Subih Maha, Elshatarat Rami A, Sawalha Murad A, Almarwani Abdulaziz Mofdy, Alhadidi Majdi, Alrahahleh Mohammad, Elneblawi Nora H, Saleh Zyad T, Abdelkader Raghad, Almagharbeh Wesam T, Eltayeb Mudathir M, Mohamed Nermen A
School of Nursing, Al-Zaytoonah University of Jordan, 11733 Amman, Jordan.
Department of Medical and Surgical Nursing, College of Nursing, Taibah University, 42353 Madinah, Saudi Arabia.
Rev Cardiovasc Med. 2024 Apr 30;25(4):145. doi: 10.31083/j.rcm2504145. eCollection 2024 Apr.
This systematic review explores the impact of cardiac rehabilitation programs (CRPs) on health-related quality of life (HRQoL) and physiological outcomes post-coronary artery bypass graft (CABG) surgery. Acknowledging the increasing importance of CRPs in post-CABG care, the study emphasizes the need for a comprehensive evaluation of their effectiveness. The primary objective is to investigate how CRPs influence HRQoL and physiological outcomes in post-CABG patients, offering insights into the multifaceted impact of these rehabilitation programs.
A systematic literature review approach was employed to identify relevant studies published between 2013 and 2023. Inclusion criteria encompassed clinical randomized trials and quasi-experimental studies, with a focus on CRP interventions and their impact on HRQoL and physiological parameters.
The review reveals a diverse array of CRP approaches, including exercise training, home-based programs, and telemonitored interventions. Despite methodological variations, a consistent positive impact on HRQoL and physiological outcomes is observed across studies. Noteworthy interventions, such as those incorporating family caregivers, demonstrate holistic benefits. However, limitations include methodological variability and the exclusion of qualitative studies.
This systematic review underscores the substantial positive impact of CRPs on HRQoL and physiological outcomes in post-CABG patients. The diverse approaches and consistent improvements across studies provide a robust foundation for healthcare practitioners and researchers. Future efforts should focus on standardizing CRP interventions and conducting well-designed trials to further enhance the evidence base, facilitating more targeted and effective rehabilitation strategies for CABG patients.
本系统评价探讨心脏康复计划(CRP)对冠状动脉旁路移植术(CABG)后健康相关生活质量(HRQoL)和生理结局的影响。鉴于CRP在CABG术后护理中的重要性日益增加,该研究强调需要对其有效性进行全面评估。主要目的是调查CRP如何影响CABG术后患者的HRQoL和生理结局,深入了解这些康复计划的多方面影响。
采用系统文献综述方法,识别2013年至2023年期间发表的相关研究。纳入标准包括临床随机试验和准实验研究,重点关注CRP干预及其对HRQoL和生理参数的影响。
该综述揭示了多种CRP方法,包括运动训练、家庭式计划和远程监测干预。尽管方法存在差异,但各研究均观察到对HRQoL和生理结局有一致的积极影响。值得注意的干预措施,如纳入家庭照顾者的措施,显示出全面的益处。然而,局限性包括方法的变异性和定性研究的排除。
本系统评价强调了CRP对CABG术后患者的HRQoL和生理结局具有显著的积极影响。研究中多样的方法和持续的改善为医疗从业者和研究人员提供了坚实的基础。未来的工作应侧重于标准化CRP干预措施,并开展精心设计的试验,以进一步加强证据基础,为CABG患者制定更具针对性和有效性的康复策略。