Danish heart patients’ participation in and experience with rehabilitation

Würgler, M W; Sonne, L T; Kilsmark, Jannie; Voss, Hubertus von; Søgaard, Jes

doi:10.1177/1403494811435487

Cited by 21 publications

(17 citation statements)

References 6 publications

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“…Previous studies reported that women and younger clients tended to report lower satisfaction scores with the services 28–30. The relatively small sample in the present study might have prevented the detection of statistically significant difference.…”

Section: Discussioncontrasting

confidence: 64%

Performance of the measures of processes of care for adults and service providers in rehabilitation settings

Bamm

Rosenbaum

Wilkins

et al. 2015

PROM

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IntroductionIn recent years, client-centered care has been embraced as a new philosophy of care by many organizations around the world. Clinicians and researchers have identified the need for valid and reliable outcome measures that are easy to use to evaluate success of implementation of new concepts.ObjectiveThe current study was developed to complete adaptation and field testing of the companion patient-reported measures of processes of care for adults (MPOC-A) and the service provider self-reflection measure of processes of care for service providers working with adult clients (MPOC-SP(A)).DesignA validation studySettingsIn-patient rehabilitation facilities.Main outcome measuresMPOC-A and measure of processes of care for service providers working with adult clients (MPOC-SP(A)).ResultsThree hundred and eighty-four health care providers, 61 patients, and 16 family members completed the questionnaires. Good to excellent internal consistency (0.71–0.88 for health care professionals, 0.82–0.90 for patients, and 0.87–0.94 for family members), as well as moderate to good correlations between domains (0.40–0.78 for health care professionals and 0.52–0.84 for clients) supported internal reliability of the tools. Exploratory factor analysis of the MPOC-SP(A) responses supported the multidimensionality of the questionnaire.ConclusionMPOC-A and MPOC-SP(A) are valid and reliable tools to assess patient and service-provider accounts, respectively, of the extent to which they experience, or are able to provide, client-centered service. Research should now be undertaken to explore in more detail the relationships between client experience and provider reports of their own behavior.

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Section: Discussioncontrasting

confidence: 64%

Performance of the measures of processes of care for adults and service providers in rehabilitation settings

Bamm

Rosenbaum

Wilkins

et al. 2015

PROM

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“…On the other hand, gender seems to have impact on satisfaction with life in patients with coronary heart disease, where men report increased well‐being after the initial hospitalization (25). Also, among men with coronary heart disease men were more satisfied than women with their rehabilitation (26), contrary to our findings among patients with stroke.…”

Section: Discussioncontrasting

confidence: 99%

Satisfaction with rehabilitation in relation to self‐perceived quality of life and function among patients with stroke – a 12 month follow‐up

Hansson

Beckman

Wihlborg

et al. 2012

Scandinavian Caring Sciences

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Scand J Caring Sci; 2013; 27; 373–379 Satisfaction with rehabilitation in relation to self‐perceived quality of life and function among patients with stroke – a 12 month follow‐up Background and Purpose: Stroke causes complex disability and function, and perceived quality of life has been shown to correlate with satisfaction with care as well as with life in general among stroke patients. The aim of this study was to study the relation of satisfaction with how rehabilitation was provided with self‐perceived quality of life, self‐perceived function and rehabilitation received, 12 months after the incidence. Method: The subjects were assessed 12 months after the onset of stroke. The Barthel index was used to measure function, and the EuroQol‐5D to measure quality of life. To measure satisfaction with how rehabilitation was provided, a questionnaire from the Swedish Stroke Register was used. Results: Two hundred and eighty‐three patients participated in the follow‐up, 137 women and 146 men, aged between 42 and 95 years (mean age 75.2, SD 11.8). For the majority of patients rehabilitation was initiated at in‐hospital care (directly after onset). One hundred and sixty‐eight patients considered that rehabilitation was well provided for. Sixty‐six regarded that the rehabilitation was only partly provided for and 35 that it was not provided for at all. High value on Barthel Index was associated with satisfaction with how rehabilitation was provided for (OR 2.81). Also, rehabilitation on three or more levels was negatively associated with satisfaction with rehabilitation provision (OR 0.24) and so was being male (OR 0.49). Conclusion: In this study, patients with higher values on Barthel Index were more satisfied with how rehabilitation was provided for. However, male patients and patients who received rehabilitation on three or more levels of care were less satisfied. Given the assumption that patients with more severe dysfunction after stroke are being rehabilitated on more levels, this might imply that it is not the amount of rehabilitation that gives satisfaction but the patients self‐perceived function after rehabilitation.

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“…An observational study from Israel indicated more frequent return to the workforce among participants in a cardiac rehabilitation programmes, in a population with a participation rate at 7% [12]. In Denmark complete participation in cardiac rehabilitation has been found even lower for patients with ischaemic heart disease [24]. More knowledge regarding the impact of cardiac rehabilitation on the possibility to return to the workforce is needed among patients who undergo cardiac surgery.…”

Section: Discussionmentioning

confidence: 99%

Work Status and Return to the Workforce after Coronary Artery Bypass Grafting and/or Heart Valve Surgery: A One-Year-Follow Up Study

Fonager

Lundbye‐Christensen

Andreasen

et al. 2014

Rehabilitation Research and Practice

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Background. Several characteristics appear to be important for estimating the likelihood of reentering the workforce after surgery. The aim of the present study was to describe work status in a two-year time period around the time of cardiac surgery and estimate the probability of returning to the workforce. Methods. We included 681 patients undergoing coronary artery bypass grafting and/or heart valve procedures from 2003 to 2007 in the North Denmark Region. We linked hospital data to data in the DREAM database which holds information of everyone receiving social benefits. Results. At the time of surgery 17.3% were allocated disability pension and 2.3% were allocated a permanent part-time benefit. Being unemployed one year before surgery reduced the likelihood of return to the workforce (RR = 0.74 (0.60–0.92)) whereas unemployment at the time of surgery had no impact on return to the workforce (RR = 0.96 (0.78–1.18)). Sickness absence before surgery reduced the likelihood of return to the workforce. Conclusion. This study found the work status before surgery to be associated with the likelihood of return to the workforce within one year after surgery. Before surgery one-fifth of the population either was allocated disability pension or received a permanent part-time benefit.

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Danish heart patients’ participation in and experience with rehabilitation

Cited by 21 publications

References 6 publications

Performance of the measures of processes of care for adults and service providers in rehabilitation settings

Performance of the measures of processes of care for adults and service providers in rehabilitation settings

Satisfaction with rehabilitation in relation to self‐perceived quality of life and function among patients with stroke – a 12 month follow‐up

Work Status and Return to the Workforce after Coronary Artery Bypass Grafting and/or Heart Valve Surgery: A One-Year-Follow Up Study

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