Department of Psychology, University of Calgary, 2500 University Drive Northwest, Calgary, Alberta T2N 1N4, Canada.
Department of Psychology, University of Calgary, 2500 University Drive Northwest, Calgary, Alberta T2N 1N4, Canada; TotalCardiology™ Rehabilitation, 2225 MacLeod Trail South, Calgary, Alberta T2G 5B6, Canada; TotalCardiology Research Network, 2225 MacLeod Trail South, Calgary, Alberta T2G 5B6, Canada; Department of Physical Therapy, Applied Health Sciences, University of Illinois at Chicago, 1919 W. Taylor St., Chicago, IL 60607, USA.
Patient Educ Couns. 2021 Dec;104(12):2969-2978. doi: 10.1016/j.pec.2021.04.024. Epub 2021 Apr 29.
Patient education (PE) delivered during exercise-based cardiac rehabilitation (CR) aims to promote health behaviour change, including attendance at CR exercise sessions, by imparting knowledge about coronary artery disease (CAD) and improving CR-related attitudes. This study evaluated the impact of PE on aspects of patient motivation (i.e., CAD-related knowledge, attitudes towards CR) and exercise session attendance.
Adults with CAD referred to a 12-week CR program were recruited. CAD knowledge, perceived necessity/suitability of CR, exercise concerns, and barriers to CR were assessed pre/post-PE, and at 12-week follow-up. CR exercise attendance was obtained by chart review.
Among 90 patients (60 ± 10 years; 88% men), CAD knowledge and perceived necessity of CR improved pre- to post-PE; gains persisted at 12-weeks. Stronger pre-CR intentions to attend exercise sessions predicted greater attendance. Greater knowledge gains did not predict improvements in CR attitudes or exercise attendance.
Whereas PE may be useful for improving knowledge and attitudes regarding CAD self-management, more formative research is needed to determine whether PE can promote CR attendance.
Cardiac PE programs may be more successful in promoting exercise attendance if they target patients' behavioural intentions to attend and attitudes toward CR, rather than focussing exclusively on imparting knowledge.
在基于运动的心脏康复（CR）中进行的患者教育（PE）旨在通过传授有关冠心病（CAD）的知识和改善与 CR 相关的态度，促进健康行为的改变，包括参加 CR 运动课程。本研究评估了 PE 对患者动机（即 CAD 相关知识、对 CR 的态度）和运动课程出勤率的影响。
招募了被转诊至 12 周 CR 计划的成年人 CAD 患者。在 PE 前后以及 12 周随访时评估了 CAD 知识、对 CR 的感知必要性/适宜性、锻炼顾虑和 CR 障碍。通过图表审查获得 CR 运动的出勤率。
在 90 名患者（60±10 岁；88%为男性）中，CAD 知识和对 CR 的感知必要性在 PE 前后得到改善；在 12 周时仍保持不变。更强的参加运动课程的 CR 意向预测了更高的出勤率。更大的知识增益并没有预测 CR 态度或运动出勤率的改善。
尽管 PE 可能有助于提高 CAD 自我管理方面的知识和态度，但需要更多的形成性研究来确定 PE 是否可以促进 CR 出勤率。
如果心脏 PE 计划的重点是针对患者参加 CR 的行为意向和对 CR 的态度，而不仅仅是传授知识，那么可能会更成功地促进运动出勤率的提高。
