Gallagher Robyn, McKinley Sharon, Dracup Kathleen
Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Australia.
Prog Cardiovasc Nurs. 2003 Summer;18(3):121-6. doi: 10.1111/j.0889-7204.2003.02129.x.
This descriptive study was conducted to identify the factors that influence womens attendance at cardiac rehabilitation programs and womens adherence to risk factor modification following a cardiac event. Women (N=196) admitted to hospital for a cardiac event were followed-up at 12 weeks postdischarge. Despite eligibility, only 64% (n=112) had been referred to cardiac rehabilitation programs. By 12 weeks postdischarge only 32% of the total sample (n=57) attended programs and 12% of the total sample (n=21) had dropped out before completion. The odds of a woman attending cardiac rehabilitation were decreased by myocardial infarction diagnosis, lack of employment, <55 years or >70 years, and experiencing a personal stressful event during follow-up. Women were likely to adhere to smoking, medication, and stress modification guidelines but unlikely to adhere to modification guidelines for diet and exercise.
本描述性研究旨在确定影响女性参加心脏康复项目的因素以及女性在心脏事件后对危险因素修正的依从性。因心脏事件入院的女性(N = 196)在出院后12周进行随访。尽管符合条件,但只有64%(n = 112)被转介至心脏康复项目。出院后12周时,仅32%的总样本(n = 57)参加了项目,12%的总样本(n = 21)在完成前退出。心肌梗死诊断、失业、年龄<55岁或>70岁以及随访期间经历个人应激事件会降低女性参加心脏康复的几率。女性可能会遵守吸烟、药物治疗和压力调节指南,但不太可能遵守饮食和运动的修正指南。