Predictors of adherence to home-based cardiac rehabilitation program among coronary artery disease outpatients in China
Cheng GE
Jing MA
Yong XU
Ya-Jun SHI
Cheng-Hui ZHAO
Ling GAO
Jing BAI
Yu WANG
Zhi-Jun SUN
Jun GUO
Yun-Dai CHEN
摘要：Background Cardiac rehabilitation (CR) has proven beneficial for patients with coronary artery disease.However,adherence to CR programs is the key to the health improvement in those patients.Identifying predictors for adherence,which is very much unknown in China,would be valuable for effective rehabilitation.This study aims to determine the adherence to home-based CR programs in Chinese coronary artery disease patients and determine predictors of adherence.Methods The current study included 1033 outpatients with coronary heart disease in the First Medical Center of Chinese PLA General Hospital in Beijing from July 2015 to June 2017.Participants were given an exercise prescription and took part in home-based exercise training lasting for 3-24 months.A questionnaire was used to evaluate the completion of the CR program,understanding of the program,motivation of the patients,and family/peer support.Results Two thirds of the patients adhered well to the home-based CR program.Elder patients (≥ 65-year-old) adhere to the program better,while men adhered better than women.Patients who used to exercise (B =6.756,P ＜ 0.001),understood the program (B--0.078,P--0.002),with stronger motivation to participate (B--0.376,P ＜ 0.001),and received better family support (B--0.487,P ＜ 0.001) also adhere better to the program.Conclusions Understanding the program,self-motivation of patients,and family support help to keep patients engaged in a home-based CR program.Improvement of family support by educating both patients and families may be helpful in improving adherence to home-based CR programs.
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论文发表日期：2019-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：7( 749-755 )
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