Important Personal Values of Veterans Enrolled in Home-Based Cardiac Rehabilitation.
Important Personal Values of Veterans Enrolled in Home-Based Cardiac Rehabilitation.
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发表时间：
2020-11
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通讯作者：
E. Gathright;L. Scott-Sheldon;Jeannie Ursillo;Elizabeth Medbury;Wen‐Chih Wu
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作者：
E. Gathright;L. Scott-Sheldon;Jeannie Ursillo;Elizabeth Medbury;Wen‐Chih Wu
基于家庭的心脏康复（CR）在很大程度上依赖于患者参与行为改变的个人动机。患者的核心价值观（如健康、家庭）可作为激励因素，加强项目参与。方法：在普罗维登斯退伍军人医疗中心参加居家CR项目的退伍军人在开始和结束时完成了一份评估核心价值观的自我报告问卷。使用描述性统计和非参数检验（如Friedman、Wilcoxon符号秩比较）来评估入学和完成之间核心价值评分的差异。结果66例患者（72±7岁，白人86%，男性97%）完成问卷调查。患者通常认为独立性（86%）、家庭（70%）和健康（67%）是重要的价值观。从吸入到排出，价值评级没有变化（ps >.20）。结论：未来的研究应评估在家庭CR中加入基于价值观的活动是否能提高患者对治疗的依从性和结果。
BACKGROUND Home-based cardiac rehabilitation (CR) heavily relies on patients' personal motivation to engage in behavior change. Patients' core values (e.g., health, family) may serve as motivational factors to strengthen program engagement. This study sought to identify personal values of veterans participating in home-based CR. METHOD Veterans enrolled in a home-based CR program at the Providence VA Medical Center completed a self-report questionnaire assessing core values at intake and completion. Descriptive statistics and non-parametric tests (e.g., Friedman, Wilcoxon sign rank comparisons) were used to assess differences in core value ratings between intake and completion. RESULTS Sixty-six patients (72±7 years, 86% white, 97% male) completed the questionnaire. Patients most often rated independence (86%), family (70%), and health (67%) as important values. Value ratings did not change from intake to discharge (ps >.20). CONCLUSIONS Future research should evaluate whether incorporating values-based activities in home-based CR can improve patient adherence to treatment and outcomes.