Feinberg Jodi L, Russell David, Mola Ana, Trachtenberg Melissa, Bick Irene, Lipman Terri H, Bowles Kathryn H
University of Pennsylvania, School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA, 19104-6096, USA.
Visiting Nurse Service of New York, Center for Home Care Policy & Research, 1250 Broadway 7th floor, New York, NY, 10001, USA.
Geriatr Nurs. 2018 Mar-Apr;39(2):191-198. doi: 10.1016/j.gerinurse.2017.08.006. Epub 2017 Oct 6.
Home care clinicians have an opportunity to improve care for post-hospitalization patients with cardiovascular disease. This mixed methods study examined the feasibility and acceptability of an adapted cardiac rehabilitation (CR) program for the home care setting. Surveys measuring patient self-care and knowledge were administered to patients (n = 46) at baseline and at 30-day follow-up. Semi-structured interviews were conducted with patients (n = 28) and home care clinicians (n = 11) at completion of the program. All survey indicators demonstrated a trend towards improvement, with a statistically significant increase in the self-care management subscale (p = 0.002). Qualitative analyses identified three patient themes (self-awareness, nutrition, motivation) and three clinician themes (systematic approach, motivation, patient selection process). Incorporating CR into the home care setting proved to be a feasible and acceptable approach to increasing access to CR services among elderly patients.
居家护理临床医生有机会改善对出院后心血管疾病患者的护理。这项混合方法研究考察了一种适用于居家护理环境的心脏康复（CR）项目的可行性和可接受性。在基线和30天随访时，对患者（n = 46）进行了测量患者自我护理和知识的调查。在项目结束时，对患者（n = 28）和居家护理临床医生（n = 11）进行了半结构化访谈。所有调查指标均显示出改善趋势，自我护理管理子量表有统计学显著增加（p = 0.002）。定性分析确定了三个患者主题（自我意识、营养、动机）和三个临床医生主题（系统方法、动机、患者选择过程）。事实证明，将心脏康复纳入居家护理环境是一种可行且可接受的方法，可增加老年患者获得心脏康复服务的机会。
