目的 系统整合冠心病(CAD)患者心脏康复(CR)运动依从性的促进因素及障碍因素,以探索提升康复运动依从性的有效策略.方法 计算机检索中国知网、维普数据库、中国生物医学文献数据库、万方数据库、PubMed、Scoups、Cochrane Library、Web of Science数据库中有关CAD患者CR运动依从性的质性研究,检索时限为从建库至2023年4月2日.采用澳大利亚乔安娜布里格斯研究所(JBI)循证卫生保健中心质性研究质量评价标准对纳入文献进行质量评价.结果 共纳入11篇文献,共提炼出完整的研究主题47个,归纳组合形成4个类别、2个整合结果.整合结果1:影响CAD患者CR运动依从性的内部因素包括内驱力因素、行为自主能力因素;整合结果2:影响CAD患者CR运动依从性的外部因素包括社会系统因素和医疗系统及康复环境因素.结论 CAD患者运动康复依从性受到多种内部及外部因素的共同影响,护理人员应强化促进患者依从性的因素,并克服障碍因素,同时构建有效的支持和保障体系,以达到促进患者康复、提高其生活质量的目的.
Meta-synthesis of Qualitative Studies on Influencing Factors of Compliance with Cardiac Rehabilita-tion Exercise in Patients with Coronary Heart Disease
Objective To systematically synthesize the promoting and hindering factors of compliance with cardiac rehabilitation(CR)exercise in patients with coronary artery disease(CAD),aiming to explore an effec-tive strategy for improving rehabilitative exercise compliance.Methods Qualitative studies on compliance with CR exercise in CAD patients were retrieved online from CNKI,VIP Database,CBMdisc,Wanfang Data,PubMed,Scoups,Cochrane Library and Web of Science from their establishment to April 02,2023.The quality of the included articles was evaluated according to the qualitative research quality evaluation criteria of the Jo-anna Briggs Institute(JBI)Centre for Evidence-based Healthcare in Australia.Results A total of 11 articles were included,from which 47 complete research topics were extracted and organized into 4 categories and 2 synthesized results.Synthesized result 1:The internal factors influencing compliance with CR exercise in CAD patients included inner drive and behavioral autonomy.Synthesized result 2:The external factors influencing compliance with CR exercise in CAD patients included the social system,medical system and rehabilitation en-vironment.Conclusion Compliance with exercise rehabilitation in CAD patients is influenced by a combina-tion of internal and external factors.Nurses should strengthen the factors that promote patient compliance,ad-dress factors that hinder patient compliance,and construct an effective support and guarantee system to pro-mote patient rehabilitation and improve their quality of life.
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