Veterans 参与家庭心脏康复的重要个人价值观。
Important Personal Values of Veterans Enrolled in Home-Based Cardiac Rehabilitation.
机构信息
Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI.
Center for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.
出版信息
R I Med J (2013). 2020 Nov 2;103(9):26-29.
BACKGROUND
Home-based cardiac rehabilitation (CR) heavily relies on patients' personal motivation to engage in behavior change. Patients' core values (e.g., health, family) may serve as motivational factors to strengthen program engagement. This study sought to identify personal values of veterans participating in home-based CR.
METHOD
Veterans enrolled in a home-based CR program at the Providence VA Medical Center completed a self-report questionnaire assessing core values at intake and completion. Descriptive statistics and non-parametric tests (e.g., Friedman, Wilcoxon sign rank comparisons) were used to assess differences in core value ratings between intake and completion.
RESULTS
Sixty-six patients (72±7 years, 86% white, 97% male) completed the questionnaire. Patients most often rated independence (86%), family (70%), and health (67%) as important values. Value ratings did not change from intake to discharge (ps >.20).
CONCLUSIONS
Future research should evaluate whether incorporating values-based activities in home-based CR can improve patient adherence to treatment and outcomes.
背景
家庭心脏康复（CR）严重依赖于患者参与行为改变的个人动机。患者的核心价值观（如健康、家庭）可以作为增强项目参与的激励因素。本研究旨在确定参与家庭心脏康复的退伍军人的个人价值观。
方法
在普罗维登斯退伍军人事务医疗中心参加家庭心脏康复计划的退伍军人在入组和完成时完成了一份自我报告问卷，评估核心价值观。使用描述性统计和非参数检验（例如 Friedman、Wilcoxon 符号秩检验）来评估入组和完成时核心价值观评分的差异。
结果
66 名患者（72±7 岁，86%为白人，97%为男性）完成了问卷。患者最常将独立（86%）、家庭（70%）和健康（67%）评为重要价值观。从入组到出院，价值观评分没有变化（p>.20）。
结论
未来的研究应评估在家庭心脏康复中纳入基于价值观的活动是否可以提高患者对治疗和结果的依从性。
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