Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review
Firman Sugiharto,1 Aan Nuraeni,2 Yanny Trisyani,2 Azalia Melati Putri,1 Nuraulia Aghnia Armansyah1 1Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia; 2Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Ind...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2023-08-01
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| Series: | Vascular Health and Risk Management |
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| Online Access: | https://www.dovepress.com/barriers-to-participation-in-cardiac-rehabilitation-among-patients-wit-peer-reviewed-fulltext-article-VHRM |
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| author | Sugiharto F Nuraeni A Trisyani Y Melati Putri A Aghnia Armansyah N |
| author_facet | Sugiharto F Nuraeni A Trisyani Y Melati Putri A Aghnia Armansyah N |
| author_sort | Sugiharto F |
| collection | DOAJ |
| description | Firman Sugiharto,1 Aan Nuraeni,2 Yanny Trisyani,2 Azalia Melati Putri,1 Nuraulia Aghnia Armansyah1 1Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia; 2Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, IndonesiaCorrespondence: Firman Sugiharto, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6282218235600, Fax +6282287793411, Email firman17001@mail.unpad.ac.idAbstract: Patients with coronary heart disease (CHD) experience many barriers to participate in cardiac rehabilitation (CR) programs. Several studies identify barriers that can affect participation in CR among patients with CHD after reperfusion therapy. However, there has yet to be a review specifically in this population. This review aims to identify the literature systematically that analyzes the barriers that affect the participation of CHD patients after reperfusion therapy in implementing the CR program. This study used the Preferred Reporting Item for PRISMA Extension for Scoping Reviews (PRISMA-ScR) with databases PubMed, ScienceDirect, EBSCO-hosted Academic Search Complete, Scopus, Taylor & Francis, and Sage Journals. The keywords used in English were “coronary artery disease OR myocardial infarction OR cardiovascular disease OR heart disease” AND “Barrier OR obstacle”, AND “percutaneous coronary intervention OR PCI OR angioplasty OR coronary artery bypass graft surgery OR CABG” AND “cardiac rehabilitation OR rehabilitation OR recovery”. The inclusion criteria in this review were full-text articles in English, articles with a descriptive, cross-sectional, and cohort design with a minimum of 100 participants that discussed barriers to participation in patients with CHD after undergoing reperfusion therapy, and the CR phases such as I, II, III, and IV have also been identified. Based on the initial search, there are 23 relevant studies out of 7400. The results of this study reported that most of the participants from the studies analyzed had a low level of participation in CR (≤ 50%). We classify the factors that affect the level of CR participation into five categories: individual factors, health history, environmental, logistical, and health system. The most reported barriers in each category were age, comorbidities, lack of support from friends, family and health workers, distance or travel time, and cost and economic status. Professional health workers, especially nurses, can identify various barriers that patients feel so that they can increase their participation in attending CR.Keywords: cardiac rehabilitation, coronary heart disease, patient participation, reperfusion |
| first_indexed | 2024-03-12T11:39:13Z |
| format | Article |
| id | doaj.art-220314b39b094d918bea1c4ad55c2b03 |
| institution | Directory Open Access Journal |
| issn | 1178-2048 |
| language | English |
| last_indexed | 2024-03-12T11:39:13Z |
| publishDate | 2023-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Vascular Health and Risk Management |
| spelling | doaj.art-220314b39b094d918bea1c4ad55c2b032023-08-31T19:08:37ZengDove Medical PressVascular Health and Risk Management1178-20482023-08-01Volume 1955757086339Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping ReviewSugiharto FNuraeni ATrisyani YMelati Putri AAghnia Armansyah NFirman Sugiharto,1 Aan Nuraeni,2 Yanny Trisyani,2 Azalia Melati Putri,1 Nuraulia Aghnia Armansyah1 1Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia; 2Department of Critical Care and Emergency Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, IndonesiaCorrespondence: Firman Sugiharto, Faculty of Nursing, Universitas Padjadjaran, Jl. Raya Ir. Soekarno KM. 21, Hegarmanah, Jatinangor, Sumedang, West Java, 45363, Indonesia, Tel +6282218235600, Fax +6282287793411, Email firman17001@mail.unpad.ac.idAbstract: Patients with coronary heart disease (CHD) experience many barriers to participate in cardiac rehabilitation (CR) programs. Several studies identify barriers that can affect participation in CR among patients with CHD after reperfusion therapy. However, there has yet to be a review specifically in this population. This review aims to identify the literature systematically that analyzes the barriers that affect the participation of CHD patients after reperfusion therapy in implementing the CR program. This study used the Preferred Reporting Item for PRISMA Extension for Scoping Reviews (PRISMA-ScR) with databases PubMed, ScienceDirect, EBSCO-hosted Academic Search Complete, Scopus, Taylor & Francis, and Sage Journals. The keywords used in English were “coronary artery disease OR myocardial infarction OR cardiovascular disease OR heart disease” AND “Barrier OR obstacle”, AND “percutaneous coronary intervention OR PCI OR angioplasty OR coronary artery bypass graft surgery OR CABG” AND “cardiac rehabilitation OR rehabilitation OR recovery”. The inclusion criteria in this review were full-text articles in English, articles with a descriptive, cross-sectional, and cohort design with a minimum of 100 participants that discussed barriers to participation in patients with CHD after undergoing reperfusion therapy, and the CR phases such as I, II, III, and IV have also been identified. Based on the initial search, there are 23 relevant studies out of 7400. The results of this study reported that most of the participants from the studies analyzed had a low level of participation in CR (≤ 50%). We classify the factors that affect the level of CR participation into five categories: individual factors, health history, environmental, logistical, and health system. The most reported barriers in each category were age, comorbidities, lack of support from friends, family and health workers, distance or travel time, and cost and economic status. Professional health workers, especially nurses, can identify various barriers that patients feel so that they can increase their participation in attending CR.Keywords: cardiac rehabilitation, coronary heart disease, patient participation, reperfusionhttps://www.dovepress.com/barriers-to-participation-in-cardiac-rehabilitation-among-patients-wit-peer-reviewed-fulltext-article-VHRMcardiac rehabilitationcoronary heart diseasepatient participationreperfusion |
| spellingShingle | Sugiharto F Nuraeni A Trisyani Y Melati Putri A Aghnia Armansyah N Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review Vascular Health and Risk Management cardiac rehabilitation coronary heart disease patient participation reperfusion |
| title | Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review |
| title_full | Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review |
| title_fullStr | Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review |
| title_full_unstemmed | Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review |
| title_short | Barriers to Participation in Cardiac Rehabilitation Among Patients with Coronary Heart Disease After Reperfusion Therapy: A Scoping Review |
| title_sort | barriers to participation in cardiac rehabilitation among patients with coronary heart disease after reperfusion therapy a scoping review |
| topic | cardiac rehabilitation coronary heart disease patient participation reperfusion |
| url | https://www.dovepress.com/barriers-to-participation-in-cardiac-rehabilitation-among-patients-wit-peer-reviewed-fulltext-article-VHRM |
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