摘要
目的 系统评价阻碍患者接受心脏康复服务的原因。 方法 计算机检索PubMed,Medline,Ovid,EBSCO host,The Cochrane Library,CNKI和Wanfang数据库中探索阻碍患者参与、依从心脏康复的因素,研究类型为质性研究或混合型研究,时间均为建库年至2017年4月;同时对文献质量进行评价,采用质性民族志的方法对数据进行整合。 结果 共纳入13项质性研究,提炼出3个主题9个次主题。整合结果显示阻碍患者接受心脏康复服务的因素包括"个人因素""项目因素"和"环境因素"。 结论 在开展心脏康复前,首先需要帮助患者充分了解个人病情及心脏康复,其次在设计康复处方过程中要考虑到患者个人需求及环境限制,提供可实现的康复内容及形式。
Objective To systematically review the obstacles that hindered participants to attend at or adhere to cardiac rehabilitation program. Methods We searched databases including PubMed, Medline, Ovid, EBSCO host, The Cochrane Library, CNKI and Wanfang Data, to find out qualitative and mix-method studies published from establish of data base to April 2017, which explore the barriers patients encountered when they decided to attend at a cardiac rehabilitation program or comply with cardiac rehabilitation suggestions. At the same time, quality of included studies was assessed. Data was synthesized using qualitative ethnography. Results A total of 13 qualitative researches were included in this systematic review. Synthesis of study yields three themes and nine sub-themes, which indicates that "personal factors" "program factors" and "contextual factors" interact and influence patients′ access to cardiac rehabilitation. Conclusions In order to improve participation rate in and firm adherence to cardiac rehabilitation, health workers should help patients to get deep insight into their conditions and cardiac rehabilitation;besides, cardiac rehabilitation prescription should be individually designed and take contextual factors into consideration.
作者
何梅
肖琦
熊杰
刘伟权
He Mei;Xiao Qi;Xiong Jie;Liu Weiquan(Intensive Care Unit of Tonal Hospital Affiliated to Tongji Medical College of HUST,Wuhan 430030,China)
出处
《中国实用护理杂志》
2019年第2期101-107,共7页
Chinese Journal of Practical Nursing
关键词
心脏康复
质性研究
系统评价
Cardiac rehabilitation
Qualitative study
Systematic review
