School of Health Sciences, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.
National Heart Foundation of Australia, Brisbane, QLD 4006, Australia.
Int J Environ Res Public Health. 2023 Jan 17;20(3):1723. doi: 10.3390/ijerph20031723.
A critical aspect of coronary heart disease (CHD) care and secondary prevention is ensuring patients have access to evidence-based information. The purpose of this review is to summarise the guiding principles, content, context and timing of information and education that is beneficial for supporting people with CHD and potential communication strategies, including digital interventions. We conducted a scoping review involving a search of four databases (Web of Science, PubMed, CINAHL, Medline) for articles published from January 2000 to August 2022. Literature was identified through title and abstract screening by expert reviewers. Evidence was synthesised according to the review aims. Results demonstrated that information-sharing, decision-making, goal-setting, positivity and practicality are important aspects of secondary prevention and should be patient-centred and evidenced based with consideration of patient need and preference. Initiation and duration of education is highly variable between and within people, hence communication and support should be regular and ongoing. In conclusion, text messaging programs, smartphone applications and wearable devices are examples of digital health strategies that facilitate education and support for patients with heart disease. There is no one size fits all approach that suits all patients at all stages, hence flexibility and a suite of resources and strategies is optimal.
冠心病（CHD）治疗和二级预防的一个关键方面是确保患者能够获得基于证据的信息。本综述的目的是总结有益于支持 CHD 患者的信息和教育的指导原则、内容、背景和时间，以及潜在的沟通策略，包括数字干预措施。我们进行了一项范围综述，包括从 2000 年 1 月至 2022 年 8 月在四个数据库（Web of Science、PubMed、CINAHL、Medline）中搜索文章。专家评审员通过标题和摘要筛选来识别文献。根据综述目的对证据进行综合分析。结果表明，信息共享、决策制定、目标设定、积极性和实用性是二级预防的重要方面，应注重患者为中心，并以证据为基础，同时考虑患者的需求和偏好。教育的开始和持续时间在人与人之间以及个体内部差异很大，因此沟通和支持应该是定期和持续的。总之，短信程序、智能手机应用程序和可穿戴设备是促进心脏病患者教育和支持的数字健康策略的示例。没有一种适合所有患者在所有阶段的一刀切的方法，因此灵活性和一系列资源和策略是最佳选择。
