M. Aronov
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
M. G. Bubnova
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
S. A. Boytsov
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
G. Е. Ivanova
N. I. Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
A. G. Andreev
City Clinical Hospital № 3
Russian Federation
Russian Federation
О. L. Barbarash
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
V. V. Belova
Ivanovo State Medical Academy
Russian Federation
Russian Federation
V. N. Belov
Voronezh City Clinical Hospital №3
Russian Federation
Russian Federation
B. V. Borisov
Republic Hospital № 2 — Center for Urgent Medical Care
Russian Federation
Russian Federation
Е. V. Ivanov
M. Gorky Sanitarium
Russian Federation
Russian Federation
I. М. Karamova
Hospital for Urgent Medical Care
Russian Federation
Russian Federation
A. V. Karpukhin
LLC Sanitarium Black River
Russian Federation
Russian Federation
V. B. Krasnitskiy
National Research Center for Preventive Medicine
Russian Federation
Russian Federation
Е. S. Kyblanova
M. E. Ammosov North-Eastern Federal University
Russian Federation
Russian Federation
P. А. Lebedev
Samara State Medical University
Russian Federation
Russian Federation
Е. А. Lisnyak
I. S. Berzon RMCH № 20
Russian Federation
Russian Federation
N. P. Lyamina
V. I. Razumovskiy Research Institute of Cardiology of Saratov Medical University
Russian Federation
Russian Federation
Т. N. Mizurova
Republic Cardiological Dispensary of Chuvashia Ministry of Health
Russian Federation
Russian Federation
О. F. Misyura
LLC Sanitarium Black River
Russian Federation
Russian Federation
I. E. Mishina
Ivanovo State Medical Academy
Russian Federation
Russian Federation
О. V. Mischenko
V. D. Seredavin Samara Regional Clinical Hospital
Russian Federation
Russian Federation
S. Yu. Nikulina
V. F. Voino-Yasenetsky Krasnoyarsk State Medical University
Russian Federation
Russian Federation
N. I. Ostroushko
Healthcare Department of Voronezh Region
Russian Federation
Russian Federation
S. А. Poteshkina
Research Institute for Complex Issues of Cardiovascular Diseases
Russian Federation
Russian Federation
А. S. Sidorov
Republic Hospital № 3
Russian Federation
Russian Federation
А. А. Sprikut
City Clinical Hospital № 2
Russian Federation
Russian Federation
I. S. Sukhinina
M. Gorky Sanitarium
Russian Federation
Russian Federation
А. G. Tkacheva
City Clinical Hospital № 2
Russian Federation
Russian Federation
S. А. Ustyugov
Regional Clinical Hospital № 1
Russian Federation
Russian Federation
G. А. Chumakova
Altai State Medical University
Russian Federation
Russian Federation
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).
Review
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
Views:
1136
Email this article 
