Zhang Hongyu, Sezgin Duygu
School of Nursing and Midwifery, University of Galway, Galway, Ireland.
PLoS One. 2025 Jan 31;20(1):e0318265. doi: 10.1371/journal.pone.0318265. eCollection 2025.
Cardiac rehabilitation effectively reduces mortality and enhances the quality of life for individuals with cardiovascular disease. Despite that, individuals' engagement in cardiac rehabilitation remains low. Considering the significant contributions of individuals' self-management of cardiovascular disease to their progress, it is essential to understand the personal factors that influence engagement in cardiac rehabilitation. This scoping review aims to identify and map personal factors that influence cardiac rehabilitation engagement with a specific focus on the subjective experiential dimensions of personal factors (cognitive, emotional, and behavioural). It also aims to explore interventions targeting personal factors to increase cardiac rehabilitation engagement. This review will be reported using the PRISMA-ScR checklist following the Joanna Briggs Institute (JBI) methodology. It will include peer-reviewed articles published in English from January 2004, excluding grey literature. Studies reporting adult populations aged 18 and over with cardiovascular disease and addressing personal factors or interventions to increase cardiac rehabilitation engagement, will be included. Databases for the searches will include PubMed, Embase, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Scopus, and Web of Science. The data extraction is developed by the reviewers based on JBI guidelines and relevant literature, the form will detail the characteristics of included publications, personal factors influencing cardiac rehabilitation engagement, and intervention characteristics. The data analysis will summarise descriptively the key features of the included studies and interventions, the Patient Health Engagement Model will guide the categorisation of personal factors into cognitive, emotional, and behavioural aspects, with other personal factors organised as emerging other relevant factors themes. The findings of this review will provide important evidence support for researchers, clinicians and policy makers to promote participation in cardiac rehabilitation. Within the constraints of medical and human resources, attention to personal factors can maximise the individual's role in cardiac rehabilitation and self-management, contributing to the efficient allocation and use of resources.
心脏康复能有效降低心血管疾病患者的死亡率并提高其生活质量。尽管如此，个人参与心脏康复的比例仍然很低。考虑到个人对心血管疾病的自我管理对其康复进程有重大贡献，了解影响心脏康复参与度的个人因素至关重要。本范围综述旨在识别和梳理影响心脏康复参与度的个人因素，特别关注个人因素的主观体验维度（认知、情感和行为）。它还旨在探索针对个人因素的干预措施，以提高心脏康复参与度。本综述将按照乔安娜·布里格斯研究所（JBI）的方法，使用PRISMA-ScR清单进行报告。它将包括2004年1月以来以英文发表的同行评审文章，不包括灰色文献。纳入的研究将是报告18岁及以上患有心血管疾病的成年人群，并涉及个人因素或旨在提高心脏康复参与度的干预措施。搜索的数据库将包括PubMed、Embase、Cochrane图书馆、护理学与健康相关文献累积索引、PsycINFO、Scopus和科学引文索引。数据提取由评审人员根据JBI指南和相关文献制定，表格将详细列出纳入出版物的特征、影响心脏康复参与度的个人因素以及干预措施的特征。数据分析将对纳入研究和干预措施的关键特征进行描述性总结，患者健康参与模型将指导将个人因素分为认知、情感和行为方面，其他个人因素则归类为新兴的其他相关因素主题。本综述的结果将为研究人员、临床医生和政策制定者促进心脏康复参与提供重要的证据支持。在医疗和人力资源的限制范围内，关注个人因素可以最大限度地发挥个人在心脏康复和自我管理中的作用，有助于资源的有效分配和利用。
