Cardiac rehabilitation in the acute care setting: Integrative review

Chezhan Hall1, Maria Murphy1, Andrew Scanlon1

  • 1School of Nursing & Midwifery, LaTrobe University, Bundoora 3083, Australia; Department of Nursing, Austin Health, Heidelberg 3084, Australia.

Insights

Phase one cardiac rehabilitation (CR) is crucial for improving outcomes in patients with coronary heart disease. Optimizing CR delivery and addressing implementation barriers are key to enhancing patient health post-hospitalization.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Phase one cardiac rehabilitation (CR) is a vital part of care for individuals diagnosed with coronary heart disease.
  • Optimal delivery of CR programs can significantly improve patient health outcomes.

Purpose of the Study:

  • To conduct an integrative review examining Phase one CR for hospitalized patients with coronary heart disease.
  • To explore current research and identify key aspects of Phase one CR delivery.

Main Methods:

  • An integrative literature review was performed, covering studies published between 2003 and 2014.
  • Searches were conducted across multiple databases including Medline, CINAHL, EMBASE, Psycinfo, Cochrane Library, and Google Scholar.
  • Studies were critically appraised using Joanna Briggs Institute tools, focusing on peer-reviewed English publications detailing Phase one CR interventions or education for acute care patients.

Main Results:

  • Recent cardiac research has emphasized patient and health professional perceptions, CR interventions, and patient education.
  • Factors hindering the effective delivery of Phase one CR, such as time constraints and workload, were identified.

Conclusions:

  • Optimizing the implementation of Phase one CR is essential for improving the health outcomes of patients with coronary heart disease after hospitalization.
  • Future CR interventions should focus on overcoming the identified barriers to effective program delivery.
Abstract

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