BACKGROUND Despite evidence that participation in cardiac rehabilitation programmes after percutaneous coronary intervention is associated with better clinical outcomes, many patients with coronary artery disease do not participate in such programmes. A traditional educational approach is recommended to provide patients with information regarding the benefits of cardiac rehabilitation in relation to their underlying coronary artery disease and modification of risk factors. AIMS The purpose of this study was to examine the role of patient factors (symptom experience and health belief) on cardiac rehabilitation education programme attendance among Korean patients subjected to percutaneous coronary intervention. METHODS A prospective survey was conducted enrolling 173 patients who underwent percutaneous coronary intervention. Information on symptom experience, health belief (perceived susceptibility/severity/benefits/ barriers) and sociodemographic and clinical characteristics was collected at baseline (after percutaneous coronary intervention). Three to four weeks later, information on disease-related knowledge and health behaviour was compared between cardiac rehabilitation education programme attendees and non-attendees. RESULTS Eighty of 173 (46.2%) patients surveyed attended the cardiac rehabilitation education programme. Symptom experience before percutaneous coronary intervention was the most significant predictor of programme attendance (odds ratio=3.46; 95% confidence interval 1.45-8.27), followed by higher perceived socioeconomic status (odds ratio=2.90; 95% confidence interval 1.28-6.58), perceived susceptibility (odds ratio=1.22, 95% confidence interval 1.08-1.39), perceived benefits (odds ratio=1.09; 95% confidence interval 1.02-1.17) and perceived severity (odds ratio=1.04; 95% confidence interval 1.00-1.08). Better disease-related knowledge and health behaviour were significantly associated with cardiac rehabilitation education programme attendance. CONCLUSION This study provides evidence that educational programmes to help improve patients' perceptions of their disease susceptibility and severity, especially health behaviour benefits in patients without symptom experience before percutaneous coronary intervention, are necessary.

中文翻译：

---

症状体验作为经皮冠状动脉介入治疗后心脏康复教育计划出勤率的预测因素：一项前瞻性问卷调查

背景 尽管有证据表明参与经皮冠状动脉介入治疗后的心脏康复计划与更好的临床结果相关，但许多冠状动脉疾病患者并未参与此类计划。建议采用传统的教育方法向患者提供有关心脏康复对其潜在冠状动脉疾病和风险因素改变的益处的信息。目的 本研究的目的是检查患者因素（症状经验和健康信念）对接受经皮冠状动脉介入治疗的韩国患者心脏康复教育计划参加的作用。方法 一项前瞻性调查纳入了 173 名接受经皮冠状动脉介入治疗的患者。在基线（经皮冠状动脉介入治疗后）收集有关症状体验、健康信念（感知的易感性/严重性/益处/障碍）和社会人口学和临床特征的信息。三到四个星期后，心脏康复教育计划参与者和非参与者之间的疾病相关知识和健康行为信息进行了比较。结果 接受调查的 173 名患者中有 80 名（46.2%）参加了心脏康复教育计划。经皮冠状动脉介入治疗前的症状体验是参与计划的最显着预测因素（优势比 = 3.46；95% 置信区间 1.45-8.27），其次是较高的感知社会经济地位（优势比 = 2.90；95% 置信区间 1.28-6.58），感知易感性（优势比 = 1.22，95% 置信区间 1。08-1.39）、感知收益（优势比 = 1.09；95% 置信区间 1.02-1.17）和感知严重性（优势比 = 1.04；95% 置信区间 1.00-1.08）。更好的疾病相关知识和健康行为与参加心脏康复教育计划显着相关。结论 本研究提供的证据表明，有必要开展教育计划以帮助改善患者对其疾病易感性和严重程度的认识，尤其是对在经皮冠状动脉介入治疗前没有症状经历的患者的健康行为益处。更好的疾病相关知识和健康行为与参加心脏康复教育计划显着相关。结论 本研究提供的证据表明，有必要开展教育计划以帮助改善患者对其疾病易感性和严重程度的认识，尤其是对在经皮冠状动脉介入治疗前没有症状经历的患者的健康行为益处。更好的疾病相关知识和健康行为与参加心脏康复教育计划显着相关。结论 本研究提供的证据表明，有必要开展教育计划以帮助改善患者对其疾病易感性和严重程度的认识，尤其是对在经皮冠状动脉介入治疗前没有症状经历的患者的健康行为益处。