Exploring the experiences and rehabilitation needs of patients with coronary artery diseases: an effort to design a contextual home-based cardiac rehabilitation through a qualitative enquiry.

IF 2.8 3区 医学 Q1 REHABILITATION
Adnan Yaqoob, Laila Ladak, Aamir Hameed Khan, Asif Hanif, Wajeeha Sahar, Furqan Yaqub Pannu, Rubina Barolia
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引用次数: 0

Abstract

Background: Cardiovascular diseases (CVDs) continue to be a major global public health concern, accounting for a considerable portion of the burden of morbidity and mortality. The CAD in Pakistan imposes a substantial economic and social burden on individuals, families, and the healthcare system. Despite advances in medical interventions and therapies, comprehensive cardiac rehabilitation programs in Pakistan remain underdeveloped and inaccessible to many patients, particularly those residing in rural or underserved areas.

Aim: This study aims to explore the experiences and rehabilitation needs of Pakistani patients with heart disease in helping to design contextual home-based cardiac rehabilitation.

Methods: Based on the data saturation, 20 individuals were interviewed using a qualitative descriptive exploratory approach. Semi-structured, in-depth interviews that lasted 40 to 50 min were used to gather the data. Thematic analysis was performed using an inductive coding approach.

Results: Five major themes with 24 subthemes emerged from the data: (1) Understanding of Heart Disease which revealed limited awareness and prevalent misconceptions; (2) Cardiac Anxiety which showed emotional distress, fear of recurrence, and financial concerns; (3) Challenges Faced by Patients which included difficulties with follow-up, family resistance to physical activity, dietary modifications, medication adherence, and gendered recovery experiences; (4) Difficulties for Behaviour Change which showed ongoing unhealthy habits and skepticism toward lifestyle modification; and (5) Patient Readiness for Home-Based Cardiac Rehabilitation which reflected openness to behavior change, preference for telephonic guidance, and the need for culturally tailored support and family involvement.

Conclusion: The study highlights significant gaps in awareness, emotional and behavioral challenges, and sociocultural barriers influencing recovery after myocardial infarction. Participants expressed readiness for a flexible, family-inclusive, and home-based cardiac rehabilitation model. These insights provide essential direction for developing a culturally sensitive and contextually appropriate cardiac rehabilitation program in Pakistan.

探索冠状动脉疾病患者的经历和康复需求:通过定性调查设计一个基于家庭的心脏康复环境的努力。
背景:心血管疾病(cvd)仍然是一个主要的全球公共卫生问题,在发病率和死亡率负担中占相当大的一部分。巴基斯坦的CAD给个人、家庭和医疗保健系统带来了巨大的经济和社会负担。尽管在医疗干预和治疗方面取得了进步,但巴基斯坦的全面心脏康复方案仍然不发达,许多患者无法获得,特别是那些居住在农村或服务不足地区的患者。目的:本研究旨在探讨巴基斯坦心脏病患者的经历和康复需求,以帮助设计情境化家庭心脏康复。方法:基于数据饱和,采用定性描述探索性方法对20名个体进行访谈。半结构化的深度访谈持续了40到50分钟来收集数据。采用归纳编码方法进行主题分析。结果:从数据中得出五大主题和24个子主题:(1)对心脏病的认识,揭示了认识有限和普遍存在的误解;(2)心脏焦虑,表现为情绪困扰、害怕复发和经济担忧;(3)患者面临的挑战包括随访困难、家庭对体育活动的抵制、饮食改变、药物依从性和性别康复经历;(4)行为改变困难,表现出持续的不健康习惯和对改变生活方式的怀疑;(5)患者对家庭心脏康复的准备程度,反映了对行为改变的开放程度,对电话指导的偏好,以及对文化定制支持和家庭参与的需求。结论:该研究突出了意识、情绪和行为挑战以及影响心肌梗死后康复的社会文化障碍方面的显著差距。参与者表示愿意采用灵活的、包括家庭在内的、以家庭为基础的心脏康复模式。这些见解为在巴基斯坦制定具有文化敏感性和环境适应性的心脏康复方案提供了重要的方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Sports Science Medicine and Rehabilitation
BMC Sports Science Medicine and Rehabilitation Medicine-Orthopedics and Sports Medicine
CiteScore
3.00
自引率
5.30%
发文量
196
审稿时长
26 weeks
期刊介绍: BMC Sports Science, Medicine and Rehabilitation is an open access, peer reviewed journal that considers articles on all aspects of sports medicine and the exercise sciences, including rehabilitation, traumatology, cardiology, physiology, and nutrition.
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