Meta-synthesis of qualitative researches on cardiac telerehabilitation experience in patients with cardiovascular disease
文淑娟 1黄好华 1徐延红 1侯利利 1程玉芹 1吴卫华 1李思琪1
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作者信息
1. 济宁医学院附属医院心脏外科,济宁 272007
折叠
摘要
目的 系统评价心血管疾病(CVD)患者远程心脏康复体验的质性研究,为临床开展及改善远程心脏康复服务提供参考依据.方法 计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、Scopus、中国知网、中国生物医学文献数据库、万方数据库、维普网中关于CVD患者远程心脏康复体验的质性研究,检索时限为建库至2023年8月.根据澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准对文献进行质量评价,运用汇集性整合法对研究结果进行整合.结果 共纳入13篇文献,提炼出52个研究结果,归纳为11个类别,综合形成CVD患者参与远程心脏康复的益处、CVD患者参与远程心脏康复的促进因素、CVD患者参与远程心脏康复的障碍因素,以及CVD患者对远程心脏康复的期望与建议4个整合结果.结论 CVD患者参与远程心脏康复获益明显,未来应进一步关注影响患者参与远程心脏康复的因素,依据患者需求和建议,积极研发适用于国内的远程心脏康复工具,优化远程康复模式.
Abstract
Objective To systematically evaluate the qualitative researches on cardiac telerehabilitation experience of patients with cardiovascular disease(CVD),so as to provide reference for clinical development and improvement of cardiac telerehabilitation services.Methods Qualitative studies on cardiac telerehabilitation experience of CVD patients in PubMed,Web of Science,Embase,CINAHL,Cochrane Library,Scopus,China National Knowledge Infrastructure,China Biology Medicine disc,Wanfang Database and VIP were searched by computer.The search period was from establishment of the databases to August 2023.The quality of the literature was evaluated according to the quality evaluation criteria of the Evidence-Based Health Care Center of the Joanna Briggs Institute in Australia,and the results were integrated by aggregative integration method.Results A total of 13 articles were included,52 research results were extracted and classified into 11 categories.Four integrated results were formed,including the benefits,promoting factors,obstacle,expectations and suggestions for cardiac telerehabilitation experience in CVD patients.Conclusions CVD patients benefit significantly from participating in cardiac telerehabilitation.In the future,it is supposed to pay more attention to the factors that affect patients'participation in cardiac telerehabilitation,actively develop domestic cardiac telerehabilitation tools and optimize the cardiac telerehabilitation model according to the needs and suggestions of patients.
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