Journal of Shanghai Jiao Tong University (Medical Science) >

2022 , Vol. 42 >Issue 8: 1110 - 1115

DOI: https://doi.org/10.3969/j.issn.1674-8115.2022.08.016

Public health

Path analysis of influencing factors of outpatient cardiac rehabilitation program participation of patients with coronary heart disease in Shanghai

  • Xia LIU ,
  • Fule WEN ,
  • Yaqing ZHANG
Expand
  • Shanghai Jiao Tong University School of Nursing, Shanghai 200025, China
ZHANG Yaqing, E-mail: zhangyqf@shsmu.edu.cn.

Received date: 2022-04-04

  Accepted date: 2022-08-12

  Online published: 2022-10-08

Supported by

Shanghai Municipal Education Commission—Gaoyuan Nursing Grant Support(Hlgy15005yjx)

Fold

Abstract

Objective ·To understand the current situation of outpatient cardiac rehabilitation participation of patients with coronary heart disease (CHD) in Shanghai and explore its influencing factors. Methods ·From October to December 2017, by using the convenience sampling method, a cross-sectional study was conducted to obtain information of CHD patients who visited the cardiovascular outpatient departments from 7 tertiary hospitals in Shanghai, concerning sociodemographics, Chinese/Mandarin Cardiac Rehabilitation Barriers Scale (CRBS-C/M) and Cardiac Rehabilitation Information Awareness Questionnaire (CRIAQ). The viarate analysis and Spearman analysis were applied to correlation analysis and the structural equation model was applied to path analysis. Results ·A total of 273 questionnaires were distributed and 234 valid questionnaires were collected with the effective rate of recovery at 85.7%. The average age of the respondents was (66.78±10.42) years. Only 17 (7.26%) patients self-reported that they participated in the outpatient cardiac rehabilitation at least once after discharge. There was no significant difference in participation rates in different sociodemographics. The Spearman correlation analysis demonstrated that cardiac rehabilitation information awareness, perceived cardiac rehabilitation barriers, and participation in outpatient cardiac rehabilitation were significantly correlated (all P=0.000). Path analysis showed that the cardiac rehabilitation information had a direct promoting effect on the behavior of participating in outpatient cardiac rehabilitation (β=0.384, P=0.000), and could also be partially mediated by cardiac rehabilitation barriers. Conclusion ·Regarding the patients with CHD, the awareness of cardiac rehabilitation information can directly promote their participation in outpatient cardiac rehabilitation, and can also partially alleviate the adverse effect of perceived cardiac rehabilitation barriers. Health care providers should start with improving patients' cardiac rehabilitation information and adopt various forms of health education to improve their cardiac rehabilitation cognition and overcome perceived cardiac rehabilitation barriers. Ultimately, the participation in outpatient cardiac rehabilitation programs will be facilitated for patients with CHD.

Key words： coronary heart disease (CHD); cardiac rehabilitation; information; barrier

Cite this article

Xia LIU , Fule WEN , Yaqing ZHANG . Path analysis of influencing factors of outpatient cardiac rehabilitation program participation of patients with coronary heart disease in Shanghai[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2022 , 42(8) : 1110 -1115 . DOI: 10.3969/j.issn.1674-8115.2022.08.016

References

1 胡盛寿, 高润霖, 刘力生, 等. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3): 209-220.
1 HU S S, GAO R L, LIU L S, et al. Summary of the 2018 report on cardiovascular diseases in China[J]. Chin Circ J, 2019, 34(3): 209-220.
2 JI H, FANG L, YUAN L, et al. Effects of exercise-based cardiac rehabilitation in patients with acute coronary syndrome: a meta-analysis[J]. Med Sci Monit, 2019, 25: 5015-5027.
3 GARDINER F W, REGAN E, NWOSE E U, et al. Outpatient cardiac rehabilitation: effects on patient improvement outcomes[J]. Diabetes Metab Syndr, 2017, 11(Suppl 2): S1025-S1030.
4 DIBBEN G O, DALAL H M, TAYLOR R S, et al. Cardiac rehabilitation and physical activity: systematic review and meta-analysis[J]. Heart, 2018, 104(17): 1394-1402.
5 刘雨, 李娜, 张家菁, 等. 患者参与心脏康复的现状及其影响因素[J]. 中国康复, 2020, 35(12): 664-667.
5 LIU Y, LI N, ZHANG J J, et al. The status quo and influencing factors of patients' participation in cardiac rehabilitation[J]. Chin J Rehabili, 2020, 35(12): 664-667.
6 刘伟静, 孙玉玺, 沈建颖, 等. 心脏康复的发展现状[J]. 中国研究型医院, 2020, 7(1): 82-85, 207.
6 LIU W J, SUN Y X, SHEN J Y, et al. Development status of cardiac rehabilitation[J]. J Chin Res Hosp, 2020, 7(1): 82-85, 207.
7 LYNGGAARD V, NIELSEN C V, ZWISLER A D, et al. The patient education - Learning and Coping Strategies - improves adherence in cardiac rehabilitation (LC-REHAB): a randomised controlled trial[J]. Int J Cardiol, 2017, 236: 65-70.
8 祝海香, 叶志弘, 陈启荣. 急性心肌梗死患者参与心脏康复阻力因素及干预策略研究进展[J]. 护理与康复, 2019, 18(9): 34-38.
8 ZHU H X, YE Z H, CHEN Q R. Research progress on resistance factors and intervention strategies of patients with acute myocardial infarction participating in cardiac rehabilitation[J]. J Nurs Rehabili, 2019, 18(9): 34-38.
9 杜若飞, 王盼盼, 田丽, 等. 冠心病患者心脏康复依从性的研究进展[J]. 中华护理杂志, 2017, 52(10): 1246-1251.
9 DU R F, WANG P P, TIAN L, et al. Research progress on compliance of cardiac rehabilitation in patients with coronary heart disease[J]. Chin J Nurs, 2017, 52(10): 1246-1251.
10 陈晓苏, 骆骅, 刘春影, 等. 居家自助式心脏康复方案对PCI术后急性冠脉综合征病人预后的影响[J]. 中西医结合心脑血管病杂志, 2021, 19(4): 636-638.
10 CHEN X S, LUO Y, LIU C Y, et al. Effect of home self-help cardiac rehabilitation program on prognosis of patients with acute coronary syndrome after PCI[J]. Chin J Integr Med Cardio-Cerebrovasc Dis, 2021, 19(4): 636-638.
11 冷敏, 荣山伟, 曹国荣, 等. 居家自助式心脏康复方案在急性冠脉综合征行经皮冠状动脉介入术术后出院患者中的应用[J]. 解放军护理杂志, 2019, 36(1): 47-50.
11 LENG M, RONG S W, CAO G R, et al. Application of home-based self-service cardiac rehabilitation in patients with acute coronary syndrome after PCI[J]. Nurs J Chin PLA, 2019, 36(1): 47-50.
12 SHANMUGASEGARAM S, GAGLIESE L, OH P, et al. Psychometric validation of the cardiac rehabilitation barriers scale[J]. Clin Rehabil, 2012, 26(2): 152-164.
13 LIU X, FOWOKAN A, GRACE S L, et al. Translation, cross-cultural adaptation, and psychometric validation of the Chinese/Mandarin cardiac rehabilitation barriers scale (CRBS-C/M)[J]. Rehabil Res Pract, 2021, 2021: 5511426.
14 李婧. 冠心病患者心脏康复相关信息知晓状况及其影响因素分析[D]. 保定: 河北大学, 2015.
14 LI J. Analysis of the awareness of information related to cardiac rehabilitation in patients with coronary heart disease and its influencing factors[D]. Baoding: Hebei University, 2015.
15 王阳, 温忠麟, 李伟, 等. 新世纪20年国内结构方程模型方法研究与模型发展[J]. 心理科学进展, 2022, 30(8): 1715-1733.
15 WANG Y, WEN Z L, LI W, et al. Research and development of structural equation modeling in China in the 20 years of the new century[J]. Adv in Psychol Sci, 2022, 30(8): 1715-1733.
16 FLORA D B, CURRAN P J. An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data[J]. Psychol Methods, 2004, 9(4): 466-491.
17 吴明隆. 问卷统计分析实务: SPSS操作与应用[M]. 重庆: 重庆大学出版社, 2010.
17 WU M L. Practice of questionnaire statistical analysis: SPSS operation and application[M]. Chongqing: Chongqing University Press, 2010.
18 梁婷, 都冬梅. 康复路径教育在冠心病介入治疗患者心脏康复中的应用[J]. 中华老年心脑血管病杂志, 2013, 15(11): 1155-1158.
18 LIANG T, DU D M. Application of heart rehabilitation pathway education in coronary heart disease patients after PCI[J]. Chin J Geriatr Heart Brain Vessel Dis, 2013, 15(11): 1155-1158.
19 刘霞, 章雅青. 上海某三甲医院经皮冠状动脉介入治疗后患者心脏康复知识知晓状况调查[J]. 中国康复医学杂志, 2019, 34(3): 327-329.
19 LIU X, ZHANG Y Q. Investigation on the knowledge about cardiac rehabilitation of patients after percutaneous coronary intervention in a tertiary hospital in Shanghai[J]. Chin J Rehabil Med, 2019, 34(3): 327-329.
20 GHISI G L, GRACE S L, THOMAS S, et al. Behavior determinants among cardiac rehabilitation patients receiving educational interventions: an application of the health action process approach[J]. Patient Educ Couns, 2015, 98(5): 612-621.
21 冯雪. 心脏康复可持续发展的医疗模式探索[J]. 中国实用内科杂志, 2017, 37(7): 605-608.
21 FENG X. Exploration of the medical model for the sustainable development of cardiac rehabilitation[J]. Chin J of Pract Intern Med, 2017, 37(7): 605-608.
Options
Outlines

/

〈 〉