Background

Understanding patients’ perceptions about rehabilitation can guide healthcare administrators on modifications of program elements, which can ultimately improve cardiac rehabilitation (CR) use, adherence of heart-health behaviors, and improvements in clinical outcomes.

Objective

To examine the perception of patients about their participation in CR.

Methods

Qualitative study using semi-structured interviews, performed in a public CR center in Brazil. Twenty-eight patients were interviewed 2-years following participation in two CR models: exercise-based and comprehensive CR.

Results

Themes identified included: knowledge acquisition, improvement in functionality, and psychosocial well-being. It appeared that the perceived benefits of CR participation were overall positive and similar between the two models; however, those in the comprehensive CR identified additional subthemes: self-care need and knowledge transfer.

Conclusions

This study suggested that patients from two different CR models perceived in the long term that the CR participation positively impacted their disease-related knowledge, promoted functional gains, and improved psychosocial well-being. Structured educational interventions seemed to be associated with improved participants’ perception about CR, which could contribute to long-term maintenance of heart-health behavior and better outcomes.

中文翻译：

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患者对两种心脏康复模型认知的定性研究

背景

了解患者对康复的看法可以指导医疗保健管理员修改计划要素，最终可以改善心脏康复 (CR) 的使用、心脏健康行为的依从性以及临床结果的改善。

客观的

检查患者对参与 CR 的看法。

方法

使用半结构化访谈的定性研究，在巴西的公共 CR 中心进行。28 名患者在参与两种 CR 模型后 2 年接受了采访：基于运动的 CR 和综合 CR。

结果

确定的主题包括：知识获取、功能改善和社会心理健康。似乎两种模型之间 CR 参与的感知收益总体上是积极的且相似；然而，综合 CR 中的那些人确定了额外的子主题：自我保健需求和知识转移。

结论

这项研究表明，来自两种不同 CR 模型的患者长期认为 CR 参与对其疾病相关知识产生了积极影响，促进了功能增益，并改善了社会心理健康。结构化教育干预似乎与改善参与者对 CR 的看法有关，这可能有助于长期维持心脏健康行为和更好的结果。