NURSING--ACCESS TO RURAL CARDIAC REHABILITATION PROGRAMS

弱势群体可获得和可获得的保健服务 人口问题对美国公共政策的重要性越来越大 制造者。使用描述性相关设计，这项护理研究是 意在进行初步调查，以确定和描述 影响正规心脏康复计划使用的因素 由人口稀少的农村州的居民。心脏康复 计划是回归最佳物理和环境的关键组成部分 冠心病患者的心理健康状况。具体的 目的是检查(1)易感因素(人口统计)的影响 和社会结构特征、使用服务的意向、健康 信仰和控制点)；(2)有利因素(资金和 环境特征、感知的和实际的服务可用性、 和乡村)；和(3)需要因素(感知的健康状况和 关于农村心脏康复方案的使用情况。 这些因素对程序使用的综合影响也将是 检查过了。随机抽取了200名成人心肌梗塞后患者， 来自3个蒙大拿州的血管成形术和冠状动脉搭桥术患者 医院将参与其中。样本将按星期进行分层 住院治疗。数据将用纸和铅笔生成 3个时间点的问卷调查：出院前，2周 出院后和康复结束后1周 程序。第一份问卷将在1至2天内完成 在出院前。调查问卷资料包2和3将邮寄到 参与者。后续电话会跟进，以增加回报 费率。数据将使用多元回归进行分析。调查结果将是 用于计划护理干预研究，以促进心脏的使用 农村居民康复服务。

The availability and accessibility of health care services to vulnerable populations is a matter of increasing importance to U.S. public policy makers. Using a descriptive-correlational design, this nursing study is intended to be a preliminary investigation to identify and describe factors that influence the use of formal cardiac rehabilitation programs by residents of sparsely populated rural states. Cardiac rehabilitation programs are a key component in the return to optimal physical and psychological health in patients with coronary disease. The specific aims are to examine the effects of (1) predisposing factors (demographic and social-structural characteristics, intent to use the service, health beliefs, and locus of control); (2) enabling factors (financial and environmental characteristics, perceived and actual service availability, and rurality); and (3) need factors (perceived health status and functional ability) on the use of rural cardiac rehabilitation programs. The combined effects of these factors on program use will also be examined. A random sample of 200 adult post-myocardial infarction, angioplasty, and coronary artery bypass surgery patients from 3 Montana hospitals will participate. The sample will be stratified by week of hospitalization. Data will be generated with paper and pencil questionnaires at 3 points in time: prior to hospital discharge, 2 weeks after discharge, and 1 week after completion of the rehabilitation program. The first questionnaire packet will be completed 1 to 2 days prior to discharge. Questionnaire packets 2 and 3 will be mailed to the participants. Follow-up phone calls will be made to increase the return rate. Data will be analyzed using multiple regression. Findings will be used to plan nursing intervention studies to promote use of cardiac rehabilitation services by rural residents.