The objectives were to assess the short- and long-term effect of the patient education strategy ‘Learning and Coping’ (LC) in cardiac rehabilitation (CR) on health-related quality of life, patient education impact, cardiac risk factors and lifestyle. In total, 825 patients hospitalized with ischaemic heart disease or heart failure were randomized to either LC-CR or standard CR at three Danish hospitals. Teaching approach in LC-CR was situational, inductive and reflective, with experienced patients as co-educators and supplemental interviews. Teaching approach in standard CR was structured and deductive. Outcomes were assessed immediately after CR, and after 3 months (short term), and after 3 years (long term). Between-arm differences in favour of LC-CR were SF-12 ‘role emotional’ (3.7, 95% CI: 0.6–6.8) and MDI depression score (0.9, 0.1–1.8) immediately after CR, exercise capacity (4 W, 1–9) at 3 months and SF-12 ‘role physical’ (4.6, 0.1–9.0) (long term). Between-arm differences in favour of controls were waist circumference (−1.7 cm, −2.3 to −1.0) immediately after CR and HeiQ domain ‘Constructive attitudes and approaches’ (0.11, 0.04–0.18), triglycerides (−0.12 mmol/l, −0.21 to −0.02), systolic blood pressure (−3.12 mmHg, −5.66 to −0.58) at 3 months. Adding LC strategies to CR provides inconsistent short-term results but improves ‘role physical’ long term.

中文翻译：

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在心脏康复中，患者教育策略（学习和应对）的短期和长期效果：随机对照试验（LC-REHAB）

目的是评估心脏康复（CR）中患者教育策略“学习与应对”（LC）对与健康相关的生活质量，患者教育影响，心脏危险因素和生活方式的短期和长期影响。在丹麦的三家医院中，总共将825例因缺血性心脏病或心力衰竭住院的患者随机分为LC-CR或标准CR。LC-CR的教学方法是情境式，归纳式和反思式的，经验丰富的患者担任共同教育者和补充访谈。标准CR的教学方法是结构化和演绎性的。在CR后，3个月后（短期）和3年后（长期）立即评估结局。臂间差异支持LC-CR的是SF-12“角色情感”（3.7，95％CI：0.6-6.8）和MDI抑郁评分（0.9，0.1-1）。8）CR后，立即进行3个月的运动能力（4 W，1–9）和SF-12的“角色生理”（4.6，0.1–9.0）（长期）。有利于对照的手臂间差异是紧随CR和HeiQ域“建设性态度和方法”（0.11、0.04-0.18）之后的腰围（-1.7 cm，-2.3至-1.0），甘油三酸酯（-0.12 mmol / l， -0.21至-0.02），3个月时的收缩压（-3.12 mmHg，-5.66至-0.58）。在CR中添加LC策略会产生不一致的短期结果，但会改善长期的“角色物理”。-0.21至-0.02），3个月时的收缩压（-3.12 mmHg，-5.66至-0.58）。在CR中添加LC策略会产生不一致的短期结果，但会改善长期的“角色物理”。-0.21至-0.02），3个月时的收缩压（-3.12 mmHg，-5.66至-0.58）。在CR中添加LC策略会产生不一致的短期结果，但会改善长期的“角色物理”。