专科护士主导的心脏康复对心血管疾病病人体力活动影响的现实主义综述

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Impact of specialized nurse⁃led cardiac rehabilitation on physical activity in patients with cardiovascular disease：a realistic review

Abstract Objective：To explore the effectiveness and mechanism of nurse⁃led cardiac rehabilitation on physical activity in patients with cardiovascular diseases.Methods：Searched in MedLine，OVID，EMbase，CINAHL，Web of Science，and the literature was evaluated based on "situation⁃mechanism⁃outcome" and ability，opportunity and motivation⁃behavior（COM⁃B） model.Reaults：A total of 17 articles were included，we found 4 contexts，4 mechanisms and 1 outcome，and identified 4 "context⁃mechanism⁃outcome" explanatory pathways.Conclusion：With the help of theory can better explain the specialist nurses⁃led cardiac rehabilitation of cardiovascular disease patients physical activity behavior change the cause of success and failure，through intervention patients exercise self⁃efficacy，self⁃management，sexual experience，and social support can promote the promotion of physical activity，finally research established a explanatory conceptual framework based on the review results to guide the nurse managers and researchers.

Keywords  cardiovascular disease；nurse⁃led；cardiac rehabilitation；physical activity；realistic review

摘要  目的：探讨专科护士主导的心脏康复对心血管疾病病人体力活动的有效性情境作用及其机制。（剩余13088字）