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Factors influencing physical activity engagement following coronary artery bypass graft surgery: A mixed methods systematic review
Heart & Lung ( IF 2.8 ) Pub Date : 2021-06-02 , DOI: 10.1016/j.hrtlng.2021.04.006
Emily Gray 1 , Suranga Dasanayake 1 , Bahram Sangelaji 1 , Leigh Hale 1 , Margot Skinner 1
Affiliation  

Background

Engagement in physical activity during the initial months following coronary artery bypass graft (CABG) surgery is important in order to improve health, quality of life and functional outcomes. There are, however, many potential barriers to physical activity engagement during the recovery period. No review studies have focused on barriers and facilitators to engagement in physical activity during the early stages of recovery following CABG surgery.

Objective

To explore the factors that influence engagement in physical activity during the first three months following CABG surgery.

Methods

Four electronic databases were searched. Extracted data from selected studies were synthesised using the Joanna Briggs Institute convergent integrated approach.

Results

Nineteen studies met the inclusion criteria. Four main themes that influenced engagement were identified: sociodemographic variables; physical symptoms; psychosocial factors; and environmental factors. More barriers were identified than facilitating factors. Psychosocial factors were the most commonly reported barriers in the literature.

Conclusions

The findings of this review provide insights into factors that inhibit and facilitate engagement in physical activity following CABG surgery. Further research specifically exploring factors that influence engagement, especially facilitators, is required.



中文翻译:

影响冠状动脉搭桥手术后体力活动参与的因素:混合方法系统评价

背景

冠状动脉搭桥手术 (CABG) 术后最初几个月进行体力活动对于改善健康、生活质量和功能结果非常重要。然而,在恢复期间参与体育活动存在许多潜在障碍。没有综述研究关注 CABG 手术后恢复早期阶段参与体力活动的障碍和促进因素。

客观的

探讨影响冠状动脉搭桥手术后前三个月身体活动参与度的因素。

方法

检索了四个电子数据库。使用乔安娜·布里格斯研究所聚合集成方法综合了选定研究中提取的数据。

结果

十九项研究符合纳入标准。确定了影响参与度的四个主题:社会人口变量;身体症状;心理社会因素;和环境因素。发现的障碍多于促进因素。心理社会因素是文献中最常报道的障碍。

结论

本综述的研究结果提供了对 CABG 手术后抑制和促进身体活动参与因素的见解。需要进一步研究专门探索影响参与的因素,尤其是促进者。

更新日期:2021-06-02
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