Contributing factors to patient non-attendance at and non-completion of Phase III cardiac rehabilitation.

Hdl Handle:
http://hdl.handle.net/10147/135591
Title:
Contributing factors to patient non-attendance at and non-completion of Phase III cardiac rehabilitation.
Authors:
Kerins, Mary; McKee, Gabrielle; Bennett, Kathleen
Affiliation:
Cardiac Rehabilitation Unit, CReST Directorate, St James's Hospital, James Street, Dublin 8, Ireland. mkerins@stjames.ie
Citation:
Contributing factors to patient non-attendance at and non-completion of Phase III cardiac rehabilitation. 2011, 10 (1):31-6 Eur J Cardiovasc Nurs
Journal:
European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
Issue Date:
Mar-2011
URI:
http://hdl.handle.net/10147/135591
DOI:
10.1016/j.ejcnurse.2010.03.006
PubMed ID:
20457543
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/20457543
Abstract:
Cardiac rehabilitation (CR) is generally underutilized.; The aim of this study was to describe the rate of non-attendance after enrolment and non-completion after commencement to Phase III CR and to explore associated factors.; A review of medical records was carried out to determine the profile of all patients who enrolled on a CR programme. Patients who enrolled but did not attend or did not complete the programme were surveyed to ascertain the primary underlying reasons for this. A convenience sub-sample of these was then selected for semi-structured interviews (n=7) to explore the reasons for non-attendance/non-completion further.; Of the patients that enrolled, 11% (n=29) did not attend and 19% (n=51) did not complete the programme. The non-attendees and non-completers were significantly more likely to be unskilled manual workers (p=0.018) or smokers (p=0.001). Illness and not interested were the most common primary reasons for non-attendance and non-completion respectively. Further qualitative exploration of the contributing factors revealed exercise, depression and organizational factors contributed to these reasons.; The study highlights that individual patient profiles and needs, if unmet contribute to poor attendance. This suggests that if these needs were identified and addressed more comprehensively throughout CR, attendance at Phase III programmes would improve.
Item Type:
Article
Language:
en
MeSH:
Aged; Common Cold; Dyspepsia; Employment; Female; Heart Diseases; Hospitalization; Humans; Male; Middle Aged; Musculoskeletal Diseases; Patient Compliance; Patient Dropouts; Patient Participation; Rehabilitation Nursing; Risk Factors; Smoking
ISSN:
1873-1953

Full metadata record

DC FieldValue Language
dc.contributor.authorKerins, Maryen
dc.contributor.authorMcKee, Gabrielleen
dc.contributor.authorBennett, Kathleenen
dc.date.accessioned2011-07-07T14:44:28Z-
dc.date.available2011-07-07T14:44:28Z-
dc.date.issued2011-03-
dc.identifier.citationContributing factors to patient non-attendance at and non-completion of Phase III cardiac rehabilitation. 2011, 10 (1):31-6 Eur J Cardiovasc Nursen
dc.identifier.issn1873-1953-
dc.identifier.pmid20457543-
dc.identifier.doi10.1016/j.ejcnurse.2010.03.006-
dc.identifier.urihttp://hdl.handle.net/10147/135591-
dc.description.abstractCardiac rehabilitation (CR) is generally underutilized.-
dc.description.abstractThe aim of this study was to describe the rate of non-attendance after enrolment and non-completion after commencement to Phase III CR and to explore associated factors.-
dc.description.abstractA review of medical records was carried out to determine the profile of all patients who enrolled on a CR programme. Patients who enrolled but did not attend or did not complete the programme were surveyed to ascertain the primary underlying reasons for this. A convenience sub-sample of these was then selected for semi-structured interviews (n=7) to explore the reasons for non-attendance/non-completion further.-
dc.description.abstractOf the patients that enrolled, 11% (n=29) did not attend and 19% (n=51) did not complete the programme. The non-attendees and non-completers were significantly more likely to be unskilled manual workers (p=0.018) or smokers (p=0.001). Illness and not interested were the most common primary reasons for non-attendance and non-completion respectively. Further qualitative exploration of the contributing factors revealed exercise, depression and organizational factors contributed to these reasons.-
dc.description.abstractThe study highlights that individual patient profiles and needs, if unmet contribute to poor attendance. This suggests that if these needs were identified and addressed more comprehensively throughout CR, attendance at Phase III programmes would improve.-
dc.language.isoenen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/20457543en
dc.subject.meshAged-
dc.subject.meshCommon Cold-
dc.subject.meshDyspepsia-
dc.subject.meshEmployment-
dc.subject.meshFemale-
dc.subject.meshHeart Diseases-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshMusculoskeletal Diseases-
dc.subject.meshPatient Compliance-
dc.subject.meshPatient Dropouts-
dc.subject.meshPatient Participation-
dc.subject.meshRehabilitation Nursing-
dc.subject.meshRisk Factors-
dc.subject.meshSmoking-
dc.titleContributing factors to patient non-attendance at and non-completion of Phase III cardiac rehabilitation.en
dc.typeArticleen
dc.contributor.departmentCardiac Rehabilitation Unit, CReST Directorate, St James's Hospital, James Street, Dublin 8, Ireland. mkerins@stjames.ieen
dc.identifier.journalEuropean journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiologyen
dc.description.provinceLeinster-

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