Lau-Walker Margaret
European Institute of Health and Medical Sciences, University of Surrey, Surrey, UK.
J Clin Nurs. 2004 Feb;13(2):177-84. doi: 10.1046/j.1365-2702.2003.00833.x.
Numerous cardiac rehabilitation national guidelines consistently endorse the need for psychological support to create effective individualized care. Recent surveys suggest that the psychological factors remain poorly assessed and the measurement of psychological parameters remains patchy.
To examine cardiac rehabilitation practitioners' perception and understanding of the importance of patient expectations and their capacity to assess and utilize these expectations to develop individualized care.
A survey of cardiac rehabilitation professionals from 10 hospitals in the south-east of England. The questionnaire used in the survey was developed from content analyses of the current cardiac rehabilitation literature and expectancy theory articulated in Bandura's writings.
The results of the study show that cardiac rehabilitation practitioners are very aware of the general importance of patient expectations but have little structured support in the development of techniques to either assess these expectations or to utilize them in a therapeutic context. This leaves them unsure about the extent to which patients do receive individualized care and how best to develop their own practice in this regard.
This study suggests that there is a need for the development of a structured assessment tool, which has a sound theoretical basis to assess patients' expectation if good practice is to be established in providing individualized car in cardiac rehabilitation.
众多心脏康复国家指南一致认可需要心理支持以制定有效的个性化护理方案。近期调查表明，心理因素评估仍不完善，心理参数测量也参差不齐。
探讨心脏康复从业者对患者期望重要性的认知与理解，以及他们评估和利用这些期望来制定个性化护理的能力。
对英格兰东南部10家医院的心脏康复专业人员进行调查。该调查所用问卷是根据当前心脏康复文献的内容分析以及班杜拉著作中阐述的期望理论编制而成。
研究结果显示，心脏康复从业者非常清楚患者期望的总体重要性，但在开发评估这些期望或在治疗中利用这些期望的技术方面，几乎没有结构化的支持。这使得他们不确定患者在多大程度上接受了个性化护理，以及在这方面如何最好地改进自己的实践。
本研究表明，若要在心脏康复中提供个性化护理方面建立良好实践，就需要开发一种具有坚实理论基础的结构化评估工具来评估患者的期望。
