Online education strategies in the cardiac rehabilitation of patients with coronary heart disease.

Introduction: The objective of this study was to inves tigate the impact of a blended learning strategy, utilizing the Xuexitong online educational platform, on cardiac rehabilitation (CR) for patients with coronary heart dis ease (CHD) following hospital discharge Materials and methods: Seventy CHD...

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Published in:Medicina (Buenos Aires) Vol. 86; no. 1; pp. 132 - 139
Main Authors: Cui, Shanshan, Pang, Xin, Feng, Cuina, Wang, Shiqi, Li, Xuefei
Format: Article
Published: Medicina (Buenos Aires) ene/feb2026
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        atl: Online education strategies in the cardiac rehabilitation of patients with coronary heart disease.
      aug:
        au:
          Cui, Shanshan
          Pang, Xin
          Feng, Cuina
          Wang, Shiqi
          Li, Xuefei
        affil:
          Department of General Practice, Affiliated Hospital of Hebei University, Baoding, China
          Department of Cardiology, Affiliated Hospital of Hebei University, Baoding, China
          Department of Anesthesiology, Affiliated Hospital of Hebei University, Baoding, China
      su:
        Blended learning
        Cardiac rehabilitation
        Patient compliance
        Coronary disease
        Quality of life
        Major adverse cardiovascular events
        Online education
        Disease risk factors
      sug:
        subj:
          Blended learning
          Cardiac rehabilitation
          Patient compliance
          Coronary disease
          Quality of life
          Major adverse cardiovascular events
          Online education
          Disease risk factors
      keyword:
        Cardiac rehabilita tion
        Coronary heart disease
        Patient education
        Calidad de vida
        Educación del paciente
        Enfermedad coronaria
        Rehabilitación cardíaca
      ab:
        Introduction: The objective of this study was to inves tigate the impact of a blended learning strategy, utilizing the Xuexitong online educational platform, on cardiac rehabilitation (CR) for patients with coronary heart dis ease (CHD) following hospital discharge Materials and methods: Seventy CHD patients dis charged from Hebei University Affiliated Hospital be tween July 2022 and January 2023 were randomly divided into blended and conventional education groups. Both received routine CR education before discharge. Post - discharge, the conventional group got education and supervision via WeChat, and the blended group used Xuexitong for blended education. The study compared risk factor control, cardiovascular events, quality of life, and CR compliance between the two groups pre - and post - intervention. Results: After intervention, the blended education group had a higher risk factor control rate (blood pres sure 91.4%, LDL cholesterol 91.4%, glycemia 88.6%) than the conventional group (60%, 68.6%, 51.4% respectively, p<0.01). Cardiovascular events occurred in 5 (14.3%) in the blended group and 15 (43%) in the conventional group, with a relative risk of 0.33 (0.14-0.82). The blend ed group's quality of life (81 (76-85)) was higher than the conventional group's (62 (58-66), P<0.001). Also, the blended group's CR compliance (19 (17-20)) was higher than the conventional group's (15 (13-16)) during the intervention (P<0.001). Conclusion: Applying a blended patient education strategy based on Xuexitong for patients with CHD after discharge can effectively control risk factors, reduce adverse cardiovascular events, improve quality of life, and enhance CR compliance.
        Introducción: Evaluar el efecto de una estrategia educativa combinada basada en Xuexitong sobre la re habilitación cardiaca (RC) en pacientes con enfermedad coronaria (EC) tras el alta. Materiales y métodos: Ensayo aleatorizado con 70 pacientes con EC dados de alta entre julio de 2022 y enero de 2023 en el Hospital Afiliado a la Universidad de Hebei. Ambos recibieron educación estándar de RC antes del alta. Después, el grupo convencional continuó edu cación y supervisión por WeChat; el combinado recibió educación mixta mediante Xuexitong. Se compararon control de factores de riesgo, eventos cardiovasculares, calidad de vida y cumplimiento. Resultados: La educación combinada obtuvo mayor control de la presión arterial (91.4% vs. 60%), colesterol LDL (91.4% vs. 68.6%) y glucemia (88.6% vs. 51.4%; p<0.01). Los eventos cardiovasculares fueron menores (5/35 [14.3%] vs. 15/35 [43%]; riesgo relativo 0.33; IC 95% 0.14-0.82). La calidad de vida fue superior (mediana 81 [76-85] vs. 62 [58-66]; p<0.001) y el cumplimiento de la RC aumentó (mediana 19 [17-20] vs. 15 [13-16]; p<0.001). Conclusión: Una estrategia educativa combinada basada en Xuexitong, añadida a la educación están dar, mejora el control de factores de riesgo, reduce los eventos cardiovasculares y eleva la calidad de vida y el cumplimiento de la RC en pacientes con enfermedad coronaria tras el alta.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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