• The Impact of "Long COVID" on Cardiovascular System:Clinical Manifestations,Mechanisms,and Principles of Diagnosis and Treatment

    Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-04-18 Cooperative journals: 《中国全科医学》

    Abstract: The outbreak of COVID-19 has had a huge impact globally. After the infection,a considerable number of patients have been affected by a series of lingering symptoms or sequelae with strong heterogeneity,which we temporarily refer to as "Long COVID". Compared to the well-studied cardiovascular complications caused by COVID-19 during the acute phase,the cardiovascular sequelae in "Long COVID" require greater attention. This review includes the clinical manifestations, mechanisms,and principles of diagnosis and management of cardiovascular sequelae in "Long COVID",aiming to improve the disease's understanding and reduce its harm scientifically.

  • Construction of a Service Quality Assessment Indicator System for Home-based Rehabilitation APP for Heart Failure Patients

    Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-02-05 Cooperative journals: 《中国全科医学》

    Abstract: Background Nowadays,cardiac rehabilitation is mostly transferred from the hospital to a home environment. Mobile health applications assist patients in bridging the support gap from hospital to home environment,which encourages home-based recovery processes. Unfortunately,numerous quality difficulties accompany its promise,and the service quality of cardiac rehabilitation applications must be 〝confirmed〞 as soon as possible. Objective To develop a quality assessment indicator system for home-based rehabilitation APP services for heart failure patients,and to provide a model for standardizing and increasing the quality of mobile health APP. Methods This study was conducted from July 2022 to February 2023,using semi-structured interviews,literature review,the expert consultation method and analytic hierarchy process(AHP) to determine the content of indicator system and the weight for each index. Results 2 rounds of expert consultations resulted in the effective response rates of 100%,with the authority coefficients of 0.867,and the coordination coefficients of 0.128- 0.154 and 0.151-0.197 respectively(P<0.001). As a result,an assessment indicator system for home-based rehabilitation APP services for heart failure patients was developed from three dimensions:software usability,medical professionalism,and behavioral science,with 7 primary indicators,24 secondary indicators,and 51 tertiary indicators. Conclusion The developedquality assessment indicator system for home-based rehabilitation APP services for heart failure patients is comprehensive and scientific,and can be useful for assessing and measuring the quality of heart rehabilitation APP services,as well as facilitating the benign development of similar APP services.