Madsen Wendy
CQUniversity, Locked Bag 3333, Bundaberg, Qld 4670, Australia. Email:
Aust J Prim Health. 2013;19(3):178-83. doi: 10.1071/PY11137.
Cardiac rehabilitation programs throughout the world have struggled for several years to attract more participants and facilitate behaviour changes in these clients. Over the past few years, there has been an increased level of attention in the role that self-efficacy and social support may play in this respect. The main aim of this study was to explore self-efficacy and social support within a regional, community-based cardiac rehabilitation program that does not adhere to traditional cardiac rehabilitation structures. Twelve participants were interviewed and two major themes emerged from the thematic analysis of the interview transcripts: making personal lifestyle changes; and supportive environment for lifestyle changes. Although this study is exploratory in nature, it has highlighted the significance of social support from within a program as opposed to participants' friends and family, the subject of most social-support research. It also contributes to the challenges others are starting to make regarding the limited timeframes associated with traditional cardiac rehabilitation programs, suggesting more time may be needed to build firmer psychosocial foundations for behaviour change after cardiac events.
多年来，世界各地的心脏康复项目一直在努力吸引更多参与者，并促使这些客户改变行为。在过去几年里，自我效能感和社会支持在这方面可能发挥的作用受到了越来越多的关注。本研究的主要目的是在一个不遵循传统心脏康复结构的地区性、基于社区的心脏康复项目中探索自我效能感和社会支持。对12名参与者进行了访谈，从访谈记录的主题分析中出现了两个主要主题：进行个人生活方式改变；以及支持生活方式改变的环境。尽管本研究本质上是探索性的，但它突出了项目内部社会支持的重要性，这与大多数社会支持研究的主题——参与者的朋友和家人不同。它还揭示了其他人开始对传统心脏康复项目有限的时间框架提出的挑战，表明可能需要更多时间为心脏事件后行为改变建立更坚实的心理社会基础。
