Establishment of a phase Ⅱ remote home-based cardiac rehabilitation program for patients with coronary heart disease after percutaneous coronary intervention based on social cognitive theory
Objective To establish a phase Ⅱ remote home-based cardiac rehabilitation(HBCR)program for patients with coronary heart disease(CHD)after percutaneous coronary inter-vention(PCI)based on social cognitive theory(SCT).Methods A preliminary draft of the phaseⅡ HBCR program for CHD patients after PCI based on SCT was developed through evidence-based literature review and group discussion,and the final version was formed through Delphi expert consul-tation.Results A total of 18 experts participated in three rounds of expert consultation.The expert authority coefficients for the three rounds were 0.86,0.87 and 0.87 respectively,and the Kendall's W coefficients were 0.211,0.242 and 0.271 respectively,with significant differences(P＜0.01).The final phase Ⅱ HBCR program for CHD patients after PCI included four primary items:compre-hensive assessment,correction of rehabilitation cognition,improvement of social support,and imple-mentation pathway,with 10 secondary items and 27 tertiary items.Conclusion Phase Ⅱ remote HBCR program for CHD patients after PCI constructed in this study is scientific and reliable,and may provide guidance for HBCR nursing.
coronary heart diseasepercutaneous coronary interventionDelphi methodhome-based cardiac rehabilitationsocial cognitive theory
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