[Factors influencing the participation of post coronary artery bypass patients in cardiac rehabilitation exercise].
Hu Li Za Zhi
; 60(6): 35-46, 2013 Dec.
Article
in Zh
| MEDLINE
| ID: mdl-24310552
ABSTRACT
BACKGROUND:
Studies have shown that cardiovascular rehabilitation exercise improves quality of life in post-coronary-bypass-surgery patients. However, the rate of participation in this exercise by this patient group in Taiwan has increased only 8.2% during the past 13 years (from 61.9% in 1996 to 70.1% in 2009). Little is known about the factors that influence patient motivation to participate in cardiovascular rehabilitation exercise.PURPOSE:
This study explores the factors that influence patient participation in rehabilitation exercise following coronary bypass surgery.METHODS:
This cross-sectional, correlational study recruited a convenience sample of 253 patients who had undergone coronary bypass surgery at a medical center in southern Taiwan. Structured questionnaires, including a patient rehabilitation exercise experience questionnaire, Short Form-36 Health Survey-Taiwan Form, and cardiac rehabilitation exercise design factors questionnaire were used for data collection. SPSS19.0 was used to analyze data.RESULTS:
The variables "healthcare provider recommendation of rehabilitation exercise", "exercise program accessibility", "physical health status", and "patient post-surgical exercise patterns" each had a significant influence on participant participation in post-surgical rehabilitation exercise. Binary logistic regression analyses identified "receiving information on rehabilitation exercise", "level of patient-perceived importance of rehabilitation exercise", and "having post-surgical exercise patterns" as important predictors of participation in a rehabilitation exercise program, with OR ratios of 112, 7.86, and 3.23 times respectively. These 3 factors accounted for 90.1% of the total variance. CONCLUSIONS/IMPLICATIONS FOR PRACTICE Patient education on coronary bypass post-surgical rehabilitation exercise programs should be emphasized during pre-surgical consultation and care in order to facilitate the recovery of normal life functions following coronary bypass surgery.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Participation
/
Coronary Artery Bypass
/
Exercise Therapy
Type of study:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limits:
Aged
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Female
/
Humans
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Male
/
Middle aged
Language:
Zh
Journal:
Hu Li Za Zhi
Year:
2013
Type:
Article