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The effects of heart rehabilitation program based on electronic health on patients with coronary heart disease：a systematic review
Objective To systematically evaluate the effects of electronic health cardiac rehabilitation program on patients with coronary heart disease. Methods Comprehensive search was conducted in PubMed,Embase,Web of Science,Cochrane,Springer,ScienceDirect,Ovid,EBSCO,CBM,CNKI,Wanfang,and VIP,supplemented by manual search. The search time limit was form inception to April 2020. The effects of heart rehabilitation was determined by mata-analysis with Stata 14.0 after data extraction and quality appraisal. Results A total of 14 studies were included. Compared with the control group,the electronic health-based cardiac rehabilitation program could improve the time of physical activity（SMD=0.24,95%CI=0.04~0.45,P=0.02）,daily steps（SMD=0.41,95%CI=0.22~0.60,P<0.001）,the quality of life（SMD=0.97,95%CI=0.12~1.81,P=0.02）,and reduce the readmission rate（RR=0.49,95%CI=0.27~0.89,P=0.02）. Sensitivity analysis found that cardiac rehabilitation based on electronic health could effectively improve eating habits（SMD=0.49,95%CI=0.15~0.83,P=0.005）,total cholesterol level（SMD=-0.23,95%CI=-0.41~-0.04,P=0.02）,and low-density lipoprotein（SMD=-0.36,95%CI=-0.55~-0.17,P<0.001）. Conclusion Cardiac rehabilitation based on electronic health can effectively improve patients’ enthusiasm for sustaining a good lifestyle,improving their eating habits,and quality of life,reducing their total cholesterol and low-density lipoprotein levels,and the readmission rate.
Li-na ZHOU , Ming-yue FU , Lin SUN , Ying-xue WAN , Xing GE . The effects of heart rehabilitation program based on electronic health on patients with coronary heart disease：a systematic review[J]. Chinese Journal of Nursing Education, 2021 , 18(3) : 260 -265 . DOI: 10.3761/j.issn.1672-9234.2021.03.014
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