Soroush Ali, Heydarpour Behzad, Komasi Saeid, Saeidi Mozhgan, Ezzati Parvin
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences; Clinical Research Development Center, Imam Reza Hospital, Kermanshah, Iran.
Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Ann Card Anaesth. 2018 Jul-Sep;21(3):249-254. doi: 10.4103/aca.ACA_87_17.
To assess the roles of demographic factors, actual and perceived risk factors, and perceived control in the referral to cardiac rehabilitation (CR) after coronary artery bypass graft (CABG).
In this cross-sectional study, data related to 312 CABG patients in a hospital of the Western part of Iran, gathered through demographics and actual risk factors' checklist, open single item of perceived heart risk factors, life stressful events scale, and perceived control questionnaire. Data analyzed by binary logistic regression.
The results showed that only 8.3% of CABG patients refer to CR. The facilitators of this referral included official employment (P < 0.05), coronary history (P = 0.016), and hyperlipidemia (P = 0.030) but more distance to the CR center (P = 0.042) and perceived physiological risk factor (P = 0.025) are concerned as the barriers for the referral to CR.
Providing appropriate awareness about the benefits of CR for patients with regard to their job status, coronary history, and perception about the illness risk factors can be effective in referral to CR. In addition, the presence of CR centers in towns and facilitated achievement to these centers can play a significant role in patients' participation.
评估人口统计学因素、实际和感知风险因素以及感知控制在冠状动脉旁路移植术（CABG）后心脏康复（CR）转诊中的作用。
在这项横断面研究中，通过人口统计学和实际风险因素清单、感知心脏风险因素的开放性单项、生活应激事件量表和感知控制问卷，收集了伊朗西部一家医院312例CABG患者的数据。采用二元逻辑回归分析数据。
结果显示，只有8.3%的CABG患者转诊至CR。转诊的促进因素包括正式就业（P < 0.05）、冠心病史（P = 0.016）和高脂血症（P = 0.030），但距离CR中心较远（P = 0.042）和感知生理风险因素（P = 0.025）被认为是转诊至CR的障碍。
就患者的工作状态、冠心病史和对疾病风险因素的认知，向其提供关于CR益处的适当认知，可能有助于转诊至CR。此外，在城镇设立CR中心以及便利患者前往这些中心，对患者的参与可能起到重要作用。
