Open AccessPATIENTS’ PERCEPTIONS AND BELIEFS CONTRIBUTING TO NON-INTENTION TO ATTEND CARDIAC REHABILITATION PROGRAM: A LOCAL PERSPECTIVE
Author(s) -
Farzana Amir Hashmi,
Marium Sheikh,
Faraz Iqbal Tipu
Publication year - 2016
Publication title -
pakistan journal of rehabilitation
Language(s) - English
Resource type - Journals
eISSN - 2311-3863
pISSN - 2309-7833
DOI - 10.36283/pjr.zu.5.1/003
Subject(s) - nonprobability sampling , medicine , rehabilitation , cross sectional study , physical therapy , perception , psychology , clinical psychology , environmental health , population , pathology , neuroscience
OBJECTIVEThis study aimed to explore the perceptions and beliefs of patientscontributing to non-intention to attend Cardiac Rehabilitation (CR).METHODSA cross-sectional study in which a total number of 148 voluntarypatients were enrolled to local CR programs for the research. Purposivesampling method was used and the data was collected in 6months. A structured questionnaire was used to collect data regardingsocio-demographic characteristics and patients’ beliefs andperceptions related to non-intention to attend CR.RESULTS64.8% of the 148 patients had intended to attend CR and mean age(± SD) of patients was 54.8 (± 12.3) years with 64.9% males. For categoricalvariables, Spearman Correlation test was used in whichpatients’ intention to attend CR was significantly associated withethnicity (P < 0.01), patient diagnosis and procedure (P < 0.001) andresidential area (P < 0.001). Conversely, no association has beenfound between gender, age, educational status, and the use oftobacco with the patients’ intentions for CR. Misconceptions aboutCR were identified as the key barriers for non-intention to attend CR.These findings reflected patients’ lack of knowledge about CRcourse content (55.8%), misperceptions that exercise should beavoided to prevent fatigue in cardiac patients (71.2%), walking ontreadmill would be more difficult than walking on floor (67.3%) anduncertainty about the suitability and necessity of exercise for theirpersonal mode of heart disease (40.4%). Moreover, other barriersreported were transport difficulties (73.1%), unavailability of attendantsto accompany (25%), and work responsibilities (17.3%).CONCLUSIONSLack of knowledge about CR benefits and misperceptions aboutpersonal suitability are reported to as key barriers. Comprehensiveinformation delivery about the benefits of CR, motivation andendorsement by the physician to attend CR programs and accessibilityof CR sites nearby residence could be used to address barriersin attending CR.