Barriers to attendance at or adherence to cardiac rehabilitation program: aqualitative systematic review
10.3760/cma.j.issn.1672-7088.2019.02.005
- VernacularTitle:患者参与、依从心脏康复所面临障碍的质性整合
- Author:
Mei HE
1
;
Qi XIAO
;
Jie XIONG
;
Weiquan LIU
Author Information
1. 华中科技大学同济医学院附属同济医院重症医学科
- Keywords:
Cardiac rehabilitation;
Qualitative study;
Systematic review
- From:
Chinese Journal of Practical Nursing
2019;35(2):101-107
- CountryChina
- Language:Chinese
-
Abstract:
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.
