Heart & Lung最新文献

{"title":"The impact of social frailty on mortality in older patients with chronic heart failure: A prospective cohort study.","authors":"Zongke Long, Jian Liu, Simeng Zhang, Peiyun Zhou, Bingyan Zhang, Jiurui Wang, Huimin Wei, Wenran Qu, Xiaorong Luan","doi":"10.1016/j.hrtlng.2024.12.004","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.12.004","url":null,"abstract":"<p><strong>Background: </strong>There is still insufficient longitudinal evidence regarding the risk of mortality in older patients with chronic heart failure (CHF) and social frailty (SF).</p><p><strong>Objectives: </strong>The purpose of study was to describe the incidence rate of non-SF, pre-SF, and SF in older patients with CHF and explore its impact on mortality.</p><p><strong>Methods: </strong>The observational study was conducted at a tertiary hospital in China. According on the Help, Participation, Loneliness, Financial, Talk scale (HALFT) scores, they were divided into three groups: non-SF (0 points), pre-SF(1-2points), and SF groups(≥3points). Follow up for 6 months, observation indicator was mortality. Kaplan Meier survival analysis and the Log-rank test were used to compare the mortality of the three groups of patients. Apply the Cox proportional hazards regression model to analyze the related factors associated with mortality.</p><p><strong>Results: </strong>A total of 297 patients completed the baseline survey.The average age was 69.99±6.47, with 59.26 % men and 40.74 % women. In the 6-month follow-up, nine patients were lost to follow-up, and 35 patients died. The mortality rate of the SF group was higher than that of the non-SF group (χ²=14.805, P < 0.01). Using a multivariate Cox proportional hazards regression model, our results showed that SF, age, and marital status were risk factors for mortality.</p><p><strong>Conclusion: </strong>SF can increase the risk of mortality in older patients with CHF and is a risk factor for mortality. Healthcare providers should enhance patients' social adjustment to aid early prevention and intervention in the occurrence and development of SF to reduce the risk of mortality in older patients with CHF.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"177-182"},"PeriodicalIF":2.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between older coronary heart disease patients' phase II cardiac rehabilitation intentions, illness perceptions, and family caregivers' illness perceptions.","authors":"Yantong Xie, Xinyi Li, Min Xie, Chunxi Lin, Zhiqi Yang, Mingfang Li, Jing Chen, Meng Zhao, Zijun Guo, Jun Yan","doi":"10.1016/j.hrtlng.2024.12.006","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.12.006","url":null,"abstract":"<p><strong>Background: </strong>Intention is an important factor in encouraging patients to receive cardiac rehabilitation. Illness perceptions of patients and individuals around them, such as family caregivers, may influence intention. However, no study has explored how family caregivers' illness perceptions enhance older coronary heart disease (CHD) patients' phase II cardiac rehabilitation intentions.</p><p><strong>Objectives: </strong>To describe older CHD patients' phase II cardiac rehabilitation intentions and their relationship with family caregivers' illness perceptions and to examine the mediating role of patients' illness perceptions.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted among 202 older CHD patient‒family caregiver dyads. The Chinese versions of the Revised Illness Perception Questionnaire, Willingness to Participate in Cardiac Rehabilitation Questionnaire (WPCRQ), and Cardiac Rehabilitation Inventory (CRI) were adopted. Data analysis included descriptive statistics, Pearson correlations, and structural equation modeling. Reporting followed the STROBE checklist.</p><p><strong>Results: </strong>Patients were 69.81 years and mostly male (64.85 %); family caregivers were 52.58 years and mostly female (55.94 %). Family caregivers' personal control had a direct effect on patients' phase II cardiac rehabilitation intentions (β_WPCRQ = -0.217, β_CRI = -0.228; P = 0.001). Family caregivers' personal control, treatment control, and timeline acute/chronic had indirect effects on patients' cardiac rehabilitation intentions through patients' corresponding dimensions of illness perceptions (|β|_WPCRQ = 0.086∼0.098, |β|_CRI = 0.062∼0.097; P < 0.05).</p><p><strong>Conclusion: </strong>Family caregivers' illness perceptions can affect patients' phase II cardiac rehabilitation intentions directly and indirectly through patients' illness perceptions. Interventions targeting illness perceptions in both older CHD patients and their family caregivers could be provided to improve patients' phase II cardiac rehabilitation intentions.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"183-190"},"PeriodicalIF":2.4,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instruments used by physiotherapists to assess functional capacity in hospitalized patients with COVID-19: An online survey.","authors":"Ana Carolina Otoni Oliveira, Raquel Annoni, Marcia Souza Volpe, Fernando Silva Guimaraes, Camila Ferreira Leite, Flavia Marini Paro, Letícia Marcelino Sotelo Dias, Marilita Falangola Accioly","doi":"10.1016/j.hrtlng.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.12.001","url":null,"abstract":"<p><strong>Background: </strong>Assessing functional capacity in hospitalized patients with COVID-19 may have been neglected due to a great demand for resources at the height of pandemic and the lack of specific assessment instruments for this population.</p><p><strong>Objectives: </strong>To identify the instruments used to evaluate functional capacity in COVID-19 patients hospitalized in COVID-19 wards and ICUs and the associations between use of assessment instruments and physiotherapist characteristics METHODS: The survey was conducted using REDCap web-based application, following the Consensus-Based Checklist for Reporting of Survey Studies guidelines. A non-probability recruitment approach aimed at physiotherapists who had treated hospitalized patients with COVID-19 in Brazil. The instruments were classified into four domains: muscle strength, mobility, activities of daily living, and physical performance, as for the International Classification of Functioning, Disability, and Health RESULTS: Overall, 485 physiotherapists responded to the survey, 81.9% of whom used one or more instruments to assess functional capacity. The Medical Research Council (59.6%) and the Six-Minute Walk Test (21.7%) were the most commonly used instruments in COVID-19 wards; the MRC (63.9%) and the Intensive Care Mobility Scale (33.1%), in ICUs. In COVID-19 wards, higher probability of using assessment instruments was associated with being male, having training on COVID-19 management, and working > 50 h/week. In ICUs, having training on COVID-19 management and working in university hospitals were associated with higher probability of using these instruments CONCLUSIONS: Most physiotherapists used one or more instruments to assess functional capacity, assessed more than one physical domain, and used the obtained results to plan interventions.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"170-176"},"PeriodicalIF":2.4,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between mindfulness and symptom severity among adults living with chronic obstructive pulmonary disease (COPD).","authors":"Tania T Von Visger, Kayla Wardlaw, Chin-Shang Li, Yu-Ping Chang, Lea Ann Matura","doi":"10.1016/j.hrtlng.2024.12.002","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.12.002","url":null,"abstract":"<p><strong>Background: </strong>Mindfulness-based interventions (MBI) benefit adults with chronic obstructive pulmonary disease (COPD) by helping them manage their symptoms and improve their quality of life. Little is known about their baseline mindfulness knowledge and practice and how these may relate to symptom management.</p><p><strong>Objectives: </strong>To 1) compare symptom severity scores of depression, anxiety, dyspnea, fatigue, and insomnia between those who know and practice mindfulness and those who do not, and 2) construct phenotype profile characteristics of COPD patients based on their levels of mindfulness.</p><p><strong>Methods: </strong>339 community-dwelling adults (mean age 53.43±13.48 years, 61.28 % male, and 48.21 % White) completed an online cross-sectional survey study indicating their mindfulness knowledge, practice, level, and COPD symptom severity. After adjusting for multiple comparisons among the three groups, we used Kruskal-Wallis, Fisher's exact, and Chi-squared tests to compare variables' differences among these three mindfulness levels.</p><p><strong>Results: </strong>Participants who self-identified as knowledgeable about mindfulness (n = 315) reported significantly lower severity of dyspnea and fatigue. Participants who self-identified as current practitioners of mindfulness (n = 282) reported substantially lower symptom severity. Among the different mindfulness groups, levels of phenotype profile analysis showed statistically significant differences in demographic and clinical characteristics, including depressive symptoms, age, ethnicity, education level, and years living with COPD. We found no differences in gender or disease severity levels.</p><p><strong>Conclusions: </strong>Community-dwelling adults with COPD who practiced mindfulness reported lower symptom severity than those who did not. This suggests the potential benefits of MBI integration as a complementary health approach to symptom management. The mindfulness level phenotype profile is critical to tailoring MBIs. It can guide the design and delivery of MBIs with optimal feasibility, acceptability, effectiveness, and sustained adherence for adults with COPD according to their mindfulness level profiles.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"163-169"},"PeriodicalIF":2.4,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and willingness to implement cardiopulmonary resuscitation among the general public: A study in Hubei Province, China.","authors":"Mengwan Liu, Kaiqi Chen, Quan Yuan, Qianwen Zeng, Cuihuan Hu","doi":"10.1016/j.hrtlng.2024.11.017","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.017","url":null,"abstract":"<p><strong>Background: </strong>The incidence of out-of-hospital cardiac arrest (OHCA) in China is high, yet the treatment rate remains low. Research on the current state of the public's awareness of and willingness to provide cardiopulmonary resuscitation (CPR) in Hubei Province is scarcer.</p><p><strong>Objectives: </strong>The objective of this research was to explore the general public's knowledge, confidence, and willingness to perform CPR in Hubei Province, China.</p><p><strong>Methods: </strong>In this descriptive study we used convenience sampling to select 1, 849 permanent residents of Hubei Province as survey respondents. A self-designed questionnaire included four sections: demographic information, knowledge about CPR, confidence in skill implementation, willingness to implement it, factors that may influence CPR use.</p><p><strong>Results: </strong>Four hundred ten individuals (22 %) had a knowledge score of moderate or higher. The following factors were statistically significant in CPR knowledge scores: gender, age, education, place of residence (last three years), presence of a cohabitant over age sixty years, occupation related to medicine, and participation in CPR training (p < 0.05). Only 81 (9.8 %) were confident in performing CPR. There were 708 (77.2 %) members of the public who were willing to perform CPR on strangers. Gender, age, education, place of residence (last three years), and having a medically-related occupation were associated with willingness to perform CPR (p < 0.05).</p><p><strong>Conclusions: </strong>Public knowledge of CPR in Hubei needs improvement, with a strong willingness but inadequate background knowledge for rescue. Government should broaden CPR training paths to enhance survival rates of OHCA patients.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"157-162"},"PeriodicalIF":2.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension and 28-day mortality in sepsis patients: An observational and mendelian randomization study.","authors":"Lichang Sun, Cong Zhang, Ping Song, Xiaoni Zhong, Biao Xie, Yingzhu Huang, Yuanjia Hu, Ximing Xu, Xun Lei","doi":"10.1016/j.hrtlng.2024.11.020","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.020","url":null,"abstract":"<p><strong>Background: </strong>Predicting and reducing the 28-day mortality in sepsis remains a challenge in this research field.</p><p><strong>Objective: </strong>This study aimed to explore the association between hypertension and 28-day mortality in sepsis.</p><p><strong>Methods: </strong>This study is a cross-sectional approach with Mendelian Randomization (MR). We used GWAS data for hypertension as the exposure and 28-day mortality in sepsis as the outcome and employed the main inverse variance weighted method along with other supplementary MR techniques to verify the causal association between hypertension and 28-day mortality in sepsis. We used sensitivity analyses to ensure the robustness of the research findings. Finally, we utilized clinical data from the Medical Information Mart for Intensive Care-IV database to assess the risk association between hypertension and 28-day mortality in sepsis using difference analysis and multivariate logistic regression analysis.</p><p><strong>Results: </strong>According to MR, hypertension increased the 28-day mortality in sepsis in both two datasets (FinnGen: odds ratio [OR] = 1.61, 95 % confidence interval [CI] = 1.15-2.26, p = 0.006; Medical Research Council-Integrative Epidemiological Unit: OR = 160, 95 % CI = 2.76-9250, p = 0.014). In our observational study, we included a total of 2012 sepsis patients, of which 60.5 % were male, and the average age was 55.4 years. By applying univariate and multivariate logistic regression models (univariate analysis p = 0.02, multivariate analysis p = 0.02), we observed a significantly increased risk of 28-day mortality due to hypertension in sepsis patients.</p><p><strong>Conclusion: </strong>This study confirmed the causal relationship between hypertension and the 28-day mortality in sepsis.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"147-156"},"PeriodicalIF":2.4,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors related to the treatment burden of patients with coronary heart disease: A cross-sectional study.","authors":"Wenran Qu, Xiaoli Wang, Simeng Zhang, Huimin Wei, Peiyun Zhou, Bingyan Zhang, Zongke Long, Xiaorong Luan","doi":"10.1016/j.hrtlng.2024.11.019","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.019","url":null,"abstract":"<p><strong>Background: </strong>Treatment burden is a significant barrier to patient adherence that may lead to deterioration of health.</p><p><strong>Objectives: </strong>The purpose of this study was to understand the treatment burden of Chinese patients with coronary heart disease (CHD) and its associations with demographic, capacity, and workload-related factors.</p><p><strong>Methods: </strong>We conducted an observational cross-sectional study. We recruited 396 patients with CHD in a tertiary hospital in Shandong Province, China. Self-report questionnaires were used to measure patients' sociodemographic information, clinical information, treatment burden, health literacy, illness perception, and chronic illness resources. Descriptive statistics and t-tests, one-way analysis of variance, Pearson's correlation analysis, and multiple linear regression analysis were used for data analysis.</p><p><strong>Results: </strong>A total of 396 participants were included, of whom 273 were male (68.9 %) and 123 were female (31.1 %). The mean age of the participants was 63.10 ± 9.75. The predictors for treatment burden included smoking, taking ≥ 6 kinds of medications/day, health literacy, illness perception, and chronic illness resources, which explained 50.9 % of the variance (p < 0.05).</p><p><strong>Conclusion: </strong>Our findings indicate an association between treatment burden and factors such as smoking, taking ≥ 6 kinds of medications/day, health literacy, illness perception, and chronic illness resource survey. Healthcare staff should develop targeted interventions based on relevant factors and optimize treatment strategies to improve patient adherence.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"141-146"},"PeriodicalIF":2.4,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom perception in adults with chronic physical disease: A systematic review of insular impairments.","authors":"Giulia Locatelli, Austin Matus, Chin-Yen Lin, Ercole Vellone, Barbara Riegel","doi":"10.1016/j.hrtlng.2024.11.004","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.004","url":null,"abstract":"<p><strong>Background: </strong>To perform self-care, individuals with a chronic illness must be able to perceive bodily changes (ie., interoception) so they can respond to symptoms when they arise. Interoception is regulated by the insular cortex of the brain. Symptom perception is poor in various physical diseases, which may be associated with impairments in the insular cortex.</p><p><strong>Objective: </strong>The purpose of this study was to explore whether patterns of insular impairment exist among adults with chronic physical diseases and to analyze the relationship with disease-related symptoms.</p><p><strong>Methods: </strong>We identified studies that assessed the structure and/or activity of the insula through MRI and/or (f)MRI in adults with chronic physical diseases (vs. healthy controls) by searching five databases. Results are reported as a narrative synthesis.</p><p><strong>Results: </strong>Fifty studies were conducted to investigate the structure or activity of the insula among adults with diabetes, cancer, heart failure, or chronic pulmonary disease. In 19 studies investigators found that patients with a chronic disease had lower/damaged insular volume/density/thickness than healthy controls or reduced insular blood flow. When insular activity was explored in 22 studies, most investigators reported higher insular activity and lower neural connectivity. Five studies explored the association between insular volume/activity and symptom severity: four reported a positive trend.</p><p><strong>Conclusion: </strong>People with chronic physical diseases have lower insular grey matter volume/density/thickness and abnormal insular activity when compared to healthy people. Insular activity may be related to symptom severity. These results suggest that insular structure and/or activity may explain poor symptom perception.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"122-140"},"PeriodicalIF":2.4,"publicationDate":"2024-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Describing acute coronary syndrome symptom information on social media platforms.","authors":"John R Blakeman, Nathan Carpenter, Susana J Calderon","doi":"10.1016/j.hrtlng.2024.11.021","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.021","url":null,"abstract":"<p><strong>Background: </strong>Social media is a common source of health-related information. However, more clarity regarding ACS symptom information posted on social media is needed.</p><p><strong>Objectives: </strong>The objective was to describe ACS symptom information on social media platforms, including Twitter (now named X), Instagram, and TikTok.</p><p><strong>Methods: </strong>A cross-sectional, qualitative descriptive design was used. The three social media platforms were searched in 2022 for posts containing ACS symptom information. A random sample of posts meeting inclusion was drawn. Posts were analyzed using a qualitative coding process, and network analysis was used to triangulate data.</p><p><strong>Results: </strong>Posts (N = 342) included in the final analysis were most often published by healthcare organizations (46.2 %), lay persons (20.8 %), or healthcare professionals (13.7 %). Five key themes were identified: 1) a focus on gendered symptom experiences, 2) diverse types of symptom messages (educational, emphasis on getting help, personal testimony, advertising, diagnostic help, research findings), 3) variety of specific symptoms mentioned, 4) different dimensions of symptoms included, and 5) varying levels of information quality and accuracy. Chest pain was the most common ACS symptom highlighted in posts, and symptom differences between men and women were often emphasized.</p><p><strong>Conclusions: </strong>Of particular concern was incorrect or misleading ACS symptom information on social media that could create misconceptions and contribute to delays in seeking care for ACS. The findings from this study provide more insight into the ACS symptom information shared on social media platforms and provide preliminary information that can influence practice and future research.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"112-121"},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immersive virtual reality reduces depression, anxiety and stress in patients with cardiovascular diseases undergoing cardiac rehabilitation: A systematic review with meta-analysis.","authors":"Irene Cortés-Pérez, Esteban Obrero-Gaitán, Alberto Verdejo-Herrero, Noelia Zagalaz-Anula, Raúl Romero-Del-Rey, Héctor García-López","doi":"10.1016/j.hrtlng.2024.11.018","DOIUrl":"https://doi.org/10.1016/j.hrtlng.2024.11.018","url":null,"abstract":"<p><strong>Background: </strong>Current literature suggests that immersive virtual reality (IVR) could be an efficacious therapeutic approach for patients with cardiovascular diseases (CVD) undergoing cardiac rehabilitation program (CRP). However, this has only been affirmed in individual studies and is yet to be confirmed by a systematic review.</p><p><strong>Objectives: </strong>To determine the efficacy of IVR interventions on depression, anxiety, and stress symptoms in patients with CVD.</p><p><strong>Methods: </strong>A meta-analysis was performed in line with PRISMA guidelines following a literature search between inception and June 2024 in PubMed, SCOPUS, WOS, CINAHL and PEDro for retrieving randomized controlled trials (RCTs) that compared the efficacy of IVR versus conventional CRPs on depression, anxiety and stress in patients with CVD. The PEDro scale was used to evaluate the methodological quality of the studies. Pooled effects were calculated using the Cohen's standardized mean difference (SMD) and its 95% confidence interval (95% CI), or mean difference (MD) if studies used the same measure.</p><p><strong>Results: </strong>Eight RCTs, providing data from 510 patients with CVD (63.8±5.4 years, 60% men), were included. The methodological quality was moderate (M=5.1±1 points). A large rehabilitative effect of IVR was found for reducing depression (SMD=-0.54; 95% CI -0.77 to -0.31; p<0.001), anxiety (SMD=-0.43; 95% CI -0.74 to -0.12; p=0.006) and stress (MD=-14.96; 95% CI -20.1 to -9.8; p<0.001). The findings suggest that combine IVR and CRP is the most appropriate approach for reducing depression, anxiety and stress.</p><p><strong>Conclusion: </strong>IVR, especially when combined with a traditional CRP, reduces depression, anxiety and stress in patients with CVD.</p>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"70 ","pages":"102-111"},"PeriodicalIF":2.4,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}