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评估一家私立综合医院对心脏康复计划的依从性。

Evaluating compliance to a cardiac rehabilitation program in a private general hospital.

作者信息

Mair Vanessa, Breda Ana Paula, Nunes Marcos Eduardo Boquembuzo, Matos Luciana Diniz Nagem Janot de

出版信息

Einstein (Sao Paulo). 2013 Jul-Sep;11(3):278-84. doi: 10.1590/s1679-45082013000300004.

Abstract

OBJECTIVE

Identify the primary factors that influenced the participant in our cardiovascular rehabilitation program towards missing their therapy sessions, and to correlate those factors with age, cardiovascular risk, and motivation of our population.

METHODS

We conducted a retrospective study with 42 patients (69.15±13.93 years) participating in the cardiac rehabilitation program at a general hospital in São Paulo, through the analysis of two scales applied during the initial evaluation: Cardiac Rehabilitation Barriers Scale and scale of the original provision. We used Spearman correlation to relate them to absenteeism, cardiovascular risk age and duration of cardiac rehabilitation.

RESULTS

The total score of barriers was 31±6 and the mean score of 1.47±0.31. The main barriers subscales were related to "travel/labor dispute" and "personal problems/family." The percentage of absenteeism was 8.4% in the number of sessions that could be made in the month. The faults and cancellations were positively correlated with cardiovascular risk (p=0.01; r=0.4) and negatively with scale provision of baseline (p=0.03; r=-0.35) and age (p=0.02; r=-0.35).

CONCLUSION

"Travel/labor dispute", "personal/ family problems", and low initial provision are the main factors absenteism in a cardiac rehabilitation program in a general hospital in São Paulo.

摘要

目的

确定影响参与我们心血管康复计划的参与者错过治疗课程的主要因素,并将这些因素与我们研究对象的年龄、心血管风险和积极性相关联。

方法

我们对圣保罗一家综合医院参与心脏康复计划的42名患者(69.15±13.93岁)进行了一项回顾性研究,通过分析初始评估期间应用的两个量表:心脏康复障碍量表和原始规定量表。我们使用Spearman相关性将它们与缺勤率、心血管风险年龄和心脏康复持续时间相关联。

结果

障碍总分是31±6,平均得分是1.47±0.31。主要障碍子量表与“出行/劳动纠纷”和“个人问题/家庭”有关。在一个月内可安排的课程中,缺勤率为8.4%。失误和取消与心血管风险呈正相关(p = 0.01;r = 0.4),与基线规定量表呈负相关(p = 0.03;r = -0.35),与年龄呈负相关(p = 0.02;r = -0.35)。

结论

“出行/劳动纠纷”、“个人/家庭问题”以及初始规定较低是圣保罗一家综合医院心脏康复计划中缺勤的主要因素。

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