Cardiac Rehabilitation Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Nurs Health Sci. 2019 Dec;21(4):508-514. doi: 10.1111/nhs.12635. Epub 2019 Aug 1.
Psychosocial risk factors, such as perceived stress, not only increase the risk of cardiovascular disease, but also act as barriers for treatment adherence and cardiac rehabilitation. In this study, we examined the predictive role of perceptions for illness to perceived stress in Iranian patients participating in a cardiac rehabilitation program. A cross-sectional study was conducted in 2017 to determine correlations of demographic variables and domains of illness perception with perceived stress, and to develop a predictive model for perceived stress. In total, 150 patients with cardiovascular disease, who were admitted to a cardiac rehabilitation center, completed the questionnaires. (i) demographic and health-related characteristics; (ii) the Perceived Stress Scale-14; and (iii) the Brief Illness Perception Questionnaire. The mean perceived stress was 16.2 (8.4), and five illness perception subscales - timeline, personal control, treatment control, understanding and emotional response - were associated with increased perceived stress. Variables in the multi-variate predictive model accounted for 48% of the total variance in perceived stress. The results demonstrated the value of assessing and managing the patients' perceptions of illness to reduce their perceived stress, which could support adherence to cardiac rehabilitation programs.
心理社会风险因素，如感知到的压力，不仅会增加心血管疾病的风险，还会成为治疗依从性和心脏康复的障碍。在这项研究中，我们研究了伊朗参与心脏康复计划的患者对疾病的感知与感知压力之间的预测关系。2017 年进行了一项横断面研究，以确定人口统计学变量和疾病感知领域与感知压力之间的相关性，并建立感知压力的预测模型。共有 150 名患有心血管疾病的患者入住心脏康复中心，他们完成了问卷调查。（i）人口统计学和健康相关特征；（ii）感知压力量表-14；（iii）简要疾病感知问卷。感知压力的平均值为 16.2（8.4），五个疾病感知子量表 - 时间线、个人控制、治疗控制、理解和情绪反应 - 与感知压力增加有关。多变量预测模型中的变量占感知压力总方差的 48%。研究结果表明，评估和管理患者对疾病的感知对于降低他们的感知压力很有价值，这可以支持他们对心脏康复计划的依从性。
