Evidence map›Paper›PMID 42464272›Full record

ArticleBMC nursing2026

Negative psychological and behavioral effects associated with wearable devices in cardiovascular patients: a scoping review with implications for nursing assessment and patient education.

Fei Liao, Yu Wang, Youjiao Zheng, Jingrui Yang, Yinyue Li, Xueru Huang

Abstract read
In one paragraph

Article in BMC nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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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

6 authors.

Fei LiaoDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China. 270226358@qq.com.
Yu WangDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China.
Youjiao ZhengDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China.
Jingrui YangDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China.
Yinyue LiDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China.
Xueru HuangDepartment of Cardiovascular Medicine, Hainan General Hospital, Haikou, Hainan, 570311, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWearable devices are increasingly used in cardiovascular rehabilitation, rhythm monitoring, and long-term self-management. Although clinical benefits have been widely discussed, less attention has been paid to potential negative psychological and behavioral effects. This scoping review aimed to map evidence on wearable device-related psychological and behavioral effects in cardiovascular patients and summarize implications for nursing assessment and patient education.

methodsA scoping review was conducted in accordance with the Joanna Briggs Institute methodology and the PRISMA Extension for Scoping Reviews. PubMed, Web of Science Core Collection, Cochrane Library, China National Knowledge Infrastructure, Wanfang, VIP, and SinoMed were searched for studies published from January 2014 to April 2026. Titles, abstracts, and full texts or complete available publication records were screened and charted. Records without retrievable full text or sufficient information for standardized data charting were excluded and documented. Data were synthesized using descriptive and thematic approaches.

resultsA total of 110 publications were included after revised eligibility and data-charting verification. Four categories of negative psychological and behavioral effects were identified: health anxiety and heightened symptom perception, alert-related concerns and repeated reassurance seeking, excessive self-monitoring and device dependence, and impaired self-management confidence or patient experience. Preliminary nursing assessment clues were summarized for patients using wearable devices in cardiovascular care, including fear of rehabilitation exercise, catastrophic interpretation of symptoms, device dependence with weakened adherence to medical advice, and excessive reassurance seeking.

conclusionsWearable devices may support cardiovascular rehabilitation and self-management, but continuous monitoring, abnormal alerts, data inaccuracies, and insufficient interpretation may also contribute to worry, avoidance, dependence, or repeated reassurance seeking in some patients. Because direct post-PCI evidence remains limited, the nursing assessment clues proposed in this review should be interpreted as preliminary, evidence-informed prompts rather than validated screening tools.

Indexed as

AnxietyCardiac rehabilitationCardiovascular diseasesNursing carePatient educationPercutaneous coronary interventionSelf-ManagementWearable electronic devices

Identifiers

PMID42464272
PMCPMC13570507

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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 OpenQuestion graph.