Hiatt A M, Hoenshell-Nelson N, Zimmerman L
Cardiovasc Nurs. 1990 Sep-Oct;26(5):25-9; discussion 30.
The purpose of this descriptive pilot study was to identify factors that influence patient participation in a cardiac rehabilitation program. Thirty-nine patients who were admitted to a midwestern hospital with a coronary problem and who were candidates for cardiac rehabilitation completed the Patient Entrance Into a Cardiac Rehabilitation Program (PECRP) questionnaire. The PECRP evaluates a subject's responses to Health Belief Model-based statements. Analysis by t test revealed significant differences for perceived benefits and barriers, indicating that patients who participated in a cardiac rehabilitation program perceived more benefits and fewer barriers to entering such a program than those who did not. No significant differences were found between groups for perceived susceptibility and perceived severity constructs. Analysis of demographic variables revealed significant differences for income and marital status on the perceived benefits and barriers construct, indicating that those who had an income greater than $20,000 and those who were married perceived more benefits and fewer barriers than those whose income was less than $20,000 and who were not married. Nursing implications for these patients are discussed, particularly those related to patient teaching before discharge.
这项描述性试点研究的目的是确定影响患者参与心脏康复计划的因素。39名因冠状动脉问题入住一家中西部医院且符合心脏康复条件的患者完成了《患者进入心脏康复计划》（PECRP）问卷。PECRP评估受试者对基于健康信念模型的陈述的反应。通过t检验分析发现，在感知到的益处和障碍方面存在显著差异，这表明参与心脏康复计划的患者比未参与者认为进入该计划的益处更多且障碍更少。在感知易感性和感知严重性方面，两组之间未发现显著差异。对人口统计学变量的分析显示，在感知益处和障碍方面，收入和婚姻状况存在显著差异，这表明收入高于20000美元的人和已婚者比收入低于20000美元的未婚者认为益处更多且障碍更少。讨论了针对这些患者的护理要点，特别是与出院前患者教育相关的要点。
