心血管疾病患者心脏康复实施的促进与障碍因素范围综述

冯晔娇, 罗伟香, 张淼, 欧静, 彭粤铭, 陈洁

护理学报 ›› 2025, Vol. 32 ›› Issue (11) : 51-56.

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护理学报 ›› 2025, Vol. 32 ›› Issue (11) : 51-56. DOI: 10.16460/j.issn2097-6569.2025.11.051
循证护理

心血管疾病患者心脏康复实施的促进与障碍因素范围综述

  • 冯晔娇a,b, 罗伟香b, 张淼a,c, 欧静b, 彭粤铭b, 陈洁a
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摘要

目的 对心血管疾病患者心脏康复实施现状进行范围综述,系统总结心脏康复实施的促进与障碍因素,为心脏康复的实施提供参考。方法 遵循范围综述方法学,系统检索PubMed、CINAHL、Embase、Web of Science、Cochrane Library、中国知网、万方数据库、维普中文科技期刊数据库和中国生物医学数据库,检索时限为建库至2024年3月31日。由2名研究者独立对检索文献进行筛选并提取文献数据。结果 共检索9 572篇文献,最终纳入22篇。其中中文文献2篇,英文文献20篇。分析研究结果显示,全球范围内心脏康复开展率为54.7%,不同国家心脏康复开展率为17.0%~80.7%,心血管疾病患者心脏康复转诊率为9.8%~80.0%,参与率为8.7%~75.0%,完成率为54.6%~68.0%,维持率为40.4%。促进及障碍因素共提炼为6个主题:医疗卫生系统因素、心脏康复项目因素、医务人员因素、个人疾病特征因素、个人康复认知及心理因素、社会人口学因素,其中促进因素共包括22条,障碍因素共包括26条。结论 在心血管疾病患者中,心脏康复的实施受多维度因素影响,综合考虑促进及障碍因素,针对性改进心脏康复策略,有助于扩大心脏康复的覆盖范围,拓宽心血管疾病患者获益人群。

关键词

心血管 / 心脏康复 / 促进因素 / 障碍因素 / 范围综述

引用本文

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冯晔娇, 罗伟香, 张淼, 欧静, 彭粤铭, 陈洁. 心血管疾病患者心脏康复实施的促进与障碍因素范围综述[J]. 护理学报. 2025, 32(11): 51-56 https://doi.org/10.16460/j.issn2097-6569.2025.11.051
中图分类号: R473.54   

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基金

深圳市自然科学基金基础研究(面上项目)(JCYJ20230807112110022);中华医学会杂志社护理学科研究课题发展课题(CMAPH-NRD2022004);深圳市人民医院护理科研基金院内立项课题(SYHL2023-N0007)

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