Patient preference and adherence最新文献

{"title":"Barriers and Facilitators to the Initiation of Home-Based Exercise Rehabilitation After Radiofrequency Catheter Ablation for Atrial Fibrillation: A TDF-Based Qualitative Study.","authors":"Jiajia Wu, Lei He, Jing Wang, Xiangyu Wang, Bingqing Lu, Zhi Zhao, Sijia Sun, Bo Chen, Cuilian Chen","doi":"10.2147/PPA.S624476","DOIUrl":"https://doi.org/10.2147/PPA.S624476","url":null,"abstract":"<p><strong>Purpose: </strong>Home-based exercise rehabilitation is important for recovery after atrial fibrillation (AF) ablation. However, the barriers and facilitators influencing the initiation of home-based exercise rehabilitation during the early post-ablation recovery phase remain insufficiently understood. This study aimed to explore the barriers and facilitators influencing the initiation of home-based exercise rehabilitation among patients following radiofrequency catheter ablation for AF, guided by the Theoretical Domains Framework (TDF).</p><p><strong>Patients and methods: </strong>A descriptive qualitative study was conducted using purposive sampling. Twenty patients who had undergone radiofrequency catheter ablation for AF were recruited from a tertiary general hospital in Jiangsu Province, China. Formal data collection was conducted from August to December 2025.Face-to-face semi-structured interviews were conducted individually during routine follow-up approximately one month after ablation. The phenomenon under investigation was the initiation of home-based exercise rehabilitation during the early recovery phase, referring to patients' transition toward intentional, planned exercise activities performed at home after discharge and recommended or guided by healthcare professionals. Data were analysed using qualitative content analysis with a hybrid inductive-deductive approach informed by the TDF.</p><p><strong>Results: </strong>Factors influencing the initiation of home-based exercise rehabilitation were categorized into promoting and impeding factors. A total of 11 influencing factors were identified: 3 promoting factors (benefit-driven motivation, trust and recognition of professionals, and family responsibility as a motivator) and 8 impeding factors (lack of exercise knowledge, inadequate skill mastery, low exercise self-efficacy, distress from physical symptoms, poor resource accessibility, negative emotional distress, and absence of exercise plans).</p><p><strong>Conclusion: </strong>The initiation of home-based exercise rehabilitation after radiofrequency catheter ablation for AF is influenced by multiple interacting individual, professional, and contextual factors. Support strategies should address patients' knowledge and skills, confidence, symptom-related concerns, access to professional guidance and rehabilitation resources, and competing social responsibilities to facilitate the initiation of home-based exercise rehabilitation during early recovery.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"624476"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blood Glucose Management Behaviour Among Haemodialysis Patients with Diabetes: A Qualitative Study Guided by the Theory of Planned Behaviour.","authors":"Lixia Wang, Xiyan He, Yan Lei, Jiao Liu, Sai Li, Zhiyun Ning, Xuemei Zhang","doi":"10.2147/PPA.S618203","DOIUrl":"https://doi.org/10.2147/PPA.S618203","url":null,"abstract":"<p><strong>Objective: </strong>To utilise the Theory of Planned Behaviour as a theoretical framework, employing qualitative interviews to gain an in-depth understanding and analysis of the motivations and influencing factors of blood glucose management behaviours among haemodialysis patients with diabetes.</p><p><strong>Methods: </strong>Employing the phenomenological research method within qualitative research, in-depth semi-structured interviews were conducted with 12 haemodialysis patients with diabetes. Themes were then categorised using Colaizzi's seven-step content analysis method.</p><p><strong>Results: </strong>Themes were categorised according to the Theory of Planned Behaviour, yielding four categories: 1. Attitudes towards blood glucose management: perceived benefits and perceived burdens; 2. Subjective norms for blood glucose management: injunctive norms and descriptive norms; 3. Perceived behavioural control for blood glucose management: facilitating factors and impeding factors; 4. Behavioural intention versus actual behaviour: high intention-high execution, high intention-low execution, low intention-low execution, comprising nine themes in total.</p><p><strong>Conclusion: </strong>Using the Theory of Planned Behaviour, this study identifies key modifiable factors underlying glycaemic self-management among diabetic patients on maintenance haemodialysis, including conflicting attitudes, social-norm influences, and major perceived-behavioural-control barriers that produce intention-behaviour gaps. Interventions should shift from knowledge-only education towards enhancing patients' practical execution and perceived control. Individualised feasible management plans, together with integrated support from healthcare teams, families and social resources, are needed to address real-world barriers and improve glycaemic self-management outcomes for this patient group.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"618203"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to Diabetes Self-Care Practices Across Demographic and Clinical Characteristics Among Patients with Type 2 Diabetes.","authors":"Tina Tavakol, Rezvan Chaharlang, Maryam Zahedi, Mariyeh Najafi, Omid Nikpayam","doi":"10.2147/PPA.S633712","DOIUrl":"https://doi.org/10.2147/PPA.S633712","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the level of adherence to self-care behaviors across socio-demographic and clinical characteristics in patients with type 2 diabetes mellitus (T2DM).</p><p><strong>Methods: </strong>A total of 270 patients with diabetes who were referred to two medical centers in Gorgan, Iran, participated in this cross-sectional study. We assessed adherence using a reliable questionnaire, the Summary of Diabetes Self-Care Activities (SDSCA). The anthropometric measurements and blood pressure were assessed based on a standard protocol. The biochemical variables were gathered based on the medical documents of the centers. To compare adherence scores across clinical and demographic variables, independent <i>t</i>-test and ANOVA were used. A p-value less than 0.05 was considered statistically significant.</p><p><strong>Results: </strong>The mean age of participants was 57.16 ± 9.20 years, and nearly 66% of patients were female. The mean SDSCA score was 3.50 ± 0.87. Regarding self-care domains, the highest adherence scores were observed for medication use (6.07 ± 1.42) and foot care (6.05 ± 1.50), while blood glucose monitoring (2.16 ± 1.89) yielded the lowest score. A significant difference was observed between adherence scores and better glycemic control (P<0.001) and a more favorable lipid profile (P=0.001). No significant difference was observed between factors such as age, gender, duration of diabetes, BMI, and type of medication used with total score adherence.</p><p><strong>Conclusion: </strong>Overall adherence to self-care practices among T2DM patients was suboptimal. Moreover, higher adherence to self-care behaviors is associated with a better metabolic situation. Targeted educational and awareness programs are recommended to enhance self-care behaviors and optimize metabolic outcomes in this population.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"633712"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge, Attitudes, and Practices of Patients with Urolithiasis Regarding Stone Examination Methods: A Cross-Sectional Study in China.","authors":"Xiaodong Liu, Zhaoyuan Gong, Sichen Liu, Xuejie Li, Yanhu Wang, Lianpeng Yang, Yu Zhao, Xing Zheng","doi":"10.2147/PPA.S631885","DOIUrl":"https://doi.org/10.2147/PPA.S631885","url":null,"abstract":"<p><strong>Background: </strong>This study aims to assess the knowledge, attitudes, and practices (KAP) of patients with urolithiasis regarding stone examination methods.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in Wuhai City, Inner Mongolia Autonomous Region, between September 16, 2023, and December 30, 2024. Data were collected using a structured questionnaire, which included demographic information and KAP-related items. KAP scores were calculated, and their variations across different demographic groups were analyzed, with structural equation modeling (SEM) used to examine the interrelationships among the KAP dimensions.</p><p><strong>Results: </strong>A total of 457 valid responses were obtained, with 251 participants (54.92%) being male. Among the respondents, 373 (81.62%) reported experiencing pain in the lower back or abdomen. The mean knowledge, attitude, and practice scores were 11.23±2.98 (possible range: 0-18), 19.18±1.67 (possible range: 4-20), and 18.04±2.88 (possible range: 4-20), respectively. The mediation analysis showed that knowledge directly affected attitude (β = 0.462, P = 0.015) and practice (β = 0.312, P = 0.013), and attitude directly affected practice (β = 0.501, P = 0.009), as well as the knowledge indirectly affected practice (β = 0.231, P = 0.012).</p><p><strong>Conclusion: </strong>Patients with urolithiasis demonstrated inadequate knowledge but self-reported highly positive attitudes and proactive practices, which were likely influenced by social desirability bias. Targeted educational interventions are urgently needed to translate these positive declarations into genuine clinical examination adherence.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"631885"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information Quality Requirements for AI-Generated Patient Education Materials in Diabetic Foot Ulcer Care: A Directed Qualitative Content Analysis of Patient and Nurse Perspectives.","authors":"Jingwen Song, Norafisyah Makhdzir, Zarina Haron, Chunping Qin, Li Wang","doi":"10.2147/PPA.S626817","DOIUrl":"https://doi.org/10.2147/PPA.S626817","url":null,"abstract":"<p><strong>Purpose: </strong>To explore the information quality requirements of artificial intelligence generated patient education materials for diabetic foot ulcers from the perspectives of patients and nurses.</p><p><strong>Patients and methods: </strong>This single-center qualitative study was conducted at the Fifth Affiliated Hospital of Guangxi Medical University, China, from November 2025 to June 2026. Maximum-variation purposive sampling recruited 15 hospitalized patients with diabetic foot ulcers and 10 nurses. Saturation was assessed separately for each group and defined as no new codes, categories, or relevant insights. It was reached after 13 patient and 8 nurse interviews, with two additional interviews per group for confirmation. Face-to-face semi-structured interviews used standardized artificial intelligence generated diabetic foot ulcer education material as a discussion stimulus. Data were analyzed using directed content analysis guided by Wang and Strong's information quality framework.</p><p><strong>Results: </strong>Five themes and 17 subthemes were identified. Four themes mapped to Wang and Strong's framework: intrinsic information quality (accuracy, believability, objectivity, and reputation); contextual information quality (relevancy, completeness, timeliness, appropriate amount of data, and value-added); representational information quality (ease of understanding, interpretability, consistent representation, and concise representation); and accessibility information quality (accessibility and access security). An additional specific theme comprised clinical safety and actionability. Both groups valued reliable, relevant, understandable, and accessible information, but their priorities differed: nurses emphasized clinical accuracy, professional review, and the risks of unsafe recommendations, whereas patients prioritized relevance to current wound-care needs, ease of understanding and access, and clear guidance for self-care.</p><p><strong>Conclusion: </strong>Patients and nurses showed different but complementary priorities. Clinical safety and actionability extend conventional information quality considerations. Artificial intelligence may support educational content generation. However, a professional review is necessary for clinically sensitive information, and patient input is essential to ensure usability. Future studies should refine and validate these requirements across settings and user groups.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"626817"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13626000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149112131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal Patterns and Patient-Reported Barriers to Maintenance Inhaler Adherence in COPD: A Three-Wave Observational Study Using Routine Follow-Up Records.","authors":"Chunjuan Zhang, Qiuyue Shen, Minfeng Zhou","doi":"10.2147/PPA.S645311","DOIUrl":"https://doi.org/10.2147/PPA.S645311","url":null,"abstract":"<p><strong>Purpose: </strong>To describe short-term patterns of maintenance inhaler adherence and patient-reported barriers among adults with chronic obstructive pulmonary disease (COPD), and to examine whether barriers documented at earlier follow-ups were associated with subsequent adherence.</p><p><strong>Methods: </strong>This single-center longitudinal observational study included 278 adults with COPD followed at approximately 1-month intervals for three waves. Adherence was classified from patient- or caregiver-reported inhaler use obtained through routine semi-structured follow-up during the preceding month; unclear or unassessed use was coded missing. Transparent text rules identified five barrier categories and were validated against independent review of 150 randomly sampled records. The primary temporally ordered analysis used Firth logistic regression to compare Wave 3 low adherence between participants with any barrier documented during Waves 1-2 and those with none. Barrier-category count, adjacent-wave models, contemporaneous generalized estimating equations, and inverse probability-of-observation weighting were secondary or sensitivity analyses.</p><p><strong>Results: </strong>Adherence was evaluable for 264, 247, and 236 participants at Waves 1, 2, and 3; high adherence was recorded in 259 (98.1%), 222 (89.9%), and 189 (80.1%), respectively. Medication beliefs/perceived effectiveness were the most frequently documented barrier across any wave (35/278, 12.6%). In the primary analysis, any barrier documented during Waves 1-2 was associated with low adherence at Wave 3 compared with no prior barrier (adjusted odds ratio [OR] 4.29, 95% confidence interval [CI] 2.00-9.16). The corresponding result using truncated stabilized observation weights was OR 4.81 (95% CI 2.20-10.50). In a supportive Wave 2→3 model, current high adherence was associated with next-wave high adherence (OR 19.55, 95% CI 3.03-284.84), whereas individual barrier estimates were imprecise.</p><p><strong>Conclusion: </strong>High adherence was recorded less frequently at later follow-ups, and the presence of a previously documented barrier was associated with low adherence at Wave 3. These observational findings do not establish causation or individual prediction.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"645311"},"PeriodicalIF":2.6,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149113065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Influencing eHealth Literacy in Maintenance Hemodialysis and Its Relationship with Emotional Status and Quality of Life.","authors":"Ning Wu","doi":"10.2147/PPA.S633393","DOIUrl":"10.2147/PPA.S633393","url":null,"abstract":"<p><strong>Background: </strong>eHealth literacy (eHL) has emerged as an important determinant of health outcomes in chronic disease management. However, its role among patients undergoing maintenance hemodialysis (MHD) remains insufficiently explored. This study aimed to assess the level of eHL in MHD patients, identify associated sociodemographic and clinical factors, and examine the relationship between eHL, emotional status, and quality of life (QoL).</p><p><strong>Methods: </strong>A total of 229 patients receiving MHD were recruited in a single-center cross-sectional study. Data were collected using validated questionnaires assessing eHL, emotional status (anxiety and depression), and quality of life (SF-36). Binary logistic regression and linear regression analyses were conducted to identify factors associated with eHL. Spearman correlation analysis was used to evaluate the associations between eHL, emotional status, and QoL.</p><p><strong>Results: </strong>The mean age of participants was 57.36 ± 13.98 years, and 66.38% were male. The median dialysis duration was 4.00 years. Approximately half of the patients (50.66%) demonstrated high eHL. Patients with low eHL were significantly older, Patients with low eHL were significantly older, had lower educational attainment, and had a higher burden of multimorbidity. Patients with low eHL had significantly higher anxiety and depression scores and a higher prevalence of anxiety and depressive symptoms than those with high eHL (all <i>P</i> < 0.01). They also had poorer QoL across all eight domains of the SF-36 (all <i>P</i> < 0.05). eHEALS scores were positively correlated with overall QoL (r = 0.382, <i>P</i> < 0.0001) and negatively correlated with depression scores (r = -0.182, <i>P</i> = 0.0057), whereas the correlation with anxiety scores was not statistically significant (r = -0.124, <i>P</i> = 0.0613). In multivariable analyses, older age and lower educational attainment were independently associated with lower odds of high eHL, while higher comorbidity burden, widowed/divorced marital status, and longer dialysis duration were associated with continuous eHEALS scores.</p><p><strong>Conclusion: </strong>eHL was significantly associated with emotional well-being and QoL in patients undergoing MHD. Lower eHL was more common among older and less educated patients, suggesting that these groups may benefit from targeted, patient-centered support for digital health engagement. However, whether improving eHL can reduce psychological distress or improve QoL remains uncertain and requires evaluation in longitudinal and intervention studies.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"633393"},"PeriodicalIF":2.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13618576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients' Behavioral Intentions to Remind Providers About Hand Hygiene and Report Missing Identification Bracelets: A Theory of Planned Behavior Study in a Saudi Tertiary Hospital.","authors":"Sarah Alotaibi, Hissah Almutairi, Kholoud Alharbi","doi":"10.2147/PPA.S633480","DOIUrl":"10.2147/PPA.S633480","url":null,"abstract":"<p><strong>Background: </strong>Patient engagement is a cornerstone of safe healthcare delivery. Understanding the factors that influence patients' willingness to participate in safety practices is essential for developing effective patient-centered safety interventions. This study explores the determinants influencing patients' intentions to engage in safety practices, using the Theory of Planned Behavior (TPB).</p><p><strong>Objective: </strong>To assess the impact of attitudes, subjective norms, perceived behavioral control, and risk perception on patients' behavioral intentions to remind healthcare providers about hand hygiene and report missing identification bracelets.</p><p><strong>Methods: </strong>A single-center cross-sectional correlational study was conducted at King Saud Medical City, Riyadh. Using convenience sampling, a structured Arabic questionnaire based on TPB was administered to 465 hospitalized patients. Data were analyzed using SPSS v24 with descriptive, Spearman correlation, and multiple linear regression analyses.</p><p><strong>Results: </strong>Perceived behavioral control was the strongest predictor of behavioral intention for both hand hygiene (β = 0.612, p < 0.001) and identification-related practices (β = 0.563, p < 0.001). For hand hygiene, subjective norms (β = 0.277, p < 0.001) and attitude (β = 0.162, p = 0.001) were positively associated with intention, whereas risk perception showed a small negative association (β = -0.114, p = 0.014). For identification, risk perception (β = 0.252, p < 0.001) and attitude (β = 0.105, p < 0.001) were positively associated with intention; subjective norms were not significant. The models explained 81.1% and 84.3% of the variance, respectively.</p><p><strong>Conclusion: </strong>TPB-related factors were strongly associated with patients' behavioral intentions to engage in the two safety practices studied. Higher perceived behavioral control showed the most consistent association with intention. These findings may inform the development and future testing of patient empowerment, education, and communication interventions; however, the cross-sectional design does not establish that such interventions improve actual patient behavior.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"633480"},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Rehabilitation Interventions for Patients with Cardiovascular Disease: A Scoping Review.","authors":"Fengpei Zhang, Lili Chen, Yan Jiang, Mengdie Liu, Xiaoyun Xiong","doi":"10.2147/PPA.S634991","DOIUrl":"10.2147/PPA.S634991","url":null,"abstract":"<p><strong>Objective: </strong>This study systematically synthesizes the types, core components, and implementation characteristics of sexual rehabilitation interventions for patients with cardiovascular disease to inform the integration of sexual rehabilitation into cardiac rehabilitation and guide clinical practice.</p><p><strong>Methods: </strong>A scoping review methodology was employed, following the framework of Arksey and O'Malley and reported according to PRISMA-ScR guidelines. PubMed, Embase, Web of Science, CINAHL, Cochrane Library, CNKI, and Wanfang Data were systematically searched from January 2000 to December 2025. Based on the Population-Concept-Context framework, inclusion and exclusion criteria were applied. Literature screening, data extraction, and evidence mapping were performed.</p><p><strong>Results: </strong>A total of 29 studies were included: original research, systematic reviews, guidelines, scientific statements and research protocols. The included evidence primarily focused on patients with myocardial infarction or coronary heart disease and those undergoing percutaneous coronary intervention, with some studies also involving patients' partners. Interventions were categorized into four types: (1) guidance-based interventions centered on sexual education and counseling; (2) psychological and behavioral interventions; (3) couple-based interventions; and (4) comprehensive rehabilitation integrated with cardiac rehabilitation. Most interventions were delivered by nurses or multidisciplinary teams, primarily through face-to-face interactions, with some utilizing remote methods like phone calls, video consultations, and mobile applications.</p><p><strong>Conclusion: </strong>Current sexual rehabilitation interventions mainly focus on sexual health education and counseling, while psychological and behavioral interventions and partner-assisted interventions have also been explored, with favorable outcomes reported in some studies. However, sexual rehabilitation remains fragmented and lacks integration into cardiac rehabilitation systems. Future research should promote standardization, explore integrated models, and leverage digital health technologies for individualized care.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"634991"},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Meaning of Life Story Card for People Undergoing Hemodialysis.","authors":"Michiyo Oka, Hiroko Joboshi, Satsuki Takahashi, Mitsuhiro Matsumoto, Yu Imai, Yoshiko Sato","doi":"10.2147/PPA.S614365","DOIUrl":"10.2147/PPA.S614365","url":null,"abstract":"<p><strong>Purpose: </strong>Patients undergoing hemodialysis often experience various forms of psychological distress. The Life Story Card (LSC) intervention is designed to provide psychological support by encouraging patients to share their personal narratives, which are then compiled into concise cards. This study aimed to explore the meaning of the LSC intervention for patients undergoing hemodialysis.</p><p><strong>Patients and methods: </strong>Twenty-one patients undergoing hemodialysis at a hospital were recruited. Data were collected through distribution of LSCs that summarized participants' narratives and through interviews exploring their impressions of the intervention. The data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Three themes emerged regarding the meaning of the LSC: \"transforming narratives into tangible memories\", \"satisfaction in communicating my thoughts\", and \"gained courage to live\"..</p><p><strong>Conclusion: </strong>Although LSC interventions have primarily been used with patients with dementia, the results of this study suggest that they may also serve as a practical communication tool for hemodialysis patients facing various challenges. Furthermore, simplified LSCs, such as single cards that can be created quickly without preparing an entire booklet, were well-received by participants.</p>","PeriodicalId":19972,"journal":{"name":"Patient preference and adherence","volume":"20 ","pages":"614365"},"PeriodicalIF":2.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13616157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}