Dalla Lana School of Public Health & the Joint Centre for Bioethics, University of Toronto, Ontario, Canada.
J Adv Nurs. 2012 Aug;68(8):1834-46. doi: 10.1111/j.1365-2648.2012.06041.x. Epub 2012 Jun 15.
To report an exploration of the multidimensionality of safety in cardiac rehabilitation programmes as perceived by women who were enrolled in the Women's Cardiovascular Health Initiative in Toronto, Canada.
Cardiovascular disease is the leading cause of death among women. Although cardiac rehabilitation is clinically effective, significantly fewer women than men participate in available programmes. The literature identifies factors affecting women's cardiac rehabilitation participation, and provides possible explanations for this gender disparity. Although safety is mentioned among the barriers to women's cardiac rehabilitation participation, the extent to which safety contributes to programme participation, completion, and maintenance remains under-explored in the cardiac rehabilitation literature.
We conducted an exploratory qualitative study to examine the role safety and place play for women engaged in cardiac prevention and rehabilitation at the Women's Cardiovascular Health Initiative. Methods. From 2005-2006, 14 participants engaged in semi-structured, qualitative interviews lasting 30-90 minutes. Discussions addressed women's experiences at the Women's Cardiovascular Health Initiative. Interview transcripts were analysed using thematic analysis.
Three themes were developed: 'Safety', which was sub-categorized according to physical, social, and symbolic interpretations of safety, 'searching for a sense of place', and 'confidence and empowerment'.
Feeling physically, socially, and symbolically safe in one's cardiac rehabilitation environment may contribute to programme adherence and exercise maintenance for women. Focusing on comprehensive notions of safety in future cardiac rehabilitation research could offer insight into why many women do not maintain an exercise regimen in currently structured cardiac rehabilitation and community programmes.
报告对加拿大安大略省多伦多妇女心血管健康倡议中参与女性对心脏康复计划中安全性的多维性的探索。
心血管疾病是女性死亡的主要原因。尽管心脏康复具有临床疗效，但参与现有计划的女性明显少于男性。文献确定了影响女性心脏康复参与的因素，并为这种性别差异提供了可能的解释。尽管安全性被认为是女性参与心脏康复的障碍之一，但安全性对计划参与、完成和维持的程度在心脏康复文献中仍未得到充分探讨。
我们进行了一项探索性的定性研究，以检查在妇女心血管健康倡议中参与心脏预防和康复的妇女的安全性和场所的作用。方法。从 2005 年到 2006 年，14 名参与者参加了持续 30-90 分钟的半结构化定性访谈。讨论涉及妇女在妇女心血管健康倡议中的经历。使用主题分析对访谈记录进行分析。
制定了三个主题：“安全性”，根据对安全性的物理、社会和象征解释进行了分类；“寻找归属感”和“信心和赋权”。
在心脏康复环境中感到身体、社会和象征上的安全可能有助于女性坚持计划并保持锻炼。在未来的心脏康复研究中关注全面的安全性概念，可能有助于了解为什么许多女性在现有的结构性心脏康复和社区计划中无法保持锻炼习惯。
