A qualitative study of patient’s perceptions of two cardiac rehabilitation models

Nascimento, Isabella de Oliveira; Assis, Marcella Guimarães; Ghisi, Gabriela Lima de Melo; Britto, Raquel Rodrigues

doi:10.1016/j.bjpt.2021.02.004

Cited by 3 publications

(1 citation statement)

References 51 publications

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“…Our results concurred with those of Nascimento et al where participants thought that involvement in CR had long-term beneficial effects on their disease-related knowledge, increased functional gains, and enhanced psychosocial well-being [13]. Our results are consistent with those of the study conducted by McIntosh et al [10].…”

Section: Support From Cr Teamsupporting

confidence: 93%

Challenges to Cardiac Rehabilitation Post Coronary Artery Bypass Grafting: A Qualitative Study in Pune

Borah¹,

Bhawalkar²,

Rathod³

et al. 2023

Cureus

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BackgroundAdherence to cardiac rehabilitation (CR) regimen is crucial in the post-coronary artery bypass grafting (CABG) period. Cardiac rehabilitation involves various lifestyle changes, including diet and exercise, regular follow-up in OPD, and implementing secondary prevention recommendations. This study aims to understand the challenges to CR post-CABG. MethodologySeven in-depth interviews using an interview guide were carried out in the outpatient section of the cardiothoracic vascular surgery (CTVS) department of a tertiary health care facility in Pune, India. A purposive sampling technique was followed. ResultsThe qualitative study revealed that dietary restrictions were difficult to follow, that some patients could not quit smoking even after surgery, and that transportation costs were an issue regarding CR follow-up. The majority of the participants appreciated the importance of regular exercise in their post-surgery life. ConclusionDespite the hurdles, the majority of participants stated that the fact that CABG is a major treatment pushed them to attend routine CR follow-ups and adhere to the CR regimen. A solid CR team was one of the study's strengths, and the team established a routine of telephonic reminders for regular follow-up, which resulted in lower rates of loss to follow-up.

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Section: Support From Cr Teamsupporting

confidence: 93%

Challenges to Cardiac Rehabilitation Post Coronary Artery Bypass Grafting: A Qualitative Study in Pune

Borah¹,

Bhawalkar²,

Rathod³

et al. 2023

Cureus

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Integrating the quantitative with the qualitative: findings from a mixed methods cardiac rehabilitation exercise trial

Giggins,

Cullen-Smith,

Kenny

et al. 2024

Heart Rhythm O2

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Exploring patients’ views regarding the support and rehabilitation needs of people living with myocardial ischaemia and no obstructive coronary arteries: a qualitative interview study

Humphreys,

Paddock,

Brown

et al. 2024

BMJ Open

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ObjectivesThis study aimed to generate new qualitative insights to understand the rehabilitation needs of people living with a confirmed or presumed diagnosis of ischaemia with no obstructive coronary arteries (INOCA), explore which aspects of current cardiovascular prevention and rehabilitation programmes could meet the needs of people with INOCA and where adjustments (if any) may be appropriate.DesignSemistructured qualitative interview study.ParticipantsInterviews were undertaken (n=17; 88% female, age range 31–69 years) with people with a confirmed or presumed diagnosis of INOCA.ResultsFindings highlighted concerns around a lack of evidence-based guidance for cardiovascular prevention and rehabilitation programmes for patients with INOCA. Participants expressed a desire for modular cardiovascular prevention and rehabilitation programmes that could be accessed flexibly to accommodate episodic fluctuations in symptoms. Participants suggested that existing cardiovascular prevention and rehabilitation programme content needed adjustment including enhanced psychosocial support, supervised low-impact physical activity and specialist dietary advice and medication reviews. Additional elements specific to INOCA should be made available as appropriate including acute care planning and a module to provide information and support for female-specific issues. The importance of involving INOCA patients in the codesign of future programmes and associated training was emphasised.ConclusionsPeople with INOCA are willing to engage with cardiovascular prevention and rehabilitation programmes and express a desire for more support. This patient group shares some barriers to rehabilitation programme attendance with other cardiac patient groups, but they also have specific concerns about the need for improved professional knowledge and evidence-based guidance regarding the management of INOCA. Cardiovascular rehabilitation programmes need to be delivered flexibly and individually tailored to ensure the relapsing and remitting nature of INOCA and associated support needs are addressed.

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A qualitative study of patient’s perceptions of two cardiac rehabilitation models

Cited by 3 publications

References 51 publications

Challenges to Cardiac Rehabilitation Post Coronary Artery Bypass Grafting: A Qualitative Study in Pune

Challenges to Cardiac Rehabilitation Post Coronary Artery Bypass Grafting: A Qualitative Study in Pune

Integrating the quantitative with the qualitative: findings from a mixed methods cardiac rehabilitation exercise trial

Exploring patients’ views regarding the support and rehabilitation needs of people living with myocardial ischaemia and no obstructive coronary arteries: a qualitative interview study

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