Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women: A SYSTEMATIC REVIEW

被引:1
作者
Rao, Angela [1 ]
Newton, Phillip J. [2 ]
DiGiacomo, Michelle [1 ]
Hickman, Louise D. [1 ]
Hwang, Christine [3 ]
Davidson, Patricia M. [1 ,4 ]
机构
[1] Univ Technol Sydney, Fac Hlth, Sydney, NSW, Australia
[2] Western Sydney Univ, Sydney, NSW, Australia
[3] St Vincents Hosp Sydney, Darlinghurst, NSW, Australia
[4] Johns Hopkins Univ, Sch Nursing, Baltimore, MD USA
基金
澳大利亚研究理事会;
关键词
cardiac rehabilitation; cardiovascular disease; hypertension; preventive medicine; secondary prevention; CARDIAC REHABILITATION PROGRAM; QUALITY-OF-LIFE; OLDER WOMEN; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; HEALTH; RISK; INTERVENTION; IMPROVEMENTS; ENROLLMENT;
D O I
10.1097/HCR.0000000000000335
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: There is a paucity of evidence on gender-specific, individually tailored secondary prevention (cardiac rehabilitation [CR]) services for women with heart disease. Women participate less in CR programs, thus increasing their risk of further cardiac events. This review aims to (1) determine the effectiveness of gender-specific interventions specifically designed for women with heart disease, delivered in outpatient CR settings; and (2) classify key elements of effective CR strategies/models for women with heart disease. Methods: Using the PRISMA guidelines, this is a systematic review of CR models tailored to women to improve cardiovascular risk. Four databases were searched for randomized controlled trials (RCTs) between January 1974 and July 2017 published in peer-reviewed English language journals. Results: Three RCTs comprising 725 women of gender-specific CR strategies were identified. Significant improvements were found in one-third (1 study) of the included multicomponent CR strategies for outcomes including general health, social functioning, vitality, mental health, depression, and quality of life. Conclusion: Further large-scale RCTs are required to replicate positive findings and accurately assess the capacity for gender-specific multicomponent CR programs that incorporate participant-driven collaborative models to moderate psychological risk and improve functional capacity and quality of life for women with heart disease.
引用
收藏
页码:279 / 285
页数:7
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