Ghisi Gabriela Lima de Melo, Britto Raquel, Motamedi Nickan, Grace Sherry L
Cardiac Rehabilitation and Prevention Program, University Health Network, Toronto, Canada; Exercise Sciences Department, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Canada.
Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil; School of Kinesiology and Health Science, York University, Toronto, Canada.
Patient Educ Couns. 2015 Apr;98(4):533-9. doi: 10.1016/j.pec.2014.12.001. Epub 2015 Jan 2.
To describe (1) patients' disease-related knowledge at cardiac rehabilitation (CR) entry; (2) correlates of this knowledge; (3) whether CR completion is related to knowledge; and (4) behavioral correlates of knowledge.
For this prospective, observational study, a convenience sample of new CR patients was approached at 3 programs to complete a survey. It consisted of sociodemographic items, heart-health behavior surveys, and the CADE-Q. Patients were provided a similar survey 6 months later.
214 patients completed the CADE-Q at both points, with scores demonstrating "acceptable" to "good" knowledge. Higher knowledge at CR entry was significantly associated with greater education, being married, greater English-language proficiency, and history of percutaneous coronary intervention (p≤0.05). The 118 (55.1%) patients that completed CR demonstrated significantly higher knowledge than non-enrollees at post-test (p≤0.05). There was a significant positive association between knowledge and physical activity (p≤0.01) and nutrition (p≤0.05) at post-test, but no association with smoking or medication adherence.
CR adherence ensures patients sustain knowledge needed to optimize their disease management, and perhaps ultimately their health outcomes.
CR completion should be promoted so patients remain educated about their disease management, and the health behaviors observed will be practiced in a greater proportion of patients.
描述（1）患者在心脏康复（CR）开始时与疾病相关的知识；（2）这些知识的相关因素；（3）CR完成情况是否与知识相关；以及（4）知识的行为相关因素。
对于这项前瞻性观察性研究，在3个项目中选取了新的CR患者作为便利样本，让他们完成一项调查。该调查包括社会人口学项目、心脏健康行为调查和CADE-Q问卷。6个月后为患者提供类似的调查。
214名患者在两个时间点都完成了CADE-Q问卷，得分显示出“可接受”到“良好”的知识水平。CR开始时知识水平较高与受教育程度更高、已婚、英语水平更高以及经皮冠状动脉介入治疗史显著相关（p≤0.05）。完成CR的118名（55.1%）患者在测试后显示出比未参与者显著更高的知识水平（p≤0.05）。测试后知识与身体活动（p≤0.01）和营养（p≤0.05）之间存在显著正相关，但与吸烟或药物依从性无关。
坚持CR可确保患者维持优化疾病管理所需的知识，也许最终能改善其健康结局。
应促进CR的完成，以便患者持续接受有关疾病管理的教育，并且更多患者会践行所观察到的健康行为。
