심장재활에 필요한 시설, 장비, 인력 기준 - 대한심장재활연구회 권고안
Recommendations for Establishing Cardiac Rehabilitation Programs; Facility, Equipment and Staff - The Korean Society of Cardiac Rehabilitation (KSCR) Position Statement
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The Korean Society of Cardiac Rehabilitation (KSCR) have recommended standards for establishing cardiac rehabilitation programs in terms of facility, equipment and staff. This is the first time a statement concerning these types of standards has been issued in Korea, and presents the minimal requirements for establishing cardiac rehabilitation programs. Cardiac rehabilitation facilities should contain individual spaces for patient examination, exercise stress testing, monitoring exercise training, patient education, patient preparation, storing medical records, showers and lockers, toilets, and walking tracks. Essential equipment must include at least four sets of aerobic exercise equipment such as treadmills, bicycles, arm ergometers, step machines, and floor mats, and medical equipment such as exercise stress test for ECG with gas analysis, telemetry ECG monitoring systems, sphygmomanometers, stethoscopes, pulse oximeters, glucometers, portable oxygenators, and emergency carts with defibrillators. Hospital staff should include a medical director (a physician with a subspecialty in cardiac rehabilitation), exercise physiologist, nurse specializing in cardiac rehabilitation, exercise specialist, physical therapist, and clinical nutritionist. All should have an expertise in exercise science and be trained in basic life support or advanced cardiac life support. This statement is a recommendation by KSCR and cardiac rehabilitation council of regional cardiocerebrovascular center, and set forth the standards for facilities, equipment, and staff to set up or upgrade cardiac rehabilitation programs in Korea. These recommendations should be developed as a national standard for the establishment of cardiac rehabilitation programs, and adjusted for the current situation of the Korean medical industry through nationwide and long-term research. (J Korean Acad Rehab Med 2010; 34: 491-497)
Abstract
The Korean Society of Cardiac Rehabilitation (KSCR) have recommended standards for establishing cardiac rehabilitation programs in terms of facility, equipment and staff. This is the first time a statement concerning these types of standards has been issued in Korea, and presents the minimal requirements for establishing cardiac rehabilitation programs. Cardiac rehabilitation facilities should contain individual spaces for patient examination, exercise stress testing, monitoring exercise training, patient education, patient preparation, storing medical records, showers and lockers, toilets, and walking tracks. Essential equipment must include at least four sets of aerobic exercise equipment such as treadmills, bicycles, arm ergometers, step machines, and floor mats, and medical equipment such as exercise stress test for ECG with gas analysis, telemetry ECG monitoring systems, sphygmomanometers, stethoscopes, pulse oximeters, glucometers, portable oxygenators, and emergency carts with defibrillators. Hospital staff should include a medical director (a physician with a subspecialty in cardiac rehabilitation), exercise physiologist, nurse specializing in cardiac rehabilitation, exercise specialist, physical therapist, and clinical nutritionist. All should have an expertise in exercise science and be trained in basic life support or advanced cardiac life support. This statement is a recommendation by KSCR and cardiac rehabilitation council of regional cardiocerebrovascular center, and set forth the standards for facilities, equipment, and staff to set up or upgrade cardiac rehabilitation programs in Korea. These recommendations should be developed as a national standard for the establishment of cardiac rehabilitation programs, and adjusted for the current situation of the Korean medical industry through nationwide and long-term research. (J Korean Acad Rehab Med 2010; 34: 491-497)
참고문헌 (18)
- Brown RA, "Rehabilitation of patients with cardiovascular diseases. Report of a WHO expert committee", World Health Organ Tech Rep Ser, 270, pp.3~46 (1964)
- Wenger NK, "Cardiac rehabilitation as secondary prevention. Agency for health care policy and research and national heart, lung, and blood institute", Clin Pract Guidel Quick Ref Guide Clin, 17, pp.1~23 (1995)
- Oldridge NB, "Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials", JAMA, 260, pp.945~950 (1988)
- O'Connor GT, "An overview of randomized trials of rehabilitation with exercise after myocardial infarction", Circulation, 80, pp.234~244 (1989)
- Clark AM, "Meta- analysis: secondary prevention programs for patients with coronary artery disease", Ann Intern Med, 143, pp.659~672 (2005)
- Thomas RJ, "National survey on gender differences in cardiac rehabilitation programs. Patient characteristics and enrollment patterns", J Cardiopulm Rehabil, 16, pp.402~412 (1996)
- Cortes O, "Determinants of referral to cardiac rehabilitation programs in patients with coronary artery disease: a systematic review", Am Heart J, 151, pp.249~256 (2006)
- 김철, "심장병 환자들의 심장재활 참여제한 요인", Annals of Rehabilitation Medicine, 26(6), pp.790~796 (2002), 대한재활의학회
- American Association of Cardiovascular and Pulmonary Rehabilitation, "Guidelines for cardiac rehabilitation and secondary prevention programs", pp.177~205 (2004), Human Kinetics Publishers
- Myers J, "Recommendations for clinical exercise laboratories: a scientific statement from the american heart association", Circulation, 119, pp.3144~3161 (2009)
- Goble AJ, "Best practice guidelines for cardiac rehabilitation and secondary prevention" (1999), Department of Human Services Victoria
- Scottish Intercollegiate Guidelines Network, "A national clinical guideline. Cardiac rehabilitation" (2002), British Association of Cardiac Rehabilitation
- Balady GJ, "Core components of cardiac rehabilitation", secondary prevention programs: 2007 update: a scientific statement from the american heart association exercise, cardiac rehabilitation, and prevention committee, the council on clinical cardiology; the councils on cardiovascular nursing, epidemiology and prevention, and nutrition, physical activity, and metabolism; and the american association of cardiovascular and pulmonary rehabilitation, 2007, pp.27, 121~129
- Perloff D, "Human blood pressure determination by sphygmomanometry", Circulation, 88, pp.2460~2470 (1993)
- Sullivan M, "The reproducibility of hemodynamic, electrocardiographic, and gas exchange data during treadmill exercise in patients with stable angina pectoris", Chest, 86, pp.375~382 (1984)
- Marburger CT, "Reproducibility of cardiopulmonary exercise testing in elderly patients with congestive heart failure", Am J Cardiol, 82, pp.905~909 (1998)
- Jolliffe J, "A report on the clinical and cost effectiveness of physiotherapy in cardiac rehabilitation" (2000), National Service Framework for Coronary Heart Disease
- King ML, "Medical director responsibilities for outpatient cardiac rehabilitation", secondary prevention programs. A statement for healthcare professionals from the american association for cardiovascular and pulmonary rehabilitation and the american heart association, 2005, pp.25, 315~320
