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Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control

OBJECTIVE: To assess the roles of demographic factors, actual and perceived risk factors, and perceived control in the referral to cardiac rehabilitation (CR) after coronary artery bypass graft (CABG). METHODS: In this cross-sectional study, data related to 312 CABG patients in a hospital of the Wes...

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Autores principales: Soroush, Ali, Heydarpour, Behzad, Komasi, Saeid, Saeidi, Mozhgan, Ezzati, Parvin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078027/
https://www.ncbi.nlm.nih.gov/pubmed/30052210
http://dx.doi.org/10.4103/aca.ACA_87_17
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author Soroush, Ali
Heydarpour, Behzad
Komasi, Saeid
Saeidi, Mozhgan
Ezzati, Parvin
author_facet Soroush, Ali
Heydarpour, Behzad
Komasi, Saeid
Saeidi, Mozhgan
Ezzati, Parvin
author_sort Soroush, Ali
collection PubMed
description OBJECTIVE: To assess the roles of demographic factors, actual and perceived risk factors, and perceived control in the referral to cardiac rehabilitation (CR) after coronary artery bypass graft (CABG). METHODS: In this cross-sectional study, data related to 312 CABG patients in a hospital of the Western part of Iran, gathered through demographics and actual risk factors’ checklist, open single item of perceived heart risk factors, life stressful events scale, and perceived control questionnaire. Data analyzed by binary logistic regression. RESULTS: The results showed that only 8.3% of CABG patients refer to CR. The facilitators of this referral included official employment (P < 0.05), coronary history (P = 0.016), and hyperlipidemia (P = 0.030) but more distance to the CR center (P = 0.042) and perceived physiological risk factor (P = 0.025) are concerned as the barriers for the referral to CR. CONCLUSION: Providing appropriate awareness about the benefits of CR for patients with regard to their job status, coronary history, and perception about the illness risk factors can be effective in referral to CR. In addition, the presence of CR centers in towns and facilitated achievement to these centers can play a significant role in patients’ participation.
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spelling pubmed-60780272018-08-21 Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control Soroush, Ali Heydarpour, Behzad Komasi, Saeid Saeidi, Mozhgan Ezzati, Parvin Ann Card Anaesth Original Article OBJECTIVE: To assess the roles of demographic factors, actual and perceived risk factors, and perceived control in the referral to cardiac rehabilitation (CR) after coronary artery bypass graft (CABG). METHODS: In this cross-sectional study, data related to 312 CABG patients in a hospital of the Western part of Iran, gathered through demographics and actual risk factors’ checklist, open single item of perceived heart risk factors, life stressful events scale, and perceived control questionnaire. Data analyzed by binary logistic regression. RESULTS: The results showed that only 8.3% of CABG patients refer to CR. The facilitators of this referral included official employment (P < 0.05), coronary history (P = 0.016), and hyperlipidemia (P = 0.030) but more distance to the CR center (P = 0.042) and perceived physiological risk factor (P = 0.025) are concerned as the barriers for the referral to CR. CONCLUSION: Providing appropriate awareness about the benefits of CR for patients with regard to their job status, coronary history, and perception about the illness risk factors can be effective in referral to CR. In addition, the presence of CR centers in towns and facilitated achievement to these centers can play a significant role in patients’ participation. Medknow Publications & Media Pvt Ltd 2018 /pmc/articles/PMC6078027/ /pubmed/30052210 http://dx.doi.org/10.4103/aca.ACA_87_17 Text en Copyright: © 2018 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Soroush, Ali
Heydarpour, Behzad
Komasi, Saeid
Saeidi, Mozhgan
Ezzati, Parvin
Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title_full Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title_fullStr Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title_full_unstemmed Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title_short Barriers for the Referral to Outpatient Cardiac Rehabilitation: A Predictive Model Including Actual and Perceived Risk Factors and Perceived Control
title_sort barriers for the referral to outpatient cardiac rehabilitation: a predictive model including actual and perceived risk factors and perceived control
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078027/
https://www.ncbi.nlm.nih.gov/pubmed/30052210
http://dx.doi.org/10.4103/aca.ACA_87_17
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