Summary of the best evidence for self-management in cardiac rehabilitation for patients with acute myocardial infarction

LI Dan; LI Liuhua; ZHONG Ping; LIN Xiaoyu; MAO Min

doi:10.12102/j.issn.2095-8668.2024.19.002

Abstract：Objective:To retrieve,evaluate,and summarize the best evidence on cardiac rehabilitation self-management in patients with acute myocardial infarction(AMI),providing evidence-based references for clinical healthcare professionals in patient self-health education and self-management behavior standardization.Methods:Using the"6S"model,a systematic search was conducted across domestic and international databases,guideline websites,and professional association websites for evidence related to cardiac rehabilitation self-management in patients with AMI.The retrieval time was from the inception to March 31,2024.The included literature was subjected to quality evaluation,evidence extraction,and summarization.Results:A total of 11 documents were included,comprising 1 clinical decision,8 guidelines,1 systematic review,and 1 expert consensus.A total of 44 best evidence items were summarized,covering 8 aspects:team organization management,assessment,rehabilitation prescription management(exercise guidance,nutritional management,medication therapy,mental health,smoking cessation guidance),risk factor management,health education,social support,emergency management,self-monitoring,and follow-up.Conclusion:The summarized best evidence on cardiac rehabilitation self-management for patients with AMI provides a reference for clinical healthcare professionals in health education and standardizing patient cardiac rehabilitation self-management.It is recommended to conduct comprehensive and integrated rehabilitation assessments for patients with AMI,and based on patient preferences and individual circumstances,select personalized self-management interventions to improve cardiac rehabilitation adherence and effectively promote the clinical translation of best evidence.