Discussion
death, TG, cardiovascular disease
EVENTS, DISEASE, SKIN CONDITION, CARDIOVASCULAR DISEASE
The technical equipment currently used in home-based telemonitored cardiac rehabilitation (HTCR) (Peak oxygen consumption, as an evaluation index of cardiopulmonary endurance, can reflect cardiovascular function to a certain extent. Studies have found that for every 1 mL/kg/min increase in peak oxygen consumption during exercise, the risk of cardiovascular disease and all-cause mortality in women and men is reduced by 14–17% (The back scratch test is a manual assessment method for assessing the flexibility of the shoulder joint and is closely related to the ability of patients to use tools in daily life. Joint flexibility is greatly influenced by body composition such as BMI, abdominal fat area, and muscle level. The results of our study revealed that there was a significant difference in the back scratch test between the two groups in the fourth week after the intervention, but there was no significant difference in the 12th week. As can be seen from Exercise training can also reduce body weight, improve lipid distribution, reduce total cholesterol levels, and significantly reduce cardiovascular risk factors. The results of our study showed that the BMI index and neck circumference of the treatment group were significantly improved compared with the control group at 12 weeks after the intervention. Although the TG, LDL, and TC values were well controlled and improved over time, there was no significant difference between the two groups, which may be related to the fact that the blood biochemical indicators of the two groups were within the normal range when they enrolled.To sum up, the standardized remote at-home cardiac rehabilitation management mode using individualized smart voice-based electronic prescription can help patients enhance muscle strength and endurance during exercise, thereby improving the patients’ cardiopulmonary function, aerobic capacity, and body mass index, as well as their self-rehabilitation management ability and treatment compliance, and can form a comprehensive and scientific long-term health management mode in which both doctors and patients actively participate and offer the possibility of tracing the true management of the disease.Problems encountered in the implementation of tele-home cardiac rehabilitation in this study: (1) Poor patient compliance: ① some patients postponed the visit time or even dropped out; ② poor compliance of patients to exercise prescription: in terms of exercise frequency and intensity, the patients either conducted excessive exercise or reduced the frequency of exercise. For patients in the treatment group, doctors could provide timely reminders and supervision through data feedback, while the control group could not receive objective feedback. ③ During the study, patients wanted to wear exercise monitoring devices to ensure their safety during exercise. However, the wearable devices had issues in terms of comfort and interference from sweat and skin conditions during exercise. (2) The shortcomings of this study are as follows: ① Limited sample size of the research participants: Although this study was a multi-center clinical study, the research time was short, and the sample size was small. In the next study, we will expand the sample size and conduct a systematic and comprehensive intervention. ② The duration of this study was 12 weeks only. Cardiovascular events, death, and hospitalization were not included as endpoints. The duration of the study will be extended to further verify the efficacy of HTCR. ③ The primary types of exercises in this study were low-intensity and medium-intensity aerobic exercises, and the types of exercises were relatively simple. Other types of exercises that are easy to perform should be included in future studies. ④ This study did not investigate satisfaction to different types of family cardiac rehabilitation. A satisfaction survey is planned to be included in future studies to better evaluate the efficacy and effectiveness of different types of cardiac rehabilitation.