Khushhal Alaa, Alsubaiei Mohammed
Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia.
Department of Physical Therapy, Faculty of Applied Medical Sciences, Imam Abulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.
J Multidiscip Healthc. 2023 Mar 9;16:653-661. doi: 10.2147/JMDH.S398687. eCollection 2023.
The core of cardiac rehabilitation (CR) is structured exercise training. CR reduces 28-56% hospital readmission rate, and around 25% increases cardiorespiratory fitness but the number of outpatients CR centers in Saudi Arabia (SA) is very limited and there is a need to establish outpatient CR (Phase III) in SA. Furthermore, the awareness of outpatient CR in SA is unknown.
To determine the main barriers to establishing an outpatient CR program (Phase III) in the western region of SA, as well as assess the awareness of outpatient CR (Phase III) in the western region of SA.
A cross-sectional study survey was conducted between March - July 2021 among physiotherapists, cardiologists and the cardiac surgeon using a questionnaire distributed electronically to determine the awareness level of outpatient CR and barriers to establishing outpatient CR (Phase III) in the western region of SA. Frequencies and percentages were used to report the variables.
Of the 141 participants who completed the online survey, our findings showed that 131 (93%) were aware of CR but only 29 (21%) were aware of the four phases of CR. There were three main barriers to establishing CR: lack of appropriate CR 135 (96%); lack of awareness among healthcare professions of CR and its benefits 134 (95%) and the lack of healthcare providers trained in CR 133 (94%). There was a significant relationship between physiotherapists and cardiologists' responses on agreeing to all barriers to establishing CR in SA (r=0.69, P =0.03).
To overcome the barriers to establishing CR outpatient centers in the western region of SA, it is recommended to provide more CR outpatient training programs to healthcare providers and raise the awareness of the CR phases, its benefits, and the risk factors for developing cardiac diseases among healthcare providers.
心脏康复（CR）的核心是结构化运动训练。CR可降低28%-56%的住院再入院率，约25%可提高心肺适能，但沙特阿拉伯（SA）的门诊CR中心数量非常有限，因此有必要在SA建立门诊CR（第三阶段）。此外，SA对门诊CR的认知情况尚不清楚。
确定在SA西部地区建立门诊CR项目（第三阶段）的主要障碍，并评估SA西部地区对门诊CR（第三阶段）的认知情况。
2021年3月至7月间，对物理治疗师、心脏病专家和心脏外科医生进行了一项横断面研究调查，通过电子方式分发问卷，以确定SA西部地区对门诊CR的认知水平以及建立门诊CR（第三阶段）的障碍。使用频率和百分比来报告变量。
在完成在线调查的141名参与者中，我们的研究结果显示，131名（93%）了解CR，但只有29名（21%）了解CR的四个阶段。建立CR存在三个主要障碍：缺乏适当的CR 135名（96%）；医疗专业人员对CR及其益处缺乏认识134名（95%）以及缺乏接受过CR培训的医疗服务提供者133名（94%）。物理治疗师和心脏病专家在同意SA建立CR的所有障碍方面的回答之间存在显著关系（r=0.69，P =0.03）。
为克服在SA西部地区建立CR门诊中心的障碍，建议为医疗服务提供者提供更多CR门诊培训项目，并提高医疗服务提供者对CR阶段、其益处以及心脏病发病风险因素的认识。
