Vancouver Fraser Medical Program, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Centre for Chronic Disease Prevention & Management, Southern Medical Program, Faculty of Medicine, University of British Columbia, Kelowna, Canada.
Curr Cardiol Rep. 2019 Sep 4;21(10):123. doi: 10.1007/s11886-019-1216-7.
The presence of social support is a major determinant of positive health outcomes among people with cardiovascular disease (CVD); however, little is known about the most effective strategies for enhancing social support among this population. The aim of this scoping review was to describe the effectiveness of interventions seeking to enhance social support among people living with CVD and synthesize the evidence.
A systematic search for articles that (a) reported on interventions which may enhance social support and (b) included a measure of social support revealed 21 studies. Interventions to enhance social support were diverse and included cognitive behavioural therapy, mindfulness, peer support, and multi-faceted cardiac rehabilitation programmes. Most studies were of fair to good quality according to the PEDro criteria. With the exception of caregiver-oriented interventions, few studies reported significant changes in social support measures. Early evidence suggests that caregiver-oriented strategies may offer a promising avenue for enhancing social support; however, more research of higher quality is required to determine the optimal strategies to enhance support among those living with CVD.
社会支持的存在是心血管疾病（CVD）患者获得积极健康结果的主要决定因素；然而，人们对增强这一人群社会支持的最有效策略知之甚少。本范围综述的目的是描述旨在增强 CVD 患者社会支持的干预措施的有效性，并综合证据。
一项针对可能增强社会支持的干预措施的系统搜索（a）报告，以及（b）包括社会支持措施的研究，共发现 21 项研究。增强社会支持的干预措施多种多样，包括认知行为疗法、正念、同伴支持和多方面的心脏康复计划。根据 PEDro 标准，大多数研究的质量为中等至良好。除了以照顾者为导向的干预措施外，很少有研究报告社会支持措施有显著变化。早期证据表明，以照顾者为导向的策略可能为增强社会支持提供一个有前途的途径；然而，需要更多高质量的研究来确定增强 CVD 患者支持的最佳策略。
