Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
New England School of Acupuncture, Massachusetts College of Pharmacy and Health Sciences, Worcester, Massachusetts, USA.
BMJ Support Palliat Care. 2020 Dec;10(4):e44. doi: 10.1136/bmjspcare-2018-001685. Epub 2019 Apr 4.
Cardiac rehabilitation (CR) programmes are standard of care for patients following a coronary event. While such exercise-based secondary prevention programme do offer benefits, they are used by less than 30% of eligible patients and attrition within these programmes is high. This project is a nested qualitative assessment of a pilot programme considering Tai Chi (TC) as an alternative to CR. We hypothesised that TC may overcome several key barriers to CR.
A semistructured focus group agenda was used to assess three key domains of feasibility: (1) patients' experiences, (2) reasons/barriers for not having attended CR and (3) any improvements in physical activity and other secondary outcomes (quality of life, weight, sleep). A thematic analysis was used to better understand the key concepts.
This high-risk group of patients reported that they enjoyed TC exercise, and felt confident and safe doing it. TC practice was reported to support other types of physical activity allowing for a generalisation of positive effects.
This analysis is consistent with published reports of TC practice improving mood and psychological well-being. Qualitative methods allowed us to find emergent experiential reports of behaviour change factors found in established behaviour change theories.
心脏康复（CR）方案是冠心病患者的标准治疗方法。虽然这种基于运动的二级预防方案确实有一定益处，但只有不到 30%的符合条件的患者使用，而且这些方案的参与率也很高。本项目是对一项试点方案的嵌套定性评估，该方案将太极拳（TC）作为 CR 的替代方案。我们假设 TC 可能克服 CR 的几个关键障碍。
采用半结构式焦点小组议程评估可行性的三个关键领域：（1）患者的体验，（2）未参加 CR 的原因/障碍，以及（3）身体活动和其他次要结果（生活质量、体重、睡眠）的任何改善。采用主题分析来更好地理解关键概念。
这群高风险患者报告说他们喜欢 TC 运动，并且感到自信和安全。报告称，TC 练习可以支持其他类型的身体活动，从而产生积极的普遍影响。
这一分析与太极拳练习改善情绪和心理幸福感的已发表报告一致。定性方法使我们能够发现已建立的行为改变理论中行为改变因素的新兴体验报告。
