心臟復健運動對心肌梗塞患者在心跳及耗氧量之統合分析

The Effect of Exercise-based Cardiac Rehabilitation on Heart Rates and Oxygen Consumption in Patients with Myocardial Infarction: A Meta-Analysis

何睿夫(Arif Nur Akhmad)

指導教授 ： 劉紋妙

中臺科技大學/護理學院/護理研究所/碩士(2017年)

摘要

The symptoms of myocardial infarction (MI) patients become worse after the cardiac events and potentially affect their morbidity and mortality. Exercise-based cardiac rehabilitation is one of the interventions to improve recovery among the MI patients. While the effect of exercise-based cardiac rehabilitation on heart rates and oxygen consumption has been confirmed, the evidence is inconclusive.
The aim of this study was to identify the best available evidence regarding the effect of exercise-based cardiac rehabilitation for heart rates and oxygen consumption in patients with myocardial infarction.
Reports on the interventions, published between year 1995 to 2016, on the four databases (Cochrane CENTRAL, Publishing Medline (PubMed), MEDLINE, and CINHIL) were used as the references. Comprehensive meta-analysis software version 3 was used to evaluate the heterogeneity of the included studies and to calculate standard mean differences (SMD) while considering effect size. The publication bias was assessed using a funnel plot visual inspection, Egger’s regression intercept test, and Fail-safe Numbers (Ns).
A total of 14 studies with 903 participants with follow-up of 3 week to 12 months were included. There was significant effect of exercise-based cardiac rehabilitation on heart rates (SMD= 1.076, SE= 0.120, 95% confidence interval (CI)= 0.841─ 1.311, p= 0.000) and oxygen consumption (SMD= 0.900, SE= 0.273, 95% confidence interval (CI)= 0.365 ─ 1.436, p= 0.001).
Exercise-based cardiac rehabilitation has a positive effect on heart rates and oxygen consumption. These results encourage future studies to consider the effect of exercise-based cardiac rehabilitation delivered in a home-based setting.

關鍵字

Exercise ； Heart Rates ； Oxygen Consumption ； Myocardial Infarction

並列摘要

The symptoms of myocardial infarction (MI) patients become worse after the cardiac events and potentially affect their morbidity and mortality. Exercise-based cardiac rehabilitation is one of the interventions to improve recovery among the MI patients. While the effect of exercise-based cardiac rehabilitation on heart rates and oxygen consumption has been confirmed, the evidence is inconclusive.
The aim of this study was to identify the best available evidence regarding the effect of exercise-based cardiac rehabilitation for heart rates and oxygen consumption in patients with myocardial infarction.
Reports on the interventions, published between year 1995 to 2016, on the four databases (Cochrane CENTRAL, Publishing Medline (PubMed), MEDLINE, and CINHIL) were used as the references. Comprehensive meta-analysis software version 3 was used to evaluate the heterogeneity of the included studies and to calculate standard mean differences (SMD) while considering effect size. The publication bias was assessed using a funnel plot visual inspection, Egger’s regression intercept test, and Fail-safe Numbers (Ns).
A total of 14 studies with 903 participants with follow-up of 3 week to 12 months were included. There was significant effect of exercise-based cardiac rehabilitation on heart rates (SMD= 1.076, SE= 0.120, 95% confidence interval (CI)= 0.841─ 1.311, p= 0.000) and oxygen consumption (SMD= 0.900, SE= 0.273, 95% confidence interval (CI)= 0.365 ─ 1.436, p= 0.001).
Exercise-based cardiac rehabilitation has a positive effect on heart rates and oxygen consumption. These results encourage future studies to consider the effect of exercise-based cardiac rehabilitation delivered in a home-based setting.

並列關鍵字

Exercise ； Heart Rates ； Oxygen Consumption ； Myocardial Infarction

參考文獻

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