上海护理2024,Vol.24Issue(12):11-16,6.DOI:10.3969/j.issn.1009-8399.2024.12.003
冠心病患者心脏康复运动依从性影响因素质性研究的Meta整合
Meta-synthesis of Qualitative Studies on Influencing Factors of Compliance with Cardiac Rehabilita-tion Exercise in Patients with Coronary Heart Disease
摘要
Abstract
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.关键词
冠心病/心脏康复/运动训练/依从性/质性研究/Meta整合Key words
Coronary heart disease/Cardiac reha-bilitation/Exercise training/Compliance/Qualita-tive study/Meta-synthesis分类
医药卫生引用本文复制引用
王晨威,杨飞,张伟英..冠心病患者心脏康复运动依从性影响因素质性研究的Meta整合[J].上海护理,2024,24(12):11-16,6.基金项目
上海市浦东新区卫生系统重要薄弱学科建设项目(PWZ-br2022-04) (PWZ-br2022-04)
同济大学医学院学科建设三年行动计划重点学科项目(JS2210103) (JS2210103)
上海现代护理职业教育集团特聘兼职教师项目(hlzjtpgr202331). (hlzjtpgr202331)