| 英文摘要 |
Cardiac rehabilitation can alleviate the discomfort experienced by patients with heart failure and improve their quality of life. However, the cardiac rehabilitation uptake rate in the case hospital was only 22.7%. Analysis revealed that the low uptake rate was attributable to the lack of hospital-wide standards for the cardiac rehabilitation process, inadequate rehabilitation environment and health education tools, incomplete team communication records, and the lack of reminder mechanisms.
Accordingly, the goals of this project are to increase the cardiac rehabilitation uptake rate of patients with heart failure to 30% and improve their New York Heart Association (NYHA) functional classification (Fc), 6-minute walking test (6MWT) distance, and left ventricular ejection fraction (EF) scores. The following solutions were proposed: 1.Revise the standard operating procedure for cardiac rehabilitation admission. 2.Arrange on-the-job training and education for the team. 3.Plan and establish an integrated cardiac rehabilitation clinic. 4.Renovate a dedicated cardiac rehabilitation center. 5.Optimize the cardiac rehabilitation decision support tool and introduce shared decision-making. 6.Construct an information intelligent management system. The project effectively increased the rehabilitation uptake rate to 81.8% through process re-engineering, achieving a 260% improvement rate and 137% goal achievement rate. Further analysis with the t-test revealed that after 6 months of cardiac rehabilitation, considerable improvements were observed in NYHA Fc (p=.021), 6MWT distance (p=.001), and EF (p=.003) scores, which improved significantly relative to the scores before the rehabilitation. Overall, the project goals were achieved successfully, and the quality of life of patients with heart failure was improved. |
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