Impact of specialized nurse-led cardiac rehabilitation on physical activity in patients with cardiovascular disease:a realistic review
WU Wenxiao
SHAO Rongya
HUANG Lihua
SONG Yunlian
LIU Yang
JIN Lei
SHEN Xuhui
Abstract：Objective:To explore the effectiveness and mechanism of nurse-led cardiac rehabilitation on physical activity in patients with cardiovascular diseases.Methods:Searched in MedLine,OVID,EMbase,CINAHL,Web of Science,and the literature was evaluated based on"situation-mechanism-outcome"and ability,opportunity and motivation-behavior(COM-B)model.Reaults:A total of 17 articles were included,we found 4 contexts,4 mechanisms and 1 outcome,and identified 4"context-mechanism-outcome"explanatory pathways.Conclusion:With the help of theory can better explain the specialist nurses-led cardiac rehabilitation of cardiovascular disease patients physical activity behavior change the cause of success and failure,through intervention patients exercise self-efficacy,self-management,sexual experience,and social support can promote the promotion of physical activity,finally research established a explanatory conceptual framework based on the review results to guide the nurse managers and researchers.
Keywords：cardiovascular diseasenurse-ledcardiac rehabilitationphysical activityrealistic review
Publication Date：2025-02-14
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：9( 450-458 )