Date of Completion of Thesis/SIP

Spring 4-6-2022

Document Type

Scholarly Inquiry Paper (SIP)

Degree Name

Master of Science in Nursing (MSN)

Department

Nursing

First Advisor

Carole Jenson

Second Advisor

Jen Timm

City

Rochester, MN

Abstract

Coronary artery disease or coronary heart disease is one of the leading causes of death in the world. Center-based cardiac rehab has long been a sustainable answer for recovery from an acute coronary event. However, the COVID-19 pandemic halted in-person appointments for cardiac rehab patients. Therefore, patients and their healthcare team met virtually. The objective of this literature review is to discover the efficacy and cost-effectiveness of cardiac telerehabilitation, as it will likely have a more prominent role in patient recovery from acute myocardial infarctions. To determine this, a literature review was conducted based on recent studies involving coronary artery disease patients in a center-based cardiac rehab and telehealth style cardiac rehab. Twenty-one articles were reviewed, and five themes were revealed. These include lifestyle modifications, secondary prevention, patient-led care and adherence, technology during COVID-19, and cost-effectiveness. From these themes, a concept map was constructed. The literature revealed no statistically significant difference in patient outcomes between telehealth-based and center-based cardiac rehab. Telehealth rehab also demonstrated cost-effectiveness in various delivery methods including telephone, short messaging services, mobile applications, and video calls. Therefore, it can be concluded that cardiac telehealth rehab can be offered as a primary option for cardiac rehab. With the common barriers to attending in person cardiac rehab including schedule, geographical barriers, and the COVID-19 pandemic, telehealth rehab offers the patient relief of some of these barriers.

Included in

Nursing Commons

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