Department of Nursing Science, Faculty of Medicine, Universiti of Malaya, 50603, Kuala Lumpur, Wilayah Persekutuan, Malaysia; Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, 88400, Kota Kinabalu, Sabah, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, Universiti of Malaya, 50603, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
J Rehabil Med. 2022 Sep 28;54:jrm00295. doi: 10.2340/jrm.v54.160.
Female sex is a major barrier to completing a programme of cardiac rehabilitation (CR) after acute coronary syndrome (ACS). Women require significant social support to promote compliance and the ability to cope with CR programme attendance. The aim of this systematic review of qualitative studies was to explore social support among women coping with CR programme attendance at phase II CRP is 3 months after their cardiac event.
Articles were searched through CINAHL (Cumulative Index and Allied Health Literature), Science Direct and PubMed databases using the following terms: "women", "acute coronary syndrome", "coping", "social support" and "cardiac rehabilitation".
A total of 6 articles were selected based on eligibility criteria. Thematic analysis was used to analyse the data using line to line coding into descriptive themes, interpreting further to generate new insights. The 3 most common themes regarding social support for women attending the CR programme were: family support, female as the primary caregiver in the family, and peer support. For most women who perceived themselves as the primary caregiver in the family there was a negative impact on their ability to cope fully with CR programme attendance. On the other hand, encouraging support from family and peers positively improved their coping mechanism for attending the CR programme, leading to improved compliance.
Women with ACS consider that support from their family plays a vital role as a coping mechanism in their attendance at a CR programme. Healthcare providers should teach the importance of social support among women after discharge to help them cope with CR programme attendance.
女性性别是完成急性冠状动脉综合征（ACS）后心脏康复（CR）计划的主要障碍。女性需要获得大量的社会支持，以促进依从性和应对 CR 计划参与的能力。本系统评价旨在探讨女性在急性冠状动脉综合征后 3 个月的第二阶段 CRP 中应对 CR 计划参与时的社会支持。
通过 CINAHL（累积索引和联合健康文献）、Science Direct 和 PubMed 数据库搜索以下术语的文章：“妇女”、“急性冠状动脉综合征”、“应对”、“社会支持”和“心脏康复”。
根据入选标准，共选择了 6 篇文章。使用线性编码对数据进行主题分析，将数据分析为描述性主题，进一步解释以生成新的见解。关于女性参加 CR 计划的社会支持，有 3 个最常见的主题：家庭支持、女性作为家庭的主要照顾者，以及同伴支持。对于大多数认为自己是家庭主要照顾者的女性来说，这对她们充分参与 CR 计划的能力产生了负面影响。另一方面，来自家人和同伴的鼓励支持积极地改善了她们参加 CR 计划的应对机制，从而提高了依从性。
ACS 女性认为家庭支持在她们参加 CR 计划时是一种重要的应对机制。医疗保健提供者应在出院后向女性传授社会支持的重要性，以帮助她们应对 CR 计划的参与。
