Designing a Nurse-Led eHealth Cardiac Rehabilitation Program: Insights From Participant Experiences and Qualitative Feedback.
Jing Jing Su, Jenniffer Torralba Paguio, Weidi Wang and 1 others
PMID 39370414WHAT IT FOUND
Patients with coronary heart disease described a nurse-led online rehabilitation program as supporting home-based self-care, but wanted clearer exercise symptom guidance, easier website use, and stronger privacy protections.
Key findings
01Patients described the program as filling a gap in post-discharge cardiac rehabilitation access.
02Patients wanted more guidance on recognizing and managing symptoms during exercise.
03Patients raised privacy concerns about WeChat peer chatrooms.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
All participants were from one hospital in China and used the same NeCR program, so their views may not apply to other services or platforms. Only 18 patients were interviewed, and only those who used the program, so patients who dropped out or did not engage were not represented. 77.8% were male and 88.9% used the Internet daily, so women, older adults, and less connected patients may not be represented. Feedback was collected after only 2 weeks, so longer-term use and adherence may differ. This is a qualitative refinement study, not a test of whether NeCR improves cardiac outcomes.
Declared interests
The authors declared no conflicts of interest. The paper is listed as supported by non-U.S. government research funding.
The easy way to misread this
Do not conclude that NeCR improves recovery or exercise capacity. The program combined nurse assessment, a website, a pedometer, and WeChat, and this study reports 18 patients' early experiences after 2 weeks, not a randomized comparison.