Disease-related knowledge in cardiac rehabilitation enrollees: correlates and changes.

Autor: Ghisi GL; Cardiac Rehabilitation and Prevention Program, University Health Network, Toronto, Canada; Exercise Sciences Department, Faculty of Kinesiology & Physical Education, University of Toronto, Toronto, Canada. Electronic address: gabriela.meloghisi@utoronto.ca., Britto R; Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil; School of Kinesiology and Health Science, York University, Toronto, Canada., Motamedi N; School of Kinesiology and Health Science, York University, Toronto, Canada., Grace SL; Cardiac Rehabilitation and Prevention Program, University Health Network, Toronto, Canada; School of Kinesiology and Health Science, York University, Toronto, Canada.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2015 Apr; Vol. 98 (4), pp. 533-9. Date of Electronic Publication: 2015 Jan 02.
DOI: 10.1016/j.pec.2014.12.001
Abstrakt: Objectives: To describe (1) patients' disease-related knowledge at cardiac rehabilitation (CR) entry; (2) correlates of this knowledge; (3) whether CR completion is related to knowledge; and (4) behavioral correlates of knowledge.
Methods: For this prospective, observational study, a convenience sample of new CR patients was approached at 3 programs to complete a survey. It consisted of sociodemographic items, heart-health behavior surveys, and the CADE-Q. Patients were provided a similar survey 6 months later.
Results: 214 patients completed the CADE-Q at both points, with scores demonstrating "acceptable" to "good" knowledge. Higher knowledge at CR entry was significantly associated with greater education, being married, greater English-language proficiency, and history of percutaneous coronary intervention (p≤0.05). The 118 (55.1%) patients that completed CR demonstrated significantly higher knowledge than non-enrollees at post-test (p≤0.05). There was a significant positive association between knowledge and physical activity (p≤0.01) and nutrition (p≤0.05) at post-test, but no association with smoking or medication adherence.
Conclusions: CR adherence ensures patients sustain knowledge needed to optimize their disease management, and perhaps ultimately their health outcomes.
Practice Implications: CR completion should be promoted so patients remain educated about their disease management, and the health behaviors observed will be practiced in a greater proportion of patients.
(Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.)
Databáze: MEDLINE
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