Evenson K R, Fleury J
Department of Epidemiology, School of Public Health, University of North Carolina-Chapel Hill, USA.
J Cardiopulm Rehabil. 2000 Jul-Aug;20(4):241-6. doi: 10.1097/00008483-200007000-00005.
A significant proportion of eligible patients do not participate in outpatient cardiac rehabilitation. The purpose of this study was to identify barriers to participation and adherence to outpatient cardiac rehabilitation by querying program staff.
In January 1999, a survey was mailed to all North Carolina program directors of outpatient cardiac rehabilitation programs. The response rate was 85% (61/72).
Across programs, the most common barrier to participation in outpatient cardiac rehabilitation was financial. Other barriers identified by program directors included lack of patient motivation, patient work or time conflicts, and lack of physician support or referral. When program directors were asked to cite reasons that referred patients provided for not participating in rehabilitation, the most common answer was financial or lack of motivation or commitment. The most common reason cited for dropping out of the rehabilitation program was work, followed by financial reasons and lack of motivation or commitment.
The results of this statewide survey of program directors indicated a common set of barriers that many patients currently face to begin and continue participating in outpatient cardiac rehabilitation.
相当一部分符合条件的患者未参加门诊心脏康复。本研究的目的是通过询问项目工作人员来确定参与和坚持门诊心脏康复的障碍。
1999年1月，向北卡罗来纳州所有门诊心脏康复项目的主任邮寄了一份调查问卷。回复率为85%（61/72）。
在各个项目中，参与门诊心脏康复最常见的障碍是经济问题。项目主任指出的其他障碍包括患者缺乏动力、患者工作或时间冲突以及缺乏医生支持或转诊。当项目主任被要求列举转诊患者不参加康复的原因时，最常见的答案是经济问题、缺乏动力或承诺。退出康复项目最常见的原因是工作，其次是经济原因和缺乏动力或承诺。
这项对项目主任的全州范围调查结果表明，许多患者目前在开始并持续参与门诊心脏康复方面面临一系列共同的障碍。
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