“Why would you not listen? It is like being given the winning lottery numbers and deciding not to take them”: semi-structured interviews with post-acute myocardial infarction patients and their significant others exploring factors that influence participation in cardiac rehabilitation and long-term exercise training

Thompson, Gareth; Wilson, Iseult M.; Davison, Gareth W.; Crawford, Jacqui; Hughes, Ciara

doi:10.1080/09638288.2021.1919213

Cited by 6 publications

(2 citation statements)

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“…17 Second, at present, many CR programmes, often time and financial consuming, carry out mostly in CR centre, which is a big obstacle for patients. 18 Third, PCI patients discharged from hospital often lack professional guidance and supervision, and doctors’ advice has a crucial influence on patients’ participation. 19 Medical staffs’ support plays an important role in patients’ attendance and adhering to CR programmes.…”

Section: Introductionmentioning

confidence: 99%

“…First, patients who have undergone PCI may have kinesiophobia due to concerns that the recommended intensity of exercise is too high and may increase the risk of restenosis 17. Second, at present, many CR programmes, often time and financial consuming, carry out mostly in CR centre, which is a big obstacle for patients 18. Third, PCI patients discharged from hospital often lack professional guidance and supervision, and doctors’ advice has a crucial influence on patients’ participation 19.…”

Section: Introductionmentioning

confidence: 99%

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Effects of different brisk walking intensities on adherence and cardiorespiratory endurance of cardiac rehabilitation among patients with CHD after PCI: protocol for a randomised controlled trial

et al. 2022

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IntroductionCardiac rehabilitation (CR) is a critical treatment for patients with coronary heart disease after percutaneous coronary intervention. Unfortunately, participation and adherence of CR are unexpectedly poor. This study aims to test whether low-intensity or medium-intensity brisk walking is more helpful in improving early attendance, adherence and physical results.Methods and analysisThis randomised controlled study will compare the effects of low-intensity and medium-intensity brisk walking to improve adherence and cardiopulmonary endurance. Participants will be randomly allocated to low-intensity or medium-intensity groups and will be followed-up for 8 weeks. Primary and secondary outcome data will be collected at baseline and at 2, 4 and 8 weeks. Primary outcomes measure changes in oxygen consumption (VO2) peak value (mL/kg/min), as well as adherence. Secondary outcomes include changes in body mass index, oxygen pulse, maximal metabolic equivalent, breathing reserve, vital capacity, ratio of forced expiratory volume in 1 s to forced vital capacity, Δoxygen consumption/Δwork rate (ΔVO2/ΔWR), minute ventilation/carbon dioxide production and self-efficacy.Ethics and disseminationEthical approval and informed consent form have been obtained from the Ethics Committee of Hebei General Hospital (approval number: NA-2021–03). The study background and main objective, as well as potential benefits and risks, will be fully explained to the participants and their families. Findings from this study will be published on academic journals in Chinese or in English for widespread dissemination of the resultsTrial registration numberChiCTR2100047568.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%