Occupational Therapy Department, St George Hospital, Kogarah, New South Wales, Australia.
J Cardiovasc Nurs. 2009 Jul-Aug;24(4):328-35. doi: 10.1097/JCN.0b013e3181a1c236.
Dealing with psychological and social issues is an important aspect of comprehensive cardiac rehabilitation (CR) programs.
This study aims to evaluate the use of an open-group mutual aid model facilitated by a social worker and occupational therapist in a secondary prevention CR program.
A mixed-method study, using questionnaires, focus group data, and reflective interviews of group facilitators, was used to evaluate the program.
Key themes emerging from this study were (1) the need for provision of hope; (2) a desire for structure and support; (3) appreciation of support of fellow group participants; and (4) the need for individuals to review, process, and interpret their illness trajectory.
In this single site study, an open-group model using a mutual aid model was acceptable and helpful as a method to facilitate adjustment after an acute cardiac event. Further evaluation of this approach using experimental methods is warranted.
处理心理和社会问题是综合心脏康复(CR)计划的一个重要方面。
本研究旨在评估由社会工作者和职业治疗师在二级预防 CR 计划中使用开放小组互助模式的效果。
采用问卷调查、焦点小组数据和小组促进者反思性访谈的混合方法研究来评估该计划。
本研究的主要主题包括:(1)提供希望的必要性;(2)对结构和支持的需求;(3)对同伴支持的感激;以及(4)个人需要回顾、处理和解释其疾病轨迹的需求。
在这项单站点研究中,使用互助模式的开放式小组模式是可以接受的,并且有助于在急性心脏事件后进行调整。需要使用实验方法进一步评估这种方法。