冠心病患者健康素养提升策略的范围综述

A Scoping Review of Health Literacy Improvement Strategies for People with Coronary Heart Disease

摘要: 目的：对冠心病患者健康素养的干预研究进行范围审查，为后续研究和临床实践提供参考。方法：依据范围综述方法学框架，检索8个中英文数据库自建库至2025年6月30日的相关研究，系统检索后予以文献筛选、整理、汇总和分析。结果：最终纳入文献17篇。现有的干预方案涉及理论驱动干预、心理干预、移动健康干预、共享决策干预、多模式教育干预和联动赋权干预6个主题；干预的方法包括健康宣教、心理支持、同伴交流、家庭参与、决策支持、远程指导以及行为内化；干预途径以线下结合线上为主，干预时长最短4天，最长2年，3个月内最多见；结局指标涉及心理状态、健康能力、健康行为、临床结局、生活质量等。结论：冠心病患者健康素养的提升值得重视，未来有待借鉴现有干预策略开展个性化的干预措施，加强在家庭和社区中的干预研究，开展互联网医疗创新建设。

Abstract: Objective: A systematic review of interventions on health literacy for patients with coronary heart disease was conducted to provide references for subsequent research and clinical practice. Methods: Based on the framework of the scoping review methodology, relevant studies were retrieved from eight Chinese and English databases from their inception to June 30, 2025, and the literature was screened, sorted, summarized and analyzed after systematic search. Results: A total of 17 articles were included in the review. The existing intervention programs focused on six themes: theory-driven intervention, psychological intervention, mobile health intervention, shared decision-making intervention, multi-modal educational intervention, and comprehensive intervention; interventions included health education, psychological support, peer communication, family involvement, decision support, remote guidance, and behavioral internalization; the intervention route was mainly offline and online, and the intervention duration was as short as 4 days, up to 2 years, and most common within 3 months; outcome measures related to psychological status, health ability, health behavior, clinical outcomes, and quality of life. Conclusions: The improvement of health literacy in patients with coronary heart disease is worth attention, in the future, we can draw on the characteristics of existing intervention strategies to carry out personalized interventions, strengthen intervention research in families and communities, and carry out innovative construction of Internet-based healthcare.