Department of Nursing Studies, The University of Edinburgh, UK.
School of Nursing, Universitas Muhammadiyah Yogyakarta, Indonesia.
Eur J Cardiovasc Nurs. 2019 Dec;18(8):744-752. doi: 10.1177/1474515119864208. Epub 2019 Jul 21.
Cardiac rehabilitation is effective in reducing mortality and morbidity, in improving life expectancy and quality of life for people with cardiovascular disease. Despite these recognised benefits, women's attendance rates in cardiac rehabilitation programmes remain suboptimal.
This paper details the study that explored factors that influence women's attendance of a phase two cardiac rehabilitation programme in Indonesia.
An exploratory qualitative research design was used in the study. Semi-structured interviews were used as the main method of data collection. Data were collected from June to September 2016. Twenty-three women aged between 30 and 66 years were interviewed. Transcribed interview data were analysed using a qualitative framework analysis.
Three major themes were inferred from the analysis: (a) a bridge to normal; (b) connecting with others; and (c) contextual factors. The first theme is illustrated by two subthemes: 'making my heart work again' and 'performing social roles'. The second theme was illustrated by the following subthemes: 'exchanging knowledge and experience' and 'developing a give-and-take relationship'. The third theme was illustrated by three subthemes: 'recommendations from the staff', 'family support' and 'availability of health insurance'.
Women's attendance in cardiac rehabilitation in Indonesia is mainly influenced by their expectations and desire to be able to resume their previous social roles in the family and society. The findings of this study can assist healthcare professionals to understand better the needs of women and the fit between women's needs and existing cardiac rehabilitation programmes. Such understanding could provide direction for more effective approaches to the cardiac rehabilitation programmes that are currently offered in Indonesia.
心脏康复可有效降低心血管疾病患者的死亡率和发病率，提高其预期寿命和生活质量。尽管心脏康复有这些公认的益处，但女性参与心脏康复计划的比例仍然不理想。
本文详细介绍了一项研究，该研究探讨了影响印度尼西亚女性参加二期心脏康复计划的因素。
该研究采用探索性定性研究设计。半结构式访谈是主要的数据收集方法。数据收集于 2016 年 6 月至 9 月进行。共对 23 名年龄在 30 至 66 岁之间的女性进行了访谈。对转录后的访谈数据采用定性框架分析法进行分析。
从分析中推断出三个主要主题：（a）通向正常的桥梁；（b）与他人联系；（c）背景因素。第一个主题由两个子主题说明：“使我的心脏再次工作”和“履行社会角色”。第二个主题由以下子主题说明：“交流知识和经验”和“发展互惠关系”。第三个主题由三个子主题说明：“工作人员的建议”、“家庭支持”和“医疗保险的可用性”。
印度尼西亚女性参与心脏康复的主要原因是她们期望并渴望能够恢复之前在家庭和社会中的社会角色。本研究的结果可以帮助医疗保健专业人员更好地了解女性的需求以及女性的需求与现有心脏康复计划之间的契合度。这种理解可以为印度尼西亚目前提供的心脏康复计划提供更有效的方法方向。
