Arian Mahdieh, Valinejadi Ali, Soleimani Mohsen
Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Iran J Public Health. 2022 Jul;51(7):1525-1537. doi: 10.18502/ijph.v51i7.10086.
Application of technology in virtual or remote cardiac rehabilitation programs can resolve the challenge of accessing healthcare services and reduce access level inequalities. This study aimed to evaluate the effect of technology on different clinical outcomes in cardiac rehabilitation programs used for cardiovascular (CVD) patients.
Preferred Reporting Items for Systematic Reviews and Meta-Analyses and a comprehensive evidence map of overview was used. Two researchers searched electronic databases such as Science Direct, Medline / PubMed, Web of Science, Scopus, ProQuest, Google Scholar and Cochrane library at the time of publication until Mar 21, 2021.
Of 51 reviews published, most of them have reported that the virtual or remote cardiac rehabilitation had a positive effect on most outcomes compared to usual care, and the difference in the type of comparison group and the high heterogeneity in reviews with inconsistent results are due to different technologies used in the interventions, follow-up duration, the type of heart disease, tools, and reporting methods, the quality of the reviews, and the quality of the primary studies included in the reviews.
Two important factors before choosing the remote cardiac rehabilitation technology include the complexity of technology and the level of satisfaction and acceptability of the interventions among participants. The simplicity of the interventions increases the acceptability level, and the more complex design and advanced monitoring level during the interventions and the need for specific equipment affect cost saving, so it is important to consider the above cases while choosing the type of technology.
在虚拟或远程心脏康复项目中应用技术可以解决获得医疗服务的挑战，并减少获得医疗服务水平的不平等。本研究旨在评估技术对用于心血管疾病（CVD）患者的心脏康复项目中不同临床结局的影响。
采用系统评价和Meta分析的首选报告项目以及综合概述证据图。两名研究人员在截至2021年3月21日的发表时间搜索了电子数据库，如科学Direct、Medline / PubMed、科学网、Scopus、ProQuest、谷歌学术和Cochrane图书馆。
在发表的51篇综述中，大多数报告称与常规护理相比，虚拟或远程心脏康复对大多数结局有积极影响，比较组类型的差异以及结果不一致的综述中的高异质性是由于干预中使用的不同技术、随访持续时间、心脏病类型、工具和报告方法、综述的质量以及综述中纳入的原始研究的质量。
选择远程心脏康复技术之前的两个重要因素包括技术的复杂性以及参与者对干预措施的满意度和可接受程度。干预措施的简单性会提高可接受程度，而干预期间更复杂的设计和先进的监测水平以及对特定设备的需求会影响成本节约，因此在选择技术类型时考虑上述情况很重要。
