Evidence map›Paper›PMID 40684094›Full record

ArticleBMC cardiovascular disorders2025

Perceptions of shared decision-making participation during cardiac rehabilitation in coronary heart disease patients after coronary artery bypass surgery grafting: a qualitative study.

Hang Wang, Meng Xiu, Fei Yang, Meijie Zhang, Chenwei Wang, Qi Wang, Yuhan Cheng, Xue Liu, Weiying Zhang

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hang WangSchool of Medicine, Tongji University, Shanghai, China.
Meng XiuSchool of Medicine, Tongji University, Shanghai, China.
Fei YangSchool of Medicine, Tongji University, Shanghai, China.
Meijie ZhangShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Chenwei WangSchool of Medicine, Tongji University, Shanghai, China.
Qi WangShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China.
Yuhan ChengSchool of Medicine, Tongji University, Shanghai, China.
Xue LiuSchool of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Weiying ZhangShanghai East Hospital, School of Medicine, Tongji University, Shanghai, China. zhangwy_cn@126.com.

Funding

Important Weak Subject Construction Project of Shanghai Pudong New Area Health Commission No. PWZbr2022-04Key Discipline Projects in the Three Years Action Plan for Discipline Construction of Tongji University School of Medicine JS2210103Shanghai East Hospital Talent Program No. DFRC2017017
6 · The paper itself

Abstract

backgroundCardiac rehabilitation is a widely adopted approach for postoperative recovery in coronary heart disease patients undergoing coronary artery bypass grafting (CABG). However, in China, patients tend to be highly dependent on medical staff and less expressive of their personal wishes in medical decision-making due to the influence of traditional concepts. This study aims to investigate the current status of CABG postoperative patients' perceptions of shared decision-making during cardiac rehabilitation.

methodsUsing the Colaizzi's phenomenological method, 19 post-CABG from three tertiary general hospital in Shanghai were purposively selected for semi-structured in-depth interviews between February 2025 to April 2025.

resultsTwo main themes and eight subthemes emerged: (1) Patients' perceptions of SDM participation during cardiac rehabilitation, including insufficient understanding of the role, restricted decision-making capacity, impact of medical staff-patient communication quality, and psychological barriers to engagement; (2) Patients' needs for shared decision-making participation during cardiac rehabilitation, knowledge requirements for cardiac rehabilitation, continuity of medical resources, family support, and decision aids.

conclusionPost-CABG patients exhibit limited awareness of shared decision-making and face multifaceted barriers to participation. Future interventions should enhance patients' decision-making awareness and address their needs through education, resource continuity, family engagement, and tailored decision aids to improve rehabilitation adherence and quality of life.

Indexed as

Cardiac RehabilitationCoronary Artery BypassCoronary Artery DiseaseDecision Making, SharedHealth Knowledge, Attitudes, PracticePatient ParticipationAgedChinaFemaleHumansMaleMiddle AgedPerceptionPhysician-Patient RelationsQualitative ResearchTreatment OutcomeCardiac rehabilitationCoronary artery bypass graftingQualitative studyShared decision-making

Identifiers

PMID40684094
PMCPMC12275359

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.