心理健康和健康饮食在心脏康复：一项全国心脏康复医生自我报告实践的调查。

IF 2.2 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart, Lung and Circulation Pub Date : 2025-05-01 DOI:10.1016/j.hlc.2024.11.027

Sarah Gauci PhD , Georgia K. Chaseling PhD , Susie Cartledge PhD , Madeline L. West PhD , Ling Zhang PhD , Clara Zwack PhD , Matthew Hollings PhD , Tom Briffa PhD , Robyn Gallagher PhD , Julie Redfern PhD , Adrienne O’Neil PhD

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引用次数: 0

摘要

背景：心理社会健康和营养咨询是国家和国际指南认可的心脏康复的重要组成部分。然而，这两个领域对于心脏康复医生来说都很复杂。本研究旨在检查从业人员是否实施了标准化的心理社会健康和健康饮食计划内容，并探讨对这些组成部分的态度。方法：采用方便抽样的方法，对心脏康复从业人员进行32项横断面调查。该调查是由一组研究人员和实践者开发的，以评估实践、实践者方法和实施的任何障碍。定量结果使用描述性统计进行探讨，定性反应进行编码和分类。结果：参与者（n=98）代表了澳大利亚大约89家（22%）心脏康复服务机构。结果显示，大多数参与者对标准化课程内容熟悉（92.3%）。然而，在执行方面存在不一致之处。例如，尽管93.9%的从业者表示他们的项目常规筛查心理社会健康，但只有47.2%的人在项目完成后重复筛查。在健康饮食方面，99%的从业者报告提供健康饮食建议，然而，只有一半以上的从业者向专业专家（如执业营养师）提供个性化咨询。从业人员认为心理健康和健康饮食是该方案的重要组成部分。结论：从业人员重申心理健康和营养咨询在心脏康复计划中的重要性。然而，从业人员对心脏康复完成时的心理社会健康评估不一致，专家提供的个性化饮食咨询也不常见。

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Psychosocial Well-Being and Healthy Eating in Cardiac Rehabilitation: A National Survey of Cardiac Rehabilitation Practitioners Self-Reported Practices

Background

Psychosocial well-being and nutritional counselling are important components of cardiac rehabilitation endorsed by national and international guidelines. However, both areas can be complex for cardiac rehabilitation practitioners to navigate. This study aimed to examine whether practitioners have implemented standardised program content for psychosocial well-being and healthy eating and explore attitudes to these components.

Method

Cardiac rehabilitation practitioners were recruited to complete a 32-item cross-sectional survey via convenience sampling. The survey was developed by a team of researchers and practitioners to assess practices, practitioner approaches, and any barriers to implementation. Quantitative results were explored using descriptive statistics, and qualitative responses were coded and classified.

Results

Participants (n=98) represented approximately 89 (22%) cardiac rehabilitation services across Australia. Results suggested that most participants were familiar with standardised program content (92.3%). However, there were inconsistencies about the implementation. For example, although 93.9% of practitioners stated that their programs routinely screen for psychosocial well-being, only 47.2% repeat screening at program completion. On healthy eating, 99% of practitioners report providing healthy dietary advice—however, just over half offered individualised consultations with an expert professional such as an Accredited Practising Dietitian. Practitioners considered psychosocial well-being and healthy eating important components of the program.

Conclusions

Practitioners reaffirm the importance of psychosocial well-being and nutritional counselling in cardiac rehabilitation programs. However, practitioners inconsistently assess psychosocial well-being at cardiac rehabilitation completion, and individualised dietary counselling by experts is uncommon.

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来源期刊

Heart, Lung and Circulation CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.50

自引率

3.80%

发文量

912

审稿时长

11.9 weeks

期刊介绍： Heart, Lung and Circulation publishes articles integrating clinical and research activities in the fields of basic cardiovascular science, clinical cardiology and cardiac surgery, with a focus on emerging issues in cardiovascular disease. The journal promotes multidisciplinary dialogue between cardiologists, cardiothoracic surgeons, cardio-pulmonary physicians and cardiovascular scientists.