Best evidence summary of home exercise rehabilitation for patients with phase Ⅱ coronary artery disease undergoing cardiac rehabilitation
10.3969/j.issn.1671-8283.2024.10.012
- VernacularTitle:冠心病Ⅱ期心脏康复患者居家运动康复的最佳证据总结
- Author:
Qing WEN
1
;
Xiaorong MAO
;
Xiaoli TANG
;
Xiaojuan YANG
;
Juan CHEN
;
Xiaocui ZOU
;
Hukui HAN
Author Information
1. 电子科技大学医学院,四川成都,610050;四川省医学科学院·四川省人民医院(电子科技大学附属医院)心内科,四川成都,610072
- Publication Type:Journal Article
- Keywords:
coronary heart disease;
cardiac rehabilitation;
home-based exercise;
evidence summary;
evidence-based nursing
- From:
Modern Clinical Nursing
2024;23(10):77-85
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarise evidence on home exercise rehabilitation in patients with stage Ⅱ coronary heart disease(CHD)undergoing cardiac rehabilitation and to provide a reference for healthcare professionals to instruct the patients for home-based exercise rehabilitation.Methods Following the"6S"evidence hierarchy model and a top-down search strategy,a systematic search was conducted across databases of Guidelines International Network(GIN),Scottish Intercollegiate Guidelines Network(SIGN),National Institute for Health and Clinical Excellence(NICE),American Association of Cardiovascular and Pulmonary Rehabilitation(AACVPR),American Heart Association(AHA),European Society of Cardiology(ESC),BMJ Best Practice,UpToDate,Joanna Briggs Institute(JBI)evidence-based healthcare database,PubMed,Web of Science,Cochrane Library,EBSCON,SinoMed,China National Knowledge Infrastructure(CNKI),and Wanfang Data Knowledge Service Platform for guidelines,expert consensus,evidence summaries,systematic reviews,primary study and clinical decisions regarding home-based exercise rehabilitation for patient with CHD phase Ⅱ cardiac rehabilitation.Literature included the articles published on databases from the inception to December 2023.Two researchers independently evaluated the quality of acquired literature and the extracted and integrated the evidence.Results A total of 15 articles were retrieved,including 5 guidelines,3 expert consensuses,2 evidence summaries,3 systematic reviews and 2 clinical decisions.A total of 23 best evidence statements were summarised and further reduced to 5 topics:exercise benefits,exercise assessment,exercise prescription,safety and monitoring,and health education.Conclusion This study summarises the best evidence for home-based exercise rehabilitation in patients with phase Ⅱ cardiac rehabilitation.It recommends that healthcare professionals should consider the clinical context rehabilitation,by taking into account of the needs and preferences of patients and their families,when applying the evidence and developing appropriate and individualised plans for exercise hence to promote the recovery of patients.
