Title of Thesis/SIP
Date of Completion of Thesis/SIP
Scholarly Inquiry Paper (SIP)
Master of Science in Nursing (MSN)
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.
Hoff, Alexander James Schmidt, "Cardiac Telehealth Rehabilitation: Empowering the Patient" (2022). Nursing Masters Papers. 402.