探索障碍:调查泰国患者参与冠状动脉旁路移植术后第二阶段心脏康复的障碍。

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES Health Services Insights Pub Date : 2024-10-05 eCollection Date: 2024-01-01 DOI:10.1177/11786329241287397
Sarissa Rangkla, Tanawat Petrutchatachart, Timporn Vitoonpong, Thanapoom Rattananupong, Jirapa Champaiboon
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引用次数: 0

摘要

背景:尽管心脏康复(CR)的益处众所周知,但冠状动脉旁路移植术(CABG)后的参与率却很低。不参加康复的原因尚不清楚,对此进行调查的研究也很少,尤其是在亚洲国家。本研究旨在解决这一信息缺乏的问题,并找出接受 CABG 手术的患者未参与 2 期 CR 的原因:我们招募了 2016 年 10 月至 2018 年 9 月期间在一家大学医院接受 CABG 或 CABG 联合瓣膜性心脏手术的 42 名患者。我们通过电话对参加了第一阶段但未参加第二阶段CR的患者进行了访谈,访谈中使用了11个项目的调查问卷:结果:参与第二阶段 CR 的比例仅为 12.5%。未参与的最常见原因是 "不知道有第二阶段 CR"(61.9%),其次是 "交通问题"(31%)。"因工作安排无法休假"(19%)和 "因慢性病和并发症未参加"(14.3%)也是相当常见的原因:我们的研究表明,尽管第二阶段 CR 的益处众所周知,但其参与率却很低。结论:我们的研究表明,尽管第二阶段 CR 的益处众所周知,但其参与率却很低。发现的主要原因是患者对第二阶段 CR 缺乏认识和了解。这突出表明,有必要采取有针对性的干预措施,以提高人们对 CR 的益处和可用性的了解和认识。此外,建立高效的转诊系统,确保从最初的心脏治疗无缝过渡到康复阶段也至关重要。实施这些策略有望提高 CR 的参与率,从而改善患者的治疗效果和整体心脏健康状况。
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Exploring the Impediments: Investigating Barriers to Participation in Phase-2 Cardiac Rehabilitation Following Coronary Artery Bypass Graft Among Thai Patients.

Background: Despite the known benefits of cardiac rehabilitation (CR), the rate of participation is low following coronary artery bypass graft (CABG). The reasons for this lack of participation are unclear and there have been few studies investigating this, particularly in Asian countries. The present study aimed to address this lack of information and identify reasons for non-participation in phase-2 CR among patients who underwent CABG.

Methods: We enrolled 42 patients who underwent CABG or CABG combined with valvular heart surgery in a university hospital between October 2016 to September 2018. Patients who participated in phase-1 but not phase-2 CR were interviewed by phone following an 11-item questionnaire.

Results: The rate of participation in phase-2 CR was only 12.5%. The most frequently reported reason for non-participation was "Did not know that there was phase-2 CR" (61.9%), followed by "Transportation problems" (31%). "Unable to take leave due to work schedule" was fairly frequently reported (19%) as was "Did not participate due to chronic diseases and complications" (14.3%).

Conclusion: Our study revealed low participation in phase-2 CR, despite its well-known benefits. The primary reason identified was a lack of awareness and understanding among patients regarding phase-2 CR. This highlights the need for targeted interventions aimed at increasing knowledge and awareness of the benefits and availability of CR. Additionally, it is crucial to establish an efficient referral system that ensures seamless transitions from the initial cardiac treatment to the rehabilitation phase. Implementing these strategies is expected to boost CR participation, leading to improved patient outcomes and overall cardiac health.

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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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