Turkiye Klinikleri Journal of Health Sciences

.: REVIEW
Kardiyak Rehabilitasyon Kanıta Dayalı Yaklaşımdır: Bir Sistematik Derleme
Cardiac Rehabilitation is an Evidence-Based Approach: A Systematic Review
Sultan İĞREKa, S. Ufuk YURDALANb
aÖzel Sevgi Tıp Merkezi, İstanbul, TÜRKİYE
bMarmara Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Health Sci. 2022;7(1):278-90
doi: 10.5336/healthsci.2021-82994
Article Language: TR
Full Text
ÖZET
 Bu sistematik derlemenin amacı, multidisipliner bir kardiyak rehabilitasyon programının kanıta dayalı bir yaklaşım olduğunu ortaya koymak için literatürü sistematik olarak gözden geçirmek ve araştırmaların bir araya getirilmesini sağlamaktır. Sistematik derlemede, 'Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols' bildirgesi rehber alınmıştır. Araştırma stratejisinde Embase, ScienceDirect, PEDro, Cochrane, Scopus veri tabanları kullanılmıştır. Veri tabanları 1997 yılından 25/02/2021 tarihine kadar İngilizce randomize kontrollü çalışmalar için taranmıştır. Yapılan taramalarda 'kalp hastalıkları (cardiac diseases), kardiyak rehabilitasyon (cardiac rehabilitation), kardiyak rehabilitasyon programı (cardiac rehabilitation program), multidisipliner (multidisciplinary)' anahtar kelimeleri kullanılmıştır. Derleme; kalp hastalıklarında multidisipliner bir kardiyak rehabilitasyon programı içeren, toplam 4.519 katılımcıyla kanıt değeri yüksek olan 16 randomize kontrollü çalışmayı tanımlamıştır. Bu çalışmalar doğrultusunda, kardiyak rehabilitasyonun kanıta dayalı bir yaklaşım olduğu ve kanıta dayalı yönlerinin; mortalite, morbidite, yaşam kalitesi, egzersiz kapasitesi, kardiyak risk faktörleri, hastaneye yatış ve psikolojik durum olduğu belirlenmiştir. Kardiyak rehabilitasyon programı; egzersiz, sağlık davranışı değişikliği ve eğitim, risk faktörleriyle ilgili yaşam tarzı yönetimi, psikososyal sağlık, tıbbi risk yönetimi, uzun vadeli stratejiler, denetim ve değerlendirmeyi içeren temel bileşenleri kapsamaktadır. Bu derlemeye, temel bileşenleri içeren kardiyak rehabilitasyon programlarının yer aldığı randomize kontrollü çalışmalar dâhil edilmiş ve bu çalışmalarda hastaların kardiyak rehabilitasyondan yararlanmalarını sağlamak amacıyla kapsamlı kardiyak rehabilitasyon hizmetlerinin önemi ve klinik yararlılığı vurgulanmıştır.

Anahtar Kelimeler: Kardiyovasküler sistem; kardiyak rehabilitasyon; egzersiz
ABSTRACT
 This study aims to systematically review the literature and gather academic texts to demonstrate that a multidisciplinary cardiac rehabilitation program is an evidence-based approach. The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols was taken into account as a guidebook in the systematic review. In this direction, six electronic databases were used in the search strategy. These are: Embase, ScienceDirect, PEDro, Cochrane, and Scopus. The data bases were screened for randomized controlled studies in the English language from 1997 to 25/02/2021. The following keywords were searched in the screenings: cardiac disease, cardiac rehabilitation, cardiac rehabilitation program, and multidisciplinary. The review identified 16 randomized controlled studies with high evidence value, and they consisted of 4,519 participants, including a multidisciplinary cardiac rehabilitation program in heart diseases. In the light of these studies, it is clearly understood that cardiac rehabilitation is an evidence-based approach. Its evidence-based aspects were also detected as mortality, morbidity, quality of life, exercise capacity, cardiac risk factors, hospitalization, and psychological status. The cardiac rehabilitation program covers the main components, including exercise, health behavior change and education, lifestyle management related to risk factors, psychosocial health, medical risk management, long-term strategies, supervision and evaluation. Randomized controlled studies covering cardiac rehabilitation programs involving key components were added in this review. The importance of comprehensive cardiac rehabilitation services was emphasized to enable patients to benefit from cardiac rehabilitation in these studies.

Keywords: Cardiovascular system; cardiac rehabilitation; exercise
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5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com