冠心病患者心脏康复相关指南的系统评价

BackgroundCardiac rehabilitation as an effective comprehensiveintervention for patients with coronary heart disease has reached consensus, but the quality of guidelines related to cardiac rehabilitation developed at home and abroad is still unclear, and relevant recommendations need to be integrated.ObjectiveTo systematically review the guidelineson cardiac rehabilitation in patientswith coronary heart disease. Methods The academic databases , guideline repositoriesandassociation websites were electronically searched forrelated guidelines on cardiac rehabilitation in patients with coronary heart disease from database established to 30 June 2022. Literatures screening, data extraction and guidelines evaluation were independently performed by two researchers,respectively according tothe inclusion and exclusion criteria and The Appraisal of Guidelines for Research & Evaluation (AGREE )and the recommendations related cardiac rehabilitation in patients with coronary heart disease were then compared and summarized. Results Tenguidelines with publication time ranging from 2011 to 2020 were eventually included and eight of them were foreign ones. The average scoreof every AGREE domain was 71%for scope and purpose, 65%for stakeholder involvement, 58%for rigor of development, 80%for clarity of presentation, 64%for applicability, and 45%for editorial independence. Four guidelines were rated as Grade A and the remaining six as Grade B. Sixaspects were involved in recommendations, including basic requirements of cardiac rehabilitation, heath education, risk factors control, psychological support, exercise training, andimprove cardiac rehabilitation participation. Conclusion The qualityof included guidelines is at a moderate to high level. More effortsareneeded to improve the domains in stakeholder involvement, rigor of development, applicability, and editorial independence.Recommendations of the ten guidelines tend to be consistent, but there are still insufficient recommendations in improving cardiac rehabilitation participation. At present, there is a gap in the quality of guidelines on cardiac rehabilitationbetweenChina and foreign countries, so it is necessary to develop a high-quality guideline on cardiac rehabilitation for patients with coronary heart disease in China.