Annotated Bibliography

Annotated Bibliography
Name of the Student
Name of the University
Author Note

Part 1
The aim of the study, Sagar et al. (2015) was to provide a review of the services for
exercise rehabilitation for people with cardiac problems like HF in Australia and to identify
the potential organisational barriers in delivering these services. It was systematic review and
meta-analysis of randomized controlled trials. A total of 33 trials were included with a total
of 4740 participants predominantly. Each study has a control and upto a follow-up of 1 year.
Standard sample size and long follow-up period can be considered as few of the strengths of
the study. However, long follow-up period is associated with certain limitations like decrease
in the sample size during the follow up session. The analysis of the results showed that the
exercise reduced the risk of overall rate of hospitalization (RR 0.75; 0.62 to 0.92, 0.005) and
hospitalization arising out of heart failure. Meta-regression analysis highlighted that these
benefits were independent of the type and dosage of the exercise CR along with duration of
the trial follow- up. The analysis of the results highlighted that promising improvements in
decreasing the rate of hospitalization upon the cardiac patients under implementation of
exercise regime for the cardiac rehabilitation. The reduction in the hospitalization was also
reflected in the domain of cardiac-arrest related hospitalization. The result was independent
of the dosage and duration of exercise.
Jiang, Shorey, Seah, Chan, Tam and Wang (2018) conducted systematic review of the
randomised control trails (2006 to 2016) and the aim was to study psychological
interventions on the process of self-care and psychological and health outcomes in patients
with chronic heart failure (CHF). A total of 29 articles were selected for the review. Selection
of the articles from the last 10 years helped to increase the reliability and validity of the
evidence based practice highlighted in the review. The analysis of the results highlighted that
psychological interventions help to improve self-care among cardiac patients who are devoid
of cognitive impairment and clinical depression. The results also revealed importance of
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psychological interventions in improving health-related quality of life of the patients
suffering from cardiac problems (combined MD −7.53, 95% CI −12.83 to −2.23). However,
psychological intervention effect on reducing patients' level of anxiety level failed to show up
statistically significant results. Authors concluded that implementation of the psychological
interventions is helpful in improving the health-related quality of life of the patients suffering
from the cardiac complications. However, the effect of the psychological intervention on
anxiety level of the patients failed to fetch significant results.
The study of Molloyet al. (2012) aimed to provide a detailed knowledge about the
evidence-based practice in improving the medication adherence of the patients suffering from
the cardiac complications. The systematic review of the randomised control trial was selected
for this study. The trials in which the intervention groups are compared with the placebo
group were selected for the study. The main population of interest were the adults (>18
years). Sixteen independent studies were finally selected for the trials. However, this can be
regarded as a limitation of the study as 16 is a very small sample size. The analysis of the
results highlighted that the main pharmacological interventions that are successful in
increasing the therapy adherence among the cardiac patients include patient education and
simplification of the drug regime. However, simplification of the drug regime failed to
provide significance as the selected studies failed to provide the desired rationale against the
importance of the simplification of the drug regime. The study concluded the importance of
the patient education in increasing the therapy adherence. For the patient’s education person-
centred care plan was proposed such that the educational plan for patient’s education must be
designed based on behavioural needs of the patient
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