Meta-synthesis of cardiac rehabilitation experiences in patients with coronary heart disease
马焱 1梁福俐2
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作者信息
1. 青海省心脑血管病专科医院护理部,西宁 810012
2. 青海省心脑血管病专科医院冠心病二科,西宁 810012
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摘要
目的 系统整合国内外冠心病患者心脏康复体验的相关质性研究,为我国冠心病患者心脏康复的发展提供参考依据.方法 系统检索中国生物医学文献数据库、中国知网、维普网、万方数据库、PubMed、Scopus、Embase、Web of Science、CINAHL、Cochrane Library 数据库中以冠心病患者心脏康复体验为主题或亚主题的相关质性研究,检索时限为建库至2022年11月1日.对纳入的文献进行质量评价,并采用汇集性整合的方法进行Meta整合.结果 最终纳入17篇文献,提取出71个完整明确的研究结果,并归纳为11个新类别,形成3个整合结果:多样化的态度;促进因素;阻碍因素.结论 目前医务人员对心脏康复健康宣教不足,影响患者参与心脏康复的因素较多.医务人员应加快心脏康复中心的建设,满足患者心脏康复需求.
Abstract
Objective To systematically integrate domestic and international qualitative studies on the experiences of cardiac rehabilitation in patients with coronary heart disease(CHD),providing a reference for the development of cardiac rehabilitation in China.Methods A systematic search was conducted for qualitative studies focusing on the theme or the sub-theme of cardiac rehabilitation experiences in CHD patients.The databases searched included China Biology Medicine disc,China National Knowledge Infrastructure,VIP,Wanfang Data,PubMed,Scopus,Embase,Web of Science,CINAHL,and the Cochrane Library,covering the period from their inception to November 1,2022.The included literature underwent quality assessment and was subjected to Meta-synthesis using an aggregative integration approach.Results Seventeen articles were ultimately included,yielding 71 distinct and clear research findings.These were categorized into 11 new categories,forming three integrated results:diverse attitudes,facilitating factors,and hindering factors.Conclusions Currently,there is insufficient health education on cardiac rehabilitation by medical personnel,affecting patients'participation in cardiac rehabilitation programs.Medical staff should expedite the construction of cardiac rehabilitation centers to meet the rehabilitation needs of patients.
维普
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