NURSING--ACCESS TO RURAL CARDIAC REHABILITATION PROGRAMS

向弱势群体提供和获得保健服务 人口问题对美国公共政策越来越重要 创客 本研究采用序贯相关设计， 旨在进行初步调查，以确定和描述 影响正式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 计划是恢复最佳物理和 冠心病患者的心理健康状况。 具体 目的是检查（1）诱发因素（人口统计学）的影响 和社会结构特征，使用服务的意图，健康 信念和控制点）;（2）使能因素（财务和 环境特征，感知和实际服务可用性， （3）需要因素（感知健康状况和 功能能力）上使用农村心脏康复项目。 这些因素对程序使用的综合影响也将是 考察 随机抽取200例成人心肌梗死后患者， 血管成形术和冠状动脉搭桥手术患者来自3蒙大拿州 医院将参与。 样本将按以下周进行分层： 住院 数据将用纸笔生成 在3个时间点进行问卷调查：出院前，2周 出院后和康复完成后1周 程序. 第一份问卷将在1至2天内完成 出院前。 问卷第二及第三套将邮寄至 参与者 后续将电话回访，增加回报 率 将使用多元回归分析数据。 数据的日期及时间为 用于计划护理干预研究，以促进心脏 农村居民的康复服务。

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.