Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study

Alavi, Mousa; Irajpour, Alireza; Giles, Tracey; Rabiei, Katayoun; Sarrafzadegan, Nizal

doi:10.5172/conu.2013.44.2.204

Cited by 12 publications

(16 citation statements)

References 25 publications

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“…22 Patient education in a CR programme has been shown to optimize physical, psychological, and social functioning, and it can enable people with CAD to lead productive and satisfying lives. 30 Both participant groups in this study displayed poor knowledge of the meaning, content, and purpose of CR. 31 Similar results were reported in two separate studies, 23,24 and patients knew neither what a CR programme was nor why it was important.…”

Section: Discussion Communication Challengesmentioning

confidence: 70%

Patients' Experiences of and Perspectives on Phase 1 Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery

Maddocks

Cobbing

2017

Physiotherapy Canada

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Purpose: This study explored and described patients' experiences and perceptions of phase 1 cardiac rehabilitation (CR) after a coronary artery bypass graft (CABG) at a public hospital in the province of KwaZulu-Natal, South Africa. CR is recognized around the world as an effective means of preventing disability and prolonging life in post-CABG patients. Despite this, participation in CR is low. Furthermore, little is known about patients' perceptions of CR programmes in South Africa. Method: We used a descriptive qualitative study design to study nine purposively selected participants (mean age 56 y) who had received only individualized CR post-CABG or individualized CR in combination with group CR exercise. The participants were organized into focus groups of attenders and non-attenders of the group CR exercise classes. The four attenders were all men, and the non-attenders were three men and two women. Interviews were transcribed verbatim and subjected to thematic analysis. Results: The three main themes that emerged were communication challenges between health care professionals and patients, the patients' experience of physiotherapy, and their recommendations for service delivery. Conclusion: Patients' perceptions of the current delivery of phase 1 CR in this study setting emphasized that improvements need to be made in the areas of patient-centred care, equality of access to programmes, and appropriateness of programme content. The results appear to indicate that patients have a limited awareness of and participation in in-patient and outpatient CR programmes. Research into improving the design of CR programmes in South Africa is required, in consultation with patients and the multidisciplinary health care team.

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Section: Discussion Communication Challengesmentioning

confidence: 70%

Patients' Experiences of and Perspectives on Phase 1 Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery

Maddocks

Cobbing

2017

Physiotherapy Canada

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“…Cardiovascular disease (CVD) is a common disorder worldwide, accounting for 31% of all global deaths (World Health Organization, ), and is one of the leading causes of death, both in developed and developing countries (Pagidipati & Gaziano, ; Sarrafzadegan, Rabiei, Alavi, Abedi, & Zarfeshani, ). Cardiac rehabilitation (CR) is a valuable and cost‐effective secondary prevention strategy, which has been identified as an essential part of contemporary health care for patients with CVD (Alavi, Irajpour, Giles, Rabiei, & Sarrafzadegan, ). Clinical guidelines recommend that all patients with CVD receive rehabilitation services to maximize physical, psychological, and social functioning, enabling them to lead fulfilling and productive lives (Price, Gordon, Bird, & Benson, ).…”

Section: Introductionmentioning

confidence: 99%

“…Clinical guidelines recommend that all patients with CVD receive rehabilitation services to maximize physical, psychological, and social functioning, enabling them to lead fulfilling and productive lives (Price, Gordon, Bird, & Benson, ). Current practice in the Iranian healthcare system is to reduce risk factors (Sarrafzadegan et al, ), ensuring quality services for patients with CVD (Alavi et al, ), consistent with international clinical guidelines. CR programs in Iran are offered by CR units often located within university hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…Some risk factors for low participation rates include female sex, unemployed, single, low education status, low income status, or having a comorbidity (Ruano‐Ravina et al, ). Psychological factors have been identified as an important predictor for program adherence (Alavi et al, ; Sarrafzadegan et al, ). Patients with CVD often experience stress (Dimsdale, ), which not only has a negative effect on their health and well‐being (Brummett et al, ) but also acts as a barrier to lifestyle change (Pogosova et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of illness as predictive factors for perceived stress in patients participating in a cardiac rehabilitation program

Sadeghi

Alavi

Mohammadi

et al. 2019

Nursing & Health Sciences

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Psychosocial risk factors, such as perceived stress, not only increase the risk of cardiovascular disease, but also act as barriers for treatment adherence and cardiac rehabilitation. In this study, we examined the predictive role of perceptions for illness to perceived stress in Iranian patients participating in a cardiac rehabilitation program. A cross-sectional study was conducted in 2017 to determine correlations of demographic variables and domains of illness perception with perceived stress, and to develop a predictive model for perceived stress. In total, 150 patients with cardiovascular disease, who were admitted to a cardiac rehabilitation center, completed the questionnaires. (i) demographic and health-related characteristics; (ii) the Perceived Stress Scale-14; and (iii) the Brief Illness Perception Questionnaire. The mean perceived stress was 16.2 (8.4), and five illness perception subscalestimeline, personal control, treatment control, understanding and emotional responsewere associated with increased perceived stress. Variables in the multi-variate predictive model accounted for 48% of the total variance in perceived stress. The results demonstrated the value of assessing and managing the patients' perceptions of illness to reduce their perceived stress, which could support adherence to cardiac rehabilitation programs. K E Y W O R D S cardiac rehabilitation, cardiovascular, Iran, psychosocial risk factor, stress

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“…No studies specific to health information seeking by cardiovascular patients have yet been conducted ( 10 , 14 , 18 , 21 ). In studies conducted in Iran, researchers’ focus has been on barriers to providing information or training patients, and the role of the patient and family in seeking health information has been less considered ( 22 , 23 ). Information seeking is a behavior that is dependent on social context and the structure of the health care system ( 4 , 24 ).…”

Section: Introductionmentioning

confidence: 99%

The Motivations of Iranian Patients With Cardiovascular Disease to Seek Health Information: A Qualitative Study

Gholami

Fallahi-Khoshknab

Khankeh

et al. 2016

Iran Red Crescent Med J

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BackgroundCardiovascular patients need information to preserve and promote their health, but not all of them have the necessary motivation to seek relevant health knowledge.ObjectivesThe present study analyzed experiences of patients, family caregivers, and healthcare providers to explore the motivating factors that cause cardiovascular patients to seek important health information.Patients and MethodsThis study was conducted using a qualitative approach and conventional qualitative content analysis method. Thirty-six people, including 18 cardiovascular patients, 7 family caregivers, and 11 healthcare providers (from multidisciplinary backgrounds) participated in the study. The data were collected through semi-structured interviews and purposeful sampling and continued until data saturation. Data collection and analysis proceeded simultaneously and with constant comparison; this study was carried out from May 2012 to May 2013.ResultsDuring the analysis process, three main themes were extracted that characterized participants’ experiences, perceptions, and motivations to seek health information. The themes were “Optimizing quality of life, “Desire for personal rights to be respected,” and “Gaining confidence through consultation.”ConclusionsOur findings showed that, through seeking information, patients try to achieve well-being and realize their personal rights as well as their right to security. They should also be encouraged to enhance their quality of life by using the Knowles’ learning theory to formulate their needs and learning priorities.

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Barriers to education in cardiac rehabilitation within an Iranian society: A qualitative descriptive study

Cited by 12 publications

References 25 publications

Patients' Experiences of and Perspectives on Phase 1 Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery

Patients' Experiences of and Perspectives on Phase 1 Cardiac Rehabilitation after Coronary Artery Bypass Graft Surgery

Perceptions of illness as predictive factors for perceived stress in patients participating in a cardiac rehabilitation program

The Motivations of Iranian Patients With Cardiovascular Disease to Seek Health Information: A Qualitative Study

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