Patient preferences for cardiac rehabilitation and desired program elements.
Patient preferences for cardiac rehabilitation and desired program elements.
复制标题
患者对心脏康复的偏好和所需的计划要素。
DOI：
10.1097/00008483-199911000-00002
复制
发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Mosca,L
中科院分区：
文献类型：
--
作者：
Filip,J;McGillen,C;Mosca,L
评价传统心脏康复计划满足患者需求的有效性的数据有限。作者研究了患者对心脏康复计划的偏好和期望的计划元素，以评估性别或年龄的差异。方法：作者调查了199例急性心肌梗死三级转诊医院出院的患者（136例男性，60.0±11.6岁; 63例女性，63.7±12.7岁; P= 0.045）。参与者完成了一个标准化的问卷调查，关于注册康复和偏好的6个程序类型的10点量表（1=很少或没有协议，10=非常同意）。结果。在这项研究中，54.3%的受试者参加心脏康复。与年轻患者（<65岁）相比，老年患者（≥ 65岁）更有可能参加家庭计划（11.8% vs 1.4%，P= 0.02）。年轻患者比老年患者更喜欢短期康复设施（7.4±3.5 vs 5.1±4.1单位，10分量表，P= 0.001），并对以下方面的评分优于老年患者：当地健康俱乐部计划（6.2±3.7 vs 4.5±4.0，P= 0.01）、长期方案（6.5±3.8 vs 4.9±4.2，P= 0.02）和综合方案（6.6±3.7 vs 4.9±2.2，P= 0.02）。与老年患者相比，年轻患者对以下程序元素的评分更有利：压力管理（7.0±3.5比5.7±4.1，P= 0.04），职业咨询（5.1±3.9对1.9±2.4，P= 0.001），戒烟（4.9±4.4对2.7±3.4，P= 0.001）。结论：节目偏好在年龄上有显著差异，但在性别上无显著差异。老年患者参加了以家庭为基础的计划，而不是以诊所为基础的计划。年轻的患者比老年患者更喜欢压力管理，职业咨询和戒烟。提高患者参与心脏康复的策略应包括患者年龄和对计划类型和元素的偏好。
Background.Data evaluating the efficacy of traditional cardiac rehabilitation programs to meet patient needs are limited. The authors studied patient-perceived preferences in cardiac rehabilitation programs and desired program elements to evaluate differences by gender or age.Methods.The authors surveyed 199 patients (136 men, 60.0±11.6 years; 63 women, 63.7±12.7 years; P= 0.045) discharged from a tertiary referral hospital with acute myocardial infarction. Participants completed a standardized questionnaire regarding enrollment in rehabilitation and preferences for six program types on a 10-point scale (1= little or no agreement, 10= strongly agree).Results.In this study, 54.3% of subjects enrolled in cardiac rehabilitation. Older patients (≥ 65 years) were more likely to enroll in home-based programs compared with younger patients (< 65 years)(11.8% versus 1.4%, P= 0.02). Younger patients preferred a short-term rehabilitation facility more than older patients (7.4±3.5 versus 5.1±4.1 units on the 10-point scale, P= 0.001), and rated the following more favorably than older patients: local health club programs (6.2±3.7 versus 4.5±4.0, P= 0.01), long-term programs (6.5±3.8 versus 4.9±4.2, P= 0.02), and comprehensive programs (6.6±3.7 versus 4.9±2.2, P= 0.02). Younger patients rated the following program elements more favorably compared with older patients: stress management (7.0±3.5 versus 5.7±4.1, P= 0.04), vocational counseling (5.1±3.9 versus 1.9±2.4, P= 0.001), and smoking cessation (4.9±4.4 versus 2.7±3.4, P= 0.001).Conclusions.Program preferences differed significantly by age, but not gender. Older patients enrolled in home-based programs over clinic-based programs. Younger patients rated stress management, vocational counseling, and smoking cessation more favorably than older patients. Strategies to enhance patient participation in cardiac rehabilitation should incorporate patient age and preferences for program types and elements.