Altern Ther Health Med. 2021 Sep;27(5):82-91.
Cardiac rehabilitation (CR) in China has not been widely adopted for a variety of reasons, including healthcare provider (HCP)s' lack of awareness and beliefs.
To explore HCP's perceptions of CR in China.
An exploratory, sequential design was used in this mixed-methods study. Face-to-face semi-structured interviews were performed; this was followed by a cross-sectional survey.
The interviews were conducted in a university-affiliated hospital and a rehabilitation hospital in Shanghai. The survey was conducted in the cardiac departments of primary, secondary, or tertiary hospitals in Shanghai or Yunnan Province, China.
Saturation was achieved upon interviewing 13 HCPs (5 doctors, and 8 nurses). A total of 610 HCPs (185 doctors [30.5%], 417 nurses [68.8%]) completed the survey.
Analysis of the interviews revealed 4 themes: the perceived value of CR, the need for pro-CR policy, variability in CR awareness, and obstacles to CR delivery. HCP approaches to the treatment of patients with cardiac conditions did not universally include exercise training (only approximately 60% of HCPs), or all other recommended domains of secondary prevention, and assessment of the major risk factors was quite low. Familiarity with CR was moderate (48.7%). HCPs perceived that philosophies of Traditional Chinese Medicine (TCM) were highly compatible with, and could add value to, CR. HCP approaches to secondary preventive care and CR perceptions varied significantly according to their highest level of education, clinical profession, job seniority, type of hospital where they worked, whether the hospital had a CR program and the hospital's location.
HCPs recognize the value of CR, particularly considering secondary preventive care practices were not comprehensive. Education is needed to improve HCPs CR awareness.
由于多种原因，心脏康复（CR）在中国尚未得到广泛应用，包括医疗保健提供者（HCP）缺乏意识和信念。
探讨中国 HCP 对 CR 的看法。
本混合方法研究采用探索性、顺序设计。进行面对面的半结构化访谈；随后进行横断面调查。
访谈在上海的一所大学附属医院和一家康复医院进行。调查在中国上海或云南省的基层、二级或三级医院的心脏科进行。
对 13 名 HCP（5 名医生和 8 名护士）进行访谈，达到了饱和。共有 610 名 HCP（185 名医生[30.5%]，417 名护士[68.8%]）完成了调查。
对访谈的分析揭示了 4 个主题：CR 的感知价值、对支持 CR 的政策的需求、CR 意识的可变性以及 CR 实施的障碍。HCP 治疗心脏病患者的方法并非普遍包括运动训练（只有大约 60%的 HCP）或其他所有推荐的二级预防领域，对主要危险因素的评估也相当低。对 CR 的熟悉程度中等（48.7%）。HCP 认为中医（TCM）的理念与 CR 高度兼容，并能为其增值。HCP 的二级预防护理方法和 CR 认知因他们的最高教育水平、临床专业、工作年限、工作医院的类型、医院是否有 CR 项目以及医院的位置而有显著差异。
HCP 认识到 CR 的价值，特别是考虑到二级预防护理实践并不全面。需要教育来提高 HCP 的 CR 意识。
