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Rustan R, Setyawati A, Lilianty Sjattar E. Health Education to Improve the Quality of Life for Coronary Heart Disease Patients: A Scoping Review. JCCNC 2026; 12 (2) :133-146
URL: http://jccnc.iums.ac.ir/article-1-819-fa.html

Background: Coronary heart disease (CHD) is a leading cause of death and disability worldwide. Quality of life (QoL) in CHD patients depends on effective disease management and serves as an indicator of management effectiveness and impact on daily living. Health education is crucial for enhancing CHD patients’ QoL. This scoping review mapped health education methods for improving QoL in CHD patients, as well as benefits, barriers, and implementation challenges.      
Methods: This review followed PRISMA extension for scoping reviews (PRISMA-ScR) guidelines and Arksey and O’Malley’s (2005) framework. Literature searches were conducted across nine databases: PubMed, Scopus, Cochrane Library, ProQuest, Global Index Medicus, Ebsco, ScienceDirect, Sage, and Garuda. Inclusion criteria were accessible full-text experimental research articles in English and Indonesian published between 2014 and 2024. Excluded were reviews, non-English/Indonesian articles, inaccessible full-texts, protocols, and non-peer-reviewed articles. Selection was performed using Rayyan software, and quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal checklist. Three reviewers conducted the selection process, with data mapped, categorized, and summarized using thematic synthesis through an explorative, descriptive approach.  
Results: Twenty articles were included. Media and technology-based health education, plus individual, group, and community-based approaches, significantly improved knowledge, QoL, behavior change, and self-care skills in CHD patients. Major barriers included limited technology access, variations in patient understanding, resource limitations, and motivation issues.             
Conclusion: This scoping review provides comprehensive overview of health education strategies for improving CHD patients’ QoL and establishes foundation for developing more effective future health education programs.