Rashidi Amineh, Whitehead Lisa, Halton Helena, Munro Lisa, Jones Ian, Newson Lisa
School of Nursing and Midwifery, Edith Cowan University Joondalup Campus, Joondalup, Australia.
Nursing, TBHI: Telehealth.org.
PLoS One. 2025 Jan 30;20(1):e0313612. doi: 10.1371/journal.pone.0313612. eCollection 2025.
Although the benefits of engaging in cardiac rehabilitation are well established, patient perceptions of the changes in their health-related quality of life are poorly documented. This systematic review synthesized qualitative studies on patients' perspectives of change in their health-related quality of life after attending cardiac rehabilitation.
To identify and synthesize the best available evidence on the perspective of patients living with heart disease about the changes in their health-related quality of life after attending cardiac rehabilitation.
Eight databases were used to identify relevant papers published in English and peer-reviewed, and no date restrictions were considered for the search. This systematic review followed the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The Joanna Briggs Institute (JBI) Critical Appraisal Checklist was used to appraise the quality of each paper, and two independent reviewers conducted it. A meta-aggregation approach was used to synthesize the findings of the included studies.
The search identified 10813 titles. Thirty-five full-text papers were reviewed after duplicates were removed, and the titles and abstracts were reviewed. Thirteen papers were retained for data synthesis. The synthesized findings were divided into three categories: building healthier habits, peer interaction, and improving mental health.
This review demonstrates the positive changes in health-related quality of life for those patients engaged in cardiac rehabilitation. Peer interaction with other patients improved both mental and physical health. This review indicated that adopting healthier habits, including healthy eating and regular physical activity, had substantial benefits in formulating healthy behavior. The role of peers in supporting the development of a healthy lifestyle appears to be an understudied avenue and has potential for development.
尽管心脏康复的益处已得到充分证实，但患者对其健康相关生活质量变化的看法却鲜有记录。本系统评价综合了关于患者参加心脏康复后对其健康相关生活质量变化看法的定性研究。
识别并综合关于心脏病患者参加心脏康复后健康相关生活质量变化看法的最佳现有证据。
使用八个数据库识别以英文发表并经过同行评审的相关论文，检索时不考虑日期限制。本系统评价遵循系统评价和荟萃分析的首选报告项目（PRISMA）指南。使用乔安娜·布里格斯研究所（JBI）批判性评价清单对每篇论文的质量进行评价，由两名独立评审员进行。采用元聚合方法综合纳入研究的结果。
检索到10813个标题。去除重复项后，对35篇全文论文进行了评审，并对标题和摘要进行了审查。保留13篇论文进行数据综合。综合结果分为三类：养成更健康的习惯、同伴互动和改善心理健康。
本评价表明，参加心脏康复的患者在健康相关生活质量方面有积极变化。与其他患者的同伴互动改善了心理和身体健康。本评价表明，养成更健康的习惯，包括健康饮食和定期体育活动，对形成健康行为有很大益处。同伴在支持健康生活方式发展中的作用似乎是一个研究较少的领域，具有发展潜力。
