The influence of non-modifiable illness perceptions on attendance at cardiac rehabilitation
| Autor: | Iain Atherton, Julie Blair, Neil J Angus, Josie M M Evans, Stephen J. Leslie, William Lauder |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Cardiovascular Nursing Male Health Knowledge Attitudes Practice medicine.medical_specialty Heart Diseases medicine.medical_treatment media_common.quotation_subject Rehabilitation Nursing Illness perceptions Appointments and Schedules Young Adult Perception medicine Humans Psychology Social isolation Psychiatry Aged Retrospective Studies media_common Aged 80 and over Advanced and Specialized Nursing Rehabilitation business.industry Data Collection Attendance Middle Aged Medical–Surgical Nursing Friendship Social Isolation Family medicine Scale (social sciences) Patient Compliance Female medicine.symptom Cardiology and Cardiovascular Medicine business Attitude to Health Psychosocial |
| Zdroj: | European Journal of Cardiovascular Nursing. 13:55-62 |
| ISSN: | 1873-1953 1474-5151 |
| DOI: | 10.1177/1474515113477272 |
| Popis: | Despite the established benefits of cardiac rehabilitation (CR) attendance rates remain variable. Physical barriers to attendance have been extensively investigated but relatively less is known about the relationship between attendance at CR and psychosocial variables such as illness perceptions and social isolation.To examine the influence of socio-demographic factors, illness perceptions and social isolation on patient attendance at cardiac rehabilitation.All individuals offered CR over a two-year period were invited to take part in a postal survey. The survey collected socio-demographic data and included completion of the Friendship Scale, to assess social isolation, and the Brief Illness Perceptions Questionnaire. Parametric and non-parametric statistical tests were used as appropriate.One hundred and twenty-eight (47%) questionnaires were returned. Non-attendees reported higher total illness perception scores and those who attributed their illness to non-modifiable factors were significantly less likely to attend CR (p = 0.042). Attendees reported lower levels of social isolation; however, this finding was not statistically significant. No differences were found between attendees and non-attendees in terms of their age, gender, educational status or proximity to cardiac rehabilitation centre.Psychosocial barriers, specifically illness perceptions and attributions, were found to be significant with patients who did not attend CR reporting more negative illness perceptions. Distance to CR was not a significant factor influencing attendance. Early screening of perceived causal attributions may help to identify those who would benefit from early and targeted intervention to increase participation in CR. Future prospective studies would permit testing of screening approaches and early interventions. |
| Databáze: | OpenAIRE |
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