docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2022-21-6-6-12docru-22Research ArticleКАРДИОЛОГИЯCARDIOLOGYВозможности управления факторами кардиоваскулярного риска в телемедицинских программах кардиологической реабилитацииPossibilities of Managing Cardiovascular Risk Factors in Telemedicine Programs for Cardiac Rehabilitationhttps://orcid.org/0000-0002-5263-5409КотельниковаЕ. В.KotelnikovaE. V.

Котельникова Елена Владимировна - к. м. н., заведующая отделом профилактической кардиологии и реабилитации Научно-исследовательского института кардиологии

410012, г. Саратов, ул. Большая Казачья, д. 112

112 Bolshaya Kazachia Str., Saratov, Russian Federation 410012

kotel_elena@mail.ruhttps://orcid.org/0000-0003-0496-4504СенчихинВ. Н.SenchikhinV. N.

Сенчихин Валерий Николаевич - к. м. н., старший научный сотрудник отдела профилактической кардиологии и реабилитации Научно-исследовательского института кардиологии

410012, г. Саратов, ул. Большая Казачья, д. 112

112 Bolshaya Kazachia Str., Saratov, Russian Federation 410012

valsen@inbox.ruhttps://orcid.org/0000-0002-7755-1834ЛипчанскаяТ. П.LipchanskayaT. P.

Липчанская Татьяна Павловна - к. м. н., научный сотрудник отдела профилактической кардиологии и реабилитации Научно-исследовательского института кардиологии

410012, г. Саратов, ул. Большая Казачья, д. 112

112 Bolshaya Kazachia Str., Saratov, Russian Federation 410012

tatyanalp@yandex.ruЦарёваО. Е.TsarevaO. E.

Царёва Ольга Евгеньевна - к. м. н., заведующая клинико-диагностической лабораторией Университетской клиники № 3

410012, г. Саратов, ул. Большая Казачья, д. 112

112 Bolshaya Kazachia Str., Saratov, Russian Federation 410012

usa-reka@yandex.ruФГБОУ ВО «Саратовский государственный медицинский университет имени В.И. Разумовского» Министерства здравоохраненияРоссияFederal State Budgetary Educational Institution of Higher Education “Saratov State Medical University named after V.I. Razumovsky” of the Ministry of Healthcare of the Russian FederationRussian Federation202212022025216ТЕРАПИЯ612Copyright © Котельникова Е.В., Сенчихин В.Н., Липчанская Т.П., Царёва О.Е., 20252025Котельникова Е.В., Сенчихин В.Н., Липчанская Т.П., Царёва О.Е.Kotelnikova E.V., Senchikhin V.N., Lipchanskaya T.P., Tsareva O.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/22

Цель исследования: изучить возможности коррекции модифицируемых факторов кардиоваскулярного риска (ФКР) и удовлетворенность пациентов, по результатам 12-месячной программы телемедицинской кардиореабилитации (ТМКР).Дизайн: проспективное сравнительное исследование.Материалы и методы. Программу ТМКР завершили 28 пациентов (из них 85,7% мужчин; возраст — 55,2 ± 10,7 года) с ишемической болезнью сердца или/и артериальной гипертензией (АГ) 1–3-й cтепени, без когнитивной дисфункции и противопоказаний к реабилитации. Группу контроля составили 30 пациентов (из них 80% мужчин; возраст — 64,7 ± 6,9 года), находившихся под традиционным наблюдением. ТМКР включала офисное и дистанционное консультирование, мобильный мониторинг, использование мобильного приложения и Дневника пациента. Оценивались динамика модифицируемых ФКР (физической активности, АГ, курения, ожирения, дислипидемии, сахарного диабета) и удовлетворенность пациентов ТМКР.Результаты. После завершения ТМКР отмечалось снижение систолического артериального давления (САД) с 144 ± 15 до 130 ± 16 мм рт. ст. (р = 0,02), диастолического АД (ДАД) — с 83,6 ± 11,2 до 73,3 ± 11,3 мм рт. ст. (р = 0,03), уровня общего холестерина — с 5,3 ± 1,3 ммоль/л до 4,0 ± 1,0 ммоль/л (р = 0,02), холестерина липопротеинов низкой плотности — с 2,77 ± 0,9 до 1,9 ± 0,9 ммоль/л (р = 0,04), триглицеридов — с 1,61 ± 0,28 до 1,33 ± 0,61 ммоль/л (р = 0,01) при высокой удовлетворенности пациентов телемедицинской помощью (20,9 ± 11,2 балла).Заключение. Высокая пользовательская готовность и удовлетворенность пациентов телемедицинской помощью являются важными факторами практического внедрения современных технологий КР.

Study Objective: To study the possibilities of correcting modifiable cardiovascular risk factors (FCR) and patient satisfaction according to the results of a 12-month program of telemedicine cardiorehabilitation (TMCR).Study Design: Prospective comparative study.Materials and Methods. The TMCR program was completed by 28 patients (of which 85.7% were men; age — 55.2 ± 10.7 years) with ischemic heart disease and/or arterial hypertension (AH) of the 1st–3rd degree, without cognitive dysfunction and contraindications to rehabilitation. The control group consisted of 30 patients (of which 80% were men; age 64.7 ± 6.9 years) who were under traditional observation. TMCR included office and remote consultations, mobile monitoring, the use of a mobile application and the Patient's Diary. The dynamics of modifiable FCR (physical activity, hypertension, smoking, obesity, dyslipidemia, diabetes mellitus) and satisfaction of patients with TMCR were assessed.Study Results. After completion of TMCR, there was a decrease in systolic blood pressure (SBP) from 144 ± 15 to 130 ± 16 mm Hg (p = 0.02), diastolic blood pressure (DBP) — from 83.6 ± 11.2 to 73.3 ± 11.3 mm Hg (p = 0.03), total cholesterol level from 5.3 ± 1.3 mmol/l to 4.0 ± 1.0 mmol/l (p = 0.02), low-density lipoprotein cholesterol — from 2, 77 ± 0.9 to 1.9 ± 0.9 mmol/l (p = 0.04), triglycerides — from 1.61 ± 0.28 to 1.33 ± 0.61 mmol/l (p = 0,01) with high patient satisfaction with telemedicine care (20.9 ± 11.2 points).Conclusion. High user readiness and patient satisfaction with telemedicine care are important factors in the practical implementation of modern CR technologies.

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The authors declare that there are no conflicts of interest present.