奇纳
促进者
心理信息
医学
定性研究
梅德林
主题分析
批判性评价
医学教育
社会支持
康复
系统回顾
护理部
心理学
心理干预
物理疗法
替代医学
社会心理学
法学
社会学
病理
社会科学
政治学
作者
Laís Manata Vanzella,Paul Oh,Maureen Pakosh,Gabriela Lima de Melo Ghisi
出处
期刊:European Journal of Cardiovascular Nursing
[Oxford University Press]
日期:2021-12-23
卷期号:21 (5): 414-429
被引量:15
标识
DOI:10.1093/eurjcn/zvab114
摘要
Abstract Background Due to restrictions imposed by the severe acute respiratory syndrome coronavirus 2 pandemic much attention has been given to virtual education in cardiac rehabilitation (CR). Despite growing evidence that virtual education is effective in teaching patients how to better self-manage their conditions, there is very limited evidence on barriers and facilitators of CR patients in the virtual world. Aims To identify barriers and facilitators to virtual education participation and learning in CR. Methods A systematic review of peer-reviewed literature was conducted. Medline, Embase, Emcare, CINAHL, PubMed, and APA PsycInfo were searched from inception through April 2021. Following the PRISMA checklist, only qualitative studies were considered. Theoretical domains framework (TDF) was used to guide thematic analysis. The Critical Appraisal Skills Program was used to assess the quality of the studies. Results Out of 6662 initial citations, 12 qualitative studies were included (58% ‘high’ quality). A total of five major barriers and facilitators were identified under the determinants of TDF. The most common facilitator was accessibility, followed by empowerment, technology, and social support. Format of the delivered material was the most common barrier. Technology and social support also emerged as barriers. Conclusion This is the first systematic review, to our knowledge, to provide a synthesis of qualitative studies that identify barriers and facilitators to virtual education in CR. Cardiac rehabilitation patients face multiple barriers to virtual education participation and learning. While 12 qualitative studies were found, future research should aim to identify these aspects in low-income countries, as well as during the pandemic, and methods of overcoming the barriers described.
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