Functionality and learning of a post-infarction rehabilitation device: The perspective of rehabilitation nurses
DOI:
https://doi.org/10.12707/RV21032Keywords:
rehabilitation nursing, myocardial infarction, cardiac rehabilitation, technological development and innovation projectsAbstract
Background: Cardiovascular diseases are one of the leading causes of death and disability in Portugal. The development of rehabilitation devices is crucial for the promotion of functional recovery.
Objectives: To describe the two Ablefit prototypes in terms of functionality and learning for postinfarction patients.
Methodology: Qualitative research using focus groups. A convenience was composed of nurse specialists in rehabilitation.
Results: The study included 16 participants. The prototypes are distinct in functionality: the beta allows for greater resistance variation and progressive exercise programs. The biofeedback feature allows adapting the program to the user and facilitates returning home. The cycloergometer for the lower limbs included in the alpha is a significant advantage and should be improved.
Conclusion: The alpha prototype has fewer functional characteristics and lower ease of use than the beta, limiting the variety of exercise resistance and being incapable of monitoring physiological parameters. The biofeedback feature should be explored in future prototypes.
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References
Bardin, L. (2016). Análise de conteúdo. Almedina Brasil.
Brown, C. J., Peel, C., Bamman, M. M., & Allman, R. M. (2006). Exercise program implementation proves not feasible during acute care hospitalization. Journal of Rehabilitation Research & Development, 43(7), 939-946. https://doi.org/10.1682/jrrd.2006.04.0034
Brysiewicz, P., Hughes, T. L., & McCreary, L. L. (2015). Promoting innovation in global nursing practice. Rwanda Journal Series F: Medicine and Health Sciences, 2(2), 41-45. https://doi.org/10.4314/rj.v2i2.7F
Chau, K. Y., Lam, M. H., Cheung, M. L., Tso, E. K., Flint, S. W., Broom, D. R., Tse, G., & Lee, K. Y. (2019). Smart technology for healthcare: Exploring the antecendents of adoption intention of healthcare wearable technology. Health Psychology Research, 7(1), 33-39. https://doi.org/10.4081/hpr.2019.8099
Claes, J., Buys, R., Woods, C., Briggs, A., Geue, C., Aitken, M., Moyna, N., Moran, K., McCaffrey, N., Chouvarda, I., Walsh, D., Budts, W., Filos, D., Triantafyllidis, A., Maglaveras, N., & Cornelissen, V. (2017). PATHway I: Design and rationale for the investigation of the feasibility, clinical effectiveness and cost-effectiveness of a technology-enabled cardiac rehabilitation platform. BMJ Open, 7, e016781. https://doi.org/10.1136/bmjopen-2017-016781
Direção-Geral da Saúde. (2017). Programa Nacional para as Doenças Cérebro-Cardiovasculares. https://www.dgs.pt/ficheiros-de-upload-2013/aaaaaaaaaaa_pndccv-2017-temp-pdf.aspx
Giggins, O. M., Persson, U. M., & Caulfield, B. (2013). Biofeedback in rehabilitation. Journal of NeuroEngineering and Rehabilitation, 10(60). https://doi.org/10.1186/1743-0003-10-60
Jarvis, S., & Saman, S. (2017). Diagnosis, management and nursing care in acute coronary syndrome. Nursing Times [Online], 113(3), 31-15. https://www.nursingtimes.net/clinical-archive/cardiovascular-clinical-archive/diagnosis-management-and-nursing-care-in-acute-coronary-syndrome-13-02-2017/
Lara, J. S., Casas, J., Aguirre, A., Munera, M., Rincon-Roncancio, M., Irfan, B., Senft, E., Belpaemne, R., & Cifuentes, C. A. (2017, july 17-20). Human-robot sensor interface for cardiac rehabilitation. In F. Amirabdollahian, E. Burdet & L. Masi (Eds.), 2017 International Conference on Rehabilitation Robotics (ICORR), London, England (pp. 1013-1018). https://doi.org/10.1109/ICORR.2017.8009382
Lopes, J. S., Machado, A. F., Micheletti, J. K., Almeida, A. C., Cavina, A. P., & Pastre, C. M. (2019). Effects of training with elastic resistance versus conventional resistance on muscular strength: A systematic review and meta-analysis. SAGE Open Medicine, 7, 2050312119831116. https://doi.org/10.1177/2050312119831116
Mampuya, W. M. (2012). Cardiac rehabilitation past, present and future: An overview. Cardiovascular Diagnosis & Therapy, 2(1), 38-49. https://doi.org/10.3978/j.issn.2223-3652.2012.01.02
Mytinger, M., Nelson, R. K., & Zuhl, M. (2020). Exercise prescription guidelines for cardiovascular disease patients in the absence of a baseline stress test. Journal of Cardiovascular Development and Disease, 7(15), 15. https://doi.org/10.3390/jcdd7020015
Ordem dos Enfermeiros. (2020). Guia orientador de boa prática em enfermagem de reabilitação: Reabilitação cardíaca. https://www.flipsnack.com/ordemenfermeiros/gobper/full-view.html
Potter, P. A., & Perry, A. G. (2018). Fundamentos de enfermagem (9ª ed.). Elsevier.
Qian, Z., & Bi, Z. (2014). Recent development of rehabilitation robots. Advances in Mechanical Engineering, 7(2), 563062. https://doi.org/10.1155%2F2014%2F563062
Suchomel, T. J., Wagle, J. P., Douglas, J., Taber, C. B., Harden, M., Haff, G. G., & Stone, M. H. (2019). Implementing eccentric resistance training: Part 1: A brief review of existing methods. Journal of Functional Morphology and Kinesiology, 4(2), 38. https://doi.org/10.3390/jfmk4020038
Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Delling, F. N., Djousse, L., Elkind, M. S., Ferguson, J. F., Foornage, M., Khan, S. S., Kissela, B. M., Knutson, K. L., Kwan, T. W., Lackland, D. T., … Tsao, C. W. (2020). Heart disease and stroke statistics: 2020 update. Circulation, 141(9), e139-e596. https://doi.org/10.1161/CIR.0000000000000757
Zakeri, R., & Cowie, M. R. (2018). Heart failure with preserved ejection fraction: Controversies, challenges and future directions. Heart, 104(5), 377-384. https://doi.org/10.1136/heartjnl-2016-310790
Zengin, Í., Ari, S., Ari, H., & Melek, M. (2020). Effects of exercise-based cardiac rehabilitation on heart rate variability and turbulence in patients with ST elevation myocardial infarction. The European Research Journal, 6(1), 26-35. https://doi.org/10.18621/eurj.447020