POST CARDIAC REHABILITATION ADHERENCE INTERVENTION

描述：（改编自研究者摘要）未来风险 通过改变健康的生活方式可以减少心脏病。 基本 多方面的心脏康复（CR）计划的原则是， 冠心病的危险因素可以通过坚持 运动处方、饮食调整、戒烟，以及 减轻压力和焦虑。 为了从这些健康中获益 CR中开始或进一步强调的生活方式改变 第二阶段计划，至关重要的是，个人保持这些变化 从CR出院后。 研究的注意力集中在坚持 心脏康复计划，很少有研究关注 特别是旨在最大限度地遵守以下规定的干预措施： 从CR第二阶段出院。 本研究的具体目的是：（1） 评价CR后对心脏风险因素降低计划的依从性 第二阶段出院，（2）评估护理的成本效益 CR II期后的干预，在依从性和成本方面， 有利的结果有效性。 结果测量将对应于 CR计划的基本风险降低措施，包括 运动能力、饮食依从性、戒烟依从性和压力 减少和应对技能。 这项研究将分两部分进行。 第一部分将是一项观察性研究，评估心脏危险因素 CR受试者（N =60）出院后依从性降低 第二阶段建立基线数据。 研究的第二部分将是 评价干预组（N=72）和对照组的随机临床试验 对照组（N=72）。 CR后干预包括一系列4项 将从一个成功的社区开发的小册子， 跨理论模型练习手册系列，PI的结果 初步研究和其他跨理论模型研究。 干预的目的是增加锻炼的坚持性， 饮食、戒烟和压力管理技能。 本研究将 评估护理干预的有益效果， CR出院后心脏风险降低行为的依从性 第二阶段。 这项研究将进一步发展健康科学知识 行为依从性

DESCRIPTION: (Adapted from investigator's abstract) The risk for future cardiac events can be reduced through healthy life style changes. The basic tenets of the multifaceted, cardiac rehabilitation (CR) program are that risk factors for coronary heart disease can be reduced through adherence to an exercise prescription, dietary modifications, smoking cessation, and reduction of stress and anxiety. In order to benefit from these health lifestyle changes which are either initiated or further emphasized in the CR Phase II program, it is crucial that individuals maintain these changes following discharge from CR. Research attention has focused on adherence to the cardiac rehabilitation program, and few studies have focused specifically on interventions designed to maximize adherence following discharge from CR Phase II. The specific aims of this study are: (1) to evaluate adherence to the cardiac risk factor reduction program following CR Phase II discharge, and (2) to evaluate the cost effectiveness of a nursing intervention following CR Phase II, in terms of adherence and cost per favorable outcome effectiveness. Outcome measures will correspond to the basic risk reduction tenants of a CR program and will include measures of exercise capacity, diet adherence, smoking cessation adherence, and stress reduction and coping skills. The study will be conducted in two parts. Part one will be an observational study that evaluates cardiac risk factor reduction adherence among CR participants (N =60) following discharge from Phase II to establish baseline data. Part two of the study will be a randomized clinical trial evaluating intervention group (N=72) and a control group (N=72). The post-CR intervention is comprised of a series of 4 brochures that will be developed from a successful community based Transtheoretical Model exercise brochure series, results of the PI's preliminary research, and other Transtheoretical Model research studies. The purpose of the intervention will be to increase adherence to exercise, diet, smoking cessation, and stress management skills. This study will evaluate a nursing intervention in terms of beneficial effect in increased adherence of cardiac risk reduction behavior following discharge from CR Phase II. This study will further develop scientific knowledge in health behavior adherence.