Jerončić Barbara, Jelovica Lejla, Starčević-Klasan Gordana, Zulle Kristijan, Jovanović Željko, Miletić Bojan
Istrian Health Center, Pula, Croatia; Faculty of Health Studies, University of Rijeka, Croatia.
Faculty of Health Studies, University of Rijeka, Croatia.
Acta Med Acad. 2025 Apr;54(1):7-17. doi: 10.5644/ama2006-124.471.
The study assesses how well patients follow secondary prevention measures after completing an outpatient cardiac rehabilitation (CR) program.
This research involves 63 patients who completed an outpatient CR program between 2018 and 2020 at the Istrian Health Center in Pula, Croatia. Socio-demographic characteristics, levels of physical activity, adherence to a Mediterranean diet, and compliance with medical recommendations were assessed in a survey to gather data.
Out of the 63 patients surveyed, 51 responded (34 males, 17 females, average age 68.25 years). After completing a cardiac rehabilitation program, 78.4% maintained appropriate levels of physical activity but showed low adherence to a Mediterranean diet, with an average score of only 3.94 out of 9. Only a small percentage (2%) effectively followed medical recommendations.
Despite the fact that patients maintain physical activity, there are still challenges regarding adherence to nutritional recommendations and medical advice. Long-term adherence can be improved by utilizing technology, involving family members, and offering education. Future research should focus on identifying obstacles to adherence and developing approaches to achieve lasting behavioral change.
本研究评估患者在完成门诊心脏康复（CR）项目后遵循二级预防措施的情况。
本研究纳入了63例于2018年至2020年期间在克罗地亚普拉的伊斯特拉健康中心完成门诊CR项目的患者。通过一项调查评估社会人口学特征、身体活动水平、对地中海饮食的依从性以及对医疗建议的遵循情况，以收集数据。
在接受调查的63例患者中，51例做出回应（34例男性，17例女性，平均年龄68.25岁）。完成心脏康复项目后，78.4%的患者保持了适当的身体活动水平，但对地中海饮食的依从性较低，在9分制中平均得分仅为3.94分。只有一小部分（2%）患者有效地遵循了医疗建议。
尽管患者保持了身体活动，但在遵循营养建议和医疗建议方面仍存在挑战。利用技术、让家庭成员参与以及提供教育可以提高长期依从性。未来的研究应侧重于确定依从性的障碍并制定实现持久行为改变的方法。
