心脏远程康复对接受经皮冠状动脉介入治疗（PCI）患者健康相关生活质量的影响：一项系统评价方案

The Impact of Cardiac Telerehabilitation on Health-Related Quality of Life in Patients Undergoing Percutaneous Coronary Intervention (PCI): A Systematic Review Protocol.

作者信息

Limonti Francesco, Gigliotti Andrea, Gravante Francesco, Ramacciati Nicola

机构信息

Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.

Department of Health and Exercise Science, The University of Oklahoma, Norman, OK 73019, USA.

出版信息

Nurs Rep. 2024 Dec 13;14(4):3984-3992. doi: 10.3390/nursrep14040291.

DOI:10.3390/nursrep14040291

PMID:39728652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676307/

Abstract

BACKGROUND

Cardiac rehabilitation (CR) is an intervention to improve health and quality of life in patients undergoing percutaneous coronary intervention (PCI). The use of digital technology for healthcare promotion, such as telemedicine, has received growing attention in recent years due to the possibility of offering remote and individualized cardiac rehabilitation to patients undergoing coronary interventions. However, the impact of cardiac telerehabilitation on health-related quality of life (HRQoL) is not fully understood. This systematic review aims to analyze through meta-analyses and synthesized comments the current knowledge on the effectiveness of cardiac telerehabilitation in improving HRQoL in patients undergoing PCI.

OBJECTIVES

This manuscript presents a protocol for a systematic review to assess the effects of cardiac telerehabilitation on HRQoL in cardiac patients after PCI. Furthermore, the systematic review will explore the different modalities of remote rehabilitation documented in scientific literature.

METHODS

The literature review protocol was developed according to the PRISMA guidelines for systematic reviews. Search terms were structured according to the PIO (Population-Intervention-Outcome) framework. All relevant available studies will be identified using the main databases (PubMed, Scopus, CINAHL, Web of Science, and the Cochrane Library) and included in the review. Methodological quality and risk of bias will be evaluated using the Crowe Critical Appraisal Tool (CCAT). This review protocol has been registered on PROSPERO (No. CRD42024582933).

CONCLUSIONS

This systematic review will comprehensively investigate the effects of cardiac telerehabilitation on QoL improvements in patients after PCI.

摘要

背景

心脏康复（CR）是一种改善接受经皮冠状动脉介入治疗（PCI）患者健康状况和生活质量的干预措施。近年来，由于能够为接受冠状动脉介入治疗的患者提供远程和个性化的心脏康复服务，利用数字技术促进医疗保健，如远程医疗，受到了越来越多的关注。然而，心脏远程康复对健康相关生活质量（HRQoL）的影响尚未完全明确。本系统评价旨在通过荟萃分析和综合评论，分析目前关于心脏远程康复改善PCI患者HRQoL有效性的知识。

目的

本手稿提出了一项系统评价方案，以评估心脏远程康复对PCI术后心脏病患者HRQoL的影响。此外，该系统评价将探索科学文献中记录的远程康复的不同模式。

方法

文献综述方案是根据系统评价的PRISMA指南制定的。检索词按照PIO（人群-干预-结局）框架构建。将使用主要数据库（PubMed、Scopus、CINAHL、Web of Science和Cochrane图书馆）识别所有相关的现有研究，并纳入综述。将使用Crowe批判性评价工具（CCAT）评估方法学质量和偏倚风险。本综述方案已在PROSPERO上注册（编号CRD42024582933）。