Among surveyed cardiac patients, 86% were offered cardiac rehabilitation, with 81% accepting and 77% of those completing the program; distance, self-reliance, and time were main barriers.
Cross-Sectional (n=226)
Yes
Identifying specific barriers to cardiac rehabilitation, such as distance, cost, and patient beliefs about self-reliance, highlights the need for individualized strategies to improve participation and compliance.
BACKGROUND: International research indicates that attendance of patients to a proposed cardiac rehabilitation (CR) programme varies between 21% and 75%. Addressing the reasons why cardiac patients are not participating will improve accessibility to CR. The objective of this study was to investigate patient compliance with cardiac rehabilitation and the reasons of refusing or abandoning the programme. METHODS: Twenty hospital centres were recruited to participate. Each centre was asked to recruit patients from three patient groups, namely: percutaneous coronary intervention patients, patients that underwent major cardiac surgery, and patients being admitted because of an acute myocardial infarction and not belonging to the other two groups. Patients were asked to fill out a questionnaire during a follow-up outpatient consultation after the cardiac intervention. RESULTS: In total, 226 patients participated in the survey. Most patients were proposed (86%) and accepted (81% out of proposed) to attend a CR programme. Of those who accepted, 77% completed the programme. The main reasons that led to patients' refusal to participate in a CR programme were distance to the CR centre, patients' belief they could handle their own problems, and lack of time. The main three reasons for not completing an initiated CR programme were other physical problems, patients' belief they could handle their own problems, and the cost of rehabilitation. CONCLUSION: Our findings demonstrate the importance of raising patients' awareness of the benefits of CR. Addressing potential barriers to attend a CR programme should be investigated with patients individually in order to ensure compliance.
Vos et al. (Fri,) conducted a cross-sectional in Cardiac patients (PCI, major cardiac surgery, acute MI) (n=226). Cardiac rehabilitation programme was evaluated on Patient compliance with cardiac rehabilitation and reasons for refusing or abandoning the programme. Among surveyed cardiac patients, 86% were offered cardiac rehabilitation, with 81% accepting and 77% of those completing the program; distance, self-reliance, and time were main barriers.
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