心衰竭患者之運動復健

Exercise-based Rehabilitation in Patients with Heart Failure

心衰竭病患比一般健康人或所有其他心臟疾病患者有較高的罹病率和死亡率，更是老年人中最常見的疾病。活動無耐力及身體活動的受限一直是心衰竭患者最主要的問題之一，不僅帶給患者生活上的困擾，降低生活品質，更增添照顧者的負荷。心臟復健是臨床上心衰竭重要的治療考量，更是提升活動耐力的途徑，其中又以運動復健為最主要策略。透過運動復健不僅可以增加患者的身體功能、延緩疾病的進展、降低再住院率和死亡率，甚至有效提昇患者的生活品質。因此，本文嘗試整合相關運動復健之實證資料，期能作為臨床實務之參考。

Patients with heart failure have higher overall morbidity and mortality rates than the healthy population of the same age, particularly elderly people or those suffering from other cardiovascular diseases. Activity intolerance or limitation is one of the major problems in patients with heart failure. It may not only contribute to many disturbances in daily life, lower quality of life, but even increase the burden of caregivers. Thus, cardiac rehabilitation especially exercise-based rehabilitation has been the crucial strategy for heart failure in clinics and the most effective way to improve activity tolerance. Exercise-based rehabilitation can be applied to increase functional capacity, delay the progression of disease, reduce re-admission rate or mortality rate, and even increase patients?quality of life. Therefore, in this article we tried to integrate relevant evidence-based data and provide a reference for clinical practice.