The Effect of Internet-Based Cardiac Rehabilitation on Anxiety, Depression, and Quality of Life Among Patients With Ischemic Heart Disease: A Systematic Review and Meta-analysis of Randomized Control Trials.
Background: Internet-based cardiac rehabilitation (IBCR) is an innovative, alternative platform used in current practice for the secondary prevention of ischemic heart disease (IHD). The impact of IBCR on anxiety, depression, and quality of life (QoL) in patients with IHD remains inconclusive. Objec...
| Published in: | Journal of Cardiovascular Nursing Vol. 40; no. 5; pp. 461 - 475 |
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| Main Authors: | , , , , |
| Format: | research systematic review tables/charts Journal Article |
| Published: |
Lippincott Williams & Wilkins
Sep/Oct2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187238969&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187238969 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08894655 0NW jtl: Journal of Cardiovascular Nursing issn: 08894655 maglogo: N pubinfo: dt: Sep/Oct2025 vid: 40 iid: 5 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 187238969 187238969 187238969 10.1097/JCN.0000000000001136 187238969 ppf: 461 ppct: 14 formats: tig: atl: The Effect of Internet-Based Cardiac Rehabilitation on Anxiety, Depression, and Quality of Life Among Patients With Ischemic Heart Disease: A Systematic Review and Meta-analysis of Randomized Control Trials. aug: au: Maithreepala, Sujeewa Dilhani Chao, Hsin-Yu Chen, Hsing-Mei Pimsen, Apiradee Shu, Bih-Ching affil: Sujeewa Dilhani Maithreepala, RN, MBA PhD Candidate, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan, Taiwan, ROC sug: subj: Internet-Based Intervention Rehabilitation, Cardiac Anxiety Depression Quality of Life Myocardial Ischemia Rehabilitation Cardiac Patients Human Systematic Review Meta Analysis Embase CINAHL Database Medline Cochrane Library Randomized Controlled Trials Middle Age Male Female Smartphone Behavioral Changes Telehealth Confidence Intervals Data Analysis Software Middle Aged: 45-64 years Male Female ab: Background: Internet-based cardiac rehabilitation (IBCR) is an innovative, alternative platform used in current practice for the secondary prevention of ischemic heart disease (IHD). The impact of IBCR on anxiety, depression, and quality of life (QoL) in patients with IHD remains inconclusive. Objective: To explore the effect of IBCR on anxiety, depression, and QoL among patients with IHD. Methods: Five databases (Embase, CINAHL, Medline, Cochrane, and Web of Science) and additional resources were searched to identify studies published between January 2014 and March 2024. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Critical Appraisal Skills Program checklist were used. Two reviewers independently assessed study quality, eligibility, and data extraction. RevMan (version 5.3) software was used for the meta-analysis. The protocol was registered in PROSPERO (CRD42023387666). Results: Thirteen randomized controlled trials were included across 9 countries. A total of 2256 participants, with a mean age ranging from 55 to 63 years, the majority being men (73%), were identified. IBCR did not significantly reduce anxiety (P =.22) or depression (P =.44) or increase QoL (P =.21) compared with usual care. Intervention was delivered mainly via smartphones. Physical activities and risk factor management were mostly used, and behavioral changes less likely occurred. Hospital Anxiety and Depression Scale was mostly used. Conclusions: IBCR was comparable to the effects of usual care in cardiac rehabilitation. Theory-driven interventions with larger and diverse sample sizes, and longer durations across different regions, are recommended for reliable findings. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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