Predictors of Cardiac Rehabilitation Participation in Older Cardiac Patients

Ades, Philip A.; Waldmann, Mary L.; McCann, William J.; Weaver, Sheila O.

doi:10.1097/00008483-199305000-00012

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Attendance at rehabilitation programmes and adoption of changes in lifestyle are ongoing issues—some patients do not attend such programmes11 or they cannot make the long term changes to diet and lifestyle after them. One recent study found that patients who were judged by staff to view their illness less seriously were less likely to attend cardiac rehabilitation 12. This has prompted some to argue that a rehabilitation programme cannot be successfully started with patients who have had a myocardial infarction unless they have developed compatible personal models of their illness 13.…”

Section: Introductionmentioning

confidence: 99%

Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study

Petrie

Weinman²,

Sharpe

et al. 1996

BMJ

566

406

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study

Petrie

Weinman²,

Sharpe

et al. 1996

BMJ

566

406

View full text Add to dashboard Cite

“…Since the early 1980's, researchers have begun to focus on the role of psychological factors which appear to have a critical influence over patients' recovery from illness (Ades, Waldmann, McCann & Weaver, 1992;Blumenthal, Williams, Wallace, Williams & Needles, 1982;Denollet, Sys, Stroobant, Rombouts, Gillebert & Brutsaert, 1996;Doerfler, Pbert & De Cosimo, 1997;Julkunen et al, 1994;Linden, Stossel & Maurice, 1996;Moser & Dracup, 1995;Oldhdge, Streiner, Hoffmann & Guyatt, 1994;Stewart, Hirth, Klassen, Makrides & Wolf, 1997). In recent years, researchers have developed the Causal Model of Invalidism to explain the process of psychological distress and dependency in coronary patients (Riegal, Dracup & Glaser, 1998).…”

Section: Chapter 12: Psychological Reactions After Myocardial Infarcmentioning

confidence: 99%

Motivation, Psychological Distress and Exercise Adherence Following Myocardial Infarction

Ljubic

Deane²,

Zecchin

et al. 2006

The Australian Journal of Rehabilitation Counselling

View full text Add to dashboard Cite

Patient adherence to post coronary exercise therapy is relatively poor with at least 50% discontinuing within 6 to 12 months of starting their cardiac rehabilitation programme (Dishman, 1988;. The relationship between exercise motivation, psychological distress and adherence to exercise therapy following myocardial infarction (Ml) was examined. The extent to which myocardial infarction patients adhered to their cardiac rehabilitation programme was also explored. Researchers have found that the factors that influence participation in cardiac rehabilitation include intrinsic motivation, extrinsic motivation and psychological distress (Blumenthal, Williams, Wallace, Williams,

show abstract

“…2001, NHS 2007). For women and men over 62 years of age, attendance rates as low as 14% and 25% respectively have been reported (Ades et al. 1992a,b).…”

Section: Introductionmentioning

confidence: 99%

Are older patients’ cardiac rehabilitation needs being met?

Tolmie

Lindsay

Kelly

et al. 2009

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims. The primary aim of this study was to examine the needs of older people in relation to cardiac rehabilitation and to determine if these were currently being met. A secondary aim was to compare illness representations, quality of life and anxiety and depression in groups with different levels of attendance at a cardiac rehabilitation programme.Background. Coronary heart disease accounted for over seven million cardiovascular deaths globally in 2001. Associated deaths increase with age and are highest in those older than 65. Effective cardiac rehabilitation can assist independent function and maintain health but programme uptake rates are low. We have, therefore, focussed specifically on the older patient to determine reasons for the low uptake.Design. Mixed methods.Methods. A purposive sample of 31 older men and women (≥65 years) completed three questionnaires to determine illness representations, quality of life and anxiety and depression. They then underwent a brief clinical assessment and participated in a face-to-face audio-taped interview.Results. Quantitative: Older adults, who did not attend a cardiac rehabilitation programme, had significantly poorer personal control and depression scores (p < 0·01) and lower quality of life scores than those who had attended. Few achieved recommended risk factor reduction targets. Qualitative: The three main themes identified as reflecting the views and experiences of and attendance at the cardiac rehabilitation programme were: ‘The sensible thing to do’, ‘Assessing the impact’ and ‘Nothing to gain’.Conclusions. Irrespective of level of attendance, cardiac rehabilitation programmes are not meeting the needs of many older people either in terms of risk factor reduction or programme uptake. More appropriate programmes are needed.Relevance to clinical practice. Cardiac rehabilitation nurses are ideally placed to identify the rehabilitation needs of older people. Identifying these from the older person’s perspective could help guide more appropriate intervention strategies.

show abstract

Predictors of Cardiac Rehabilitation Participation in Older Cardiac Patients

Cited by 3 publications

References 0 publications

Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study

Role of patients' view of their illness in predicting return to work and functioning after myocardial infarction: longitudinal study

Motivation, Psychological Distress and Exercise Adherence Following Myocardial Infarction

Are older patients’ cardiac rehabilitation needs being met?

Contact Info

Product

Resources

About