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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Patient Commitment to Cardiac Rehabilitation: A Qualitative Study

Neda Sanaie1, Ali Darvishpoor-Kakhki1, Fazlollah Ahmadi2

  • 1Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Iranian Journal of Nursing and Midwifery Research
|December 13, 2021
PubMed

Insights

Patient commitment to Cardiac Rehabilitation (CR) involves attitudinal and motivational factors, including devotion and internal desire for better health outcomes. This commitment is crucial for successful treatment initiation and continuation.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Health Psychology

Background:

  • Cardiac Rehabilitation (CR) is vital for managing cardiovascular disease complications.
  • Distinct attributes of patient commitment to CR require definition.
  • Understanding patient perspectives on CR commitment is essential.

Purpose of the Study:

  • To describe the attributes of commitment to Cardiac Rehabilitation (CR) from the participants' perspective.
  • To identify core features of patient engagement in CR.

Main Methods:

  • Qualitative study conducted in Tehran (2018-2019).
  • Semi-structured interviews with 30 participants (13 CR specialists, 13 patients, 4 caregivers).
  • Conventional content analysis using the Elo and Kyngäs approach.

Main Results:

  • Commitment to CR is characterized by an 'attitudinal-motivational aspect'.
  • This includes attitudinal-cognitive, attitudinal-behavioral, attitudinal-emotional, and motivational categories.
  • Commitment is defined as devotion, internal desire, and voluntary obligation for CR cooperation and treatment initiation.

Conclusions:

  • Patient commitment to CR stems from intrinsic health interest, disease acceptance, and perceived treatment need.
  • The rehabilitation team fosters interpersonal relationships and supports patient efforts in the CR process.
  • Active patient engagement is facilitated by the healthcare team, aiding in overcoming treatment challenges.
Abstract

Keywords:
Acceptance and commitment therapyIrancardiac rehabilitationqualitative research

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