College of Nursing, University of Nebraska Medical Center (UNMC), Omaha (Drs Yates and Rowland); CHI Health Creighton University Medical Center Bergan Mercy, Omaha, Nebraska (Ms Vazquez Hernandez); Cardiopulmonary Rehabilitation, Nebraska Methodist Health System, Omaha (Ms Bainter); College of Nursing, UNMC, Lincoln (Dr Schulz); and College of Allied Health Professions, UNMC, Omaha (Dr Hanson).
J Cardiopulm Rehabil Prev. 2018 Jul;38(4):E6-E9. doi: 10.1097/HCR.0000000000000317.
Maintenance of lifestyle changes after cardiac rehabilitation (CR) is suboptimal. In addition, partners of cardiac patients are invited to participate in CR educational sessions and implicitly expected to assist patients with their lifestyle changes. The purpose of this study was to qualitatively examine patient and partner perceptions of phase 2 CR 3 mo after completion of the program.
A purposive sample of 11 couples (patients post-heart surgery and their spouses) was interviewed following completion of CR. Semistructured, in-person interviews were conducted with patients and spouses separately. Data were analyzed using line-by-line coding to identify themes.
Themes were identified in relation to program elements of CR. Exercise themes were as follows: (1) benefitted from exercise and (2) felt held back. Education themes were as follows: (1) received basic education and (2) needed more personalized information. CR environment themes were as follows: (1) developed confidence; (2) made social comparisons; and (3) helped to have partner there.
Overall, participant perceptions of exercise, education, and the CR environment were very positive. Nevertheless, there is a need to improve educational efforts within CR to rely less on "canned" presentations and more on participants developing their own self-management methods to maintain a healthy lifestyle after CR.
心脏康复（CR）后维持生活方式的改变并不理想。此外，还邀请了心脏病患者的伴侣参加 CR 教育课程，并期望他们在生活方式的改变上帮助患者。本研究的目的是定性研究患者和伴侣在完成 CR 后 3 个月对 CR 第二阶段的看法。
在完成 CR 后，对 11 对夫妇（心脏手术后的患者及其配偶）进行了有针对性的访谈。对患者和配偶分别进行了半结构化的面对面访谈。采用逐行编码的方法对数据进行分析，以确定主题。
主题与 CR 的项目要素有关。运动主题如下：（1）受益于运动；（2）感到受到限制。教育主题如下：（1）接受了基本教育；（2）需要更多个性化的信息。CR 环境主题如下：（1）建立了信心；（2）进行了社会比较；（3）有伴侣在身边很有帮助。
总体而言，参与者对运动、教育和 CR 环境的看法非常积极。然而，仍有必要改进 CR 中的教育工作，减少对“现成”演示的依赖，更多地依赖参与者发展自己的自我管理方法，以在 CR 后保持健康的生活方式。
