Phase Ii Cardiac Rehabilitation Program- Barriers to Follow Up and Participation: A Cross-Sectional Study

Pattanshetty, Renu; Chintamani, Radhika; Ribeiro, Saviola

doi:10.16965/ijpr.2016.114

Cited by 2 publications

(3 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The patient's belief about their illness and recovery is also related to subsequent attendance at cardiac rehabilitation. [15]They concluded that psychological factors play a more important role than the medical factor in the recovery process and CR participation. These can be improved by the early identification of illness perceptions among patients to improve the outcome in terms of participation in cardiac rehabilitation programs.…”

Section: Comorbidities/functional Statusmentioning

confidence: 99%

Patient perceived barriers to phase II cardiac rehabilitation in patients with and without percutaneous coronary angioplasty

Rathi¹,

Jiandani²

2023

World J. Adv. Res. Rev.

View full text Add to dashboard Cite

Context: Cardiac Rehabilitation is an accepted standard of care after any cardiac event and is considered a class ɪ indication following myocardial infarction or revascularisation procedures. It aims at the reduction of cardiovascular risk factors and improves quality of Life by promoting healthy behavior and an active lifestyle. However, despite its proven benefits and need, it is highly underutilized. Hence this study aims to explore the barriers perceived by patients who were conservatively treated and with percutaneous coronary intervention to attend outdoor cardiac rehabilitation services. Settings and Design: Observational study at the cardiology unit of a tertiary health care hospital. Methods and Material: The barriers perceived by the patients were studied using the interview method using Cardiac Rehabilitation Barrier Scale (CRBS). A complete enumeration sampling technique was used for the enrolment of subjects. The primary outcome measure was to analyse the sub-questions of all four domains of CRBS and compare the difference in the distribution of barriers between conservatively managed and PCI using the Mann-Whitney U test. Results: 216 patients were enrolled, out of which 123 were managed conservatively and 93 underwent Percutaneous Coronary Intervention. Lack of awareness about CR was found in 128 patients (59.25%), Distance and transportation problems were found in 117 patients (54.16%) in the conservative group, and 101 patients in PCI (46.75%). Work time conflict was observed in 117 patients (53.74%) in conservative and 93 patients (43.05%) in PCI. 84 patients (38.8%) had low energy levels and 44 patients (20.36%) found exercising tiring and painful. Patients with PCI had greater referral issues, cost issues, and low energy levels and found exercise tiring and painful (p< 0.005) than conservatively managed. Conclusions: Referral, Knowledge of CR, access to healthcare resources, and Work Time conflicts are perceived as major barriers to Cardiac Rehabilitation. Additionally, higher Cost issues, Low Energy levels, and fear of exercising were observed more in patients with PCI than in conservatively managed.

show abstract

Section: Comorbidities/functional Statusmentioning

confidence: 99%

Patient perceived barriers to phase II cardiac rehabilitation in patients with and without percutaneous coronary angioplasty

Rathi¹,

Jiandani²

2023

World J. Adv. Res. Rev.

View full text Add to dashboard Cite

show abstract

“…Cardiovascular disease (CVD) is a leading cause of morbidity and mortality around the world, including India [1]. "According to the World Health Organization, a group of disorders of the heart and blood vessels include coronary heart disease, cerebrovascular disease, rheumatic heart disease, and other conditions" [2]. CVDs are a leading cause of hospitalization which leads to loss of work and function.…”

Section: Introductionmentioning

confidence: 99%

“…Despite strong evidence of beneft, support from national and international recommendations [5], and decades of work to increase patient engagement, CR continues to be underutilized internationally [6]. Even with the program's established benefts, it has several hurdles in its implementation, including a low level of participation, gender-biased participation and referrals, adherence and [2] drop-out issues, and management of resources. Low referrals, distance from the hospital, lack of enthusiasm, and the unwillingness of the patients to participate are some of the causes for low participation [7,8].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Practice of Physiotherapists about Cardiac Rehabilitation Program Adherence among Patients Discharged from the Hospital after Cardiac Surgery in India

Gondekar,

Singh,

Rajan Samuel

et al. 2024

The Scientific World Journal

View full text Add to dashboard Cite

Background. In most settings, patients receive phase 1 cardiac rehabilitation in CTVS ICU at the hospital, but there are several barriers to follow-up after patients are discharged from the hospital. Physiotherapists play an important role in the enrolment and continuation of cardiac rehabilitation. Thus, we aim to study the knowledge, attitude, and practice of physiotherapists about CR program adherence among patients discharged from the hospital after cardiac surgery. Objectives. (i) To study the knowledge of physiotherapists about the importance of cardiac rehabilitation after discharge; (ii) to know the attitude of physiotherapists towards cardiac surgery patients after discharge; and (iii) to know what approach various centres are applying for patients after discharge to ensure adherence to cardiac rehabilitation. Methods. A questionnaire was developed with reference to the objectives of the study, which was answered by a total of 127 physiotherapists. Results. The overall response rate was 42.3%; nearly 35.4% of the participants indicated that they knew a lot about CR, while 5.5% said they knew very little. Regarding the program’s content, 36.2% of participants reported having a medium degree of awareness of the diverse CR components, while 8.6% reported having very little knowledge of them. Only about one-third, 35.7% stated that CR in India is effective and 95% believed that CR will have an added value for the country. Approximately 80% of respondents thought that it would be challenging for a physiotherapist to recommend patients to a CR in the nation. Nearly 35% of respondents believed that they, “themselves as physios,” needed to commence CR, and slightly less than 70% thought that doctors were required to choose and refer the patients when asked who should take the initiative to start this kind of programme in the country. A little over 40% of respondents said that insurance firms are also involved in starting a CR programme. Conclusion. Physiotherapists have good knowledge of cardiac rehabilitation. However, their attitude and practice towards adherence to exercise protocols are confounded by various clinician- and patient-level factors.

show abstract

Phase Ii Cardiac Rehabilitation Program- Barriers to Follow Up and Participation: A Cross-Sectional Study

Cited by 2 publications

References 29 publications

Patient perceived barriers to phase II cardiac rehabilitation in patients with and without percutaneous coronary angioplasty

Patient perceived barriers to phase II cardiac rehabilitation in patients with and without percutaneous coronary angioplasty

Knowledge, Attitude, and Practice of Physiotherapists about Cardiac Rehabilitation Program Adherence among Patients Discharged from the Hospital after Cardiac Surgery in India

Contact Info

Product

Resources

About