WHO Collaborating Centre for Community Health Services (WHOCC), School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, A127 Hong Kong Polytechnic University, Hong Kong SAR, China.
WHO Collaborating Center (WHO CC) for Leadership in Nursing Development, College of Nursing, the University of the Philippines - Manila, Manila, Philippines.
Heart Lung. 2023 Jan-Feb;57:214-221. doi: 10.1016/j.hrtlng.2022.10.005. Epub 2022 Oct 18.
A previous randomized controlled trial (NeCR) has indicated the effectiveness of nurse-led eHealth cardiac rehabilitation (CR) on modifying the behaviors of patients with coronary heart disease. However, limited qualitative studies explore the experiences of using eHealth CR that led to such benefits.
The study aimed to explore the experiences of patients who participated in the NeCR program.
A descriptive qualitative study was employed among 20 intervention group patients who used the eHealth CR website and ranked differently (0-35th percentile, >35th percentile, and > 70% percentile) in the improvement of health-promoting behaviors.
Five themes emerged: the NeCR program has promoted behavior change and mitigated emotional distress post-CHD. Patients described how the NeCR influenced cognitive determinants (knowledge and skill acquisition, having a roadmap, self-monitoring, and self-evaluation and resolution) and offered social support (professional counseling and peer interaction via multimedia chat) toward such change. Patients also appreciated the high affordability, accessibility, reliability of the NeCR, and expressed psychological, contextual, and technical barriers.
Providing eHealth CR during patient discharge is warranted as an affordable, accessible, and reliable alternative to obtain health benefits. Extensive behavior change techniques, actionable CR guidance, and increased awareness are widely perceived enablers. Offering professional support and moderation is critical for early post-discharge consultation and for introducing direct peer interaction to reassure patients.
先前的一项随机对照试验（NeCR）表明，护士主导的电子健康心脏康复（CR）在改变冠心病患者行为方面的有效性。然而，有限的定性研究探讨了使用电子健康 CR 带来这些益处的经验。
本研究旨在探讨参与 NeCR 计划的患者的经验。
采用描述性定性研究，对 20 名使用电子健康 CR 网站且在健康促进行为改善方面排名不同（0-35 百分位、>35 百分位和>70 百分位）的干预组患者进行研究。
出现了五个主题：NeCR 计划促进了冠心病后的行为改变和情绪缓解。患者描述了 NeCR 如何影响认知决定因素（知识和技能获取、有路线图、自我监测和自我评估与解决）并提供社会支持（专业咨询和通过多媒体聊天进行同伴互动）以实现这种改变。患者还赞赏了 NeCR 的高可负担性、可及性和可靠性，并表达了心理、环境和技术障碍。
在患者出院期间提供电子健康 CR 是值得的，因为它是一种经济实惠、可及和可靠的替代方法，可以获得健康益处。广泛感知的促成因素包括广泛的行为改变技术、可操作的 CR 指导以及提高意识。提供专业支持和监管对于出院后的早期咨询以及引入直接的同伴互动以安抚患者至关重要。
