A qualitative study on factors hindering exercise rehabilitation in aged patients with coronary heart disease after percutaneous coronary intervention
10.3760/cma.j.cn115682-20230419-01532
- VernacularTitle:老年冠心病PCI术后患者运动康复障碍因素的质性研究
- Author:
Xiaoying QIU
1
;
Sijin CHEN
;
Haoyu ZOU
;
Yan ZHANG
;
Zeya SHI
Author Information
1. 湖南省人民医院/湖南师范大学附属第一医院泌尿外科，长沙 410005
- Keywords:
Coronary heart disease;
Percutaneous coronary intervention;
Cardiac rehabilitation;
Hindering factor;
Qualitative study
- From:
Chinese Journal of Modern Nursing
2024;30(4):427-432
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the factors hindering exercise rehabilitation in aged patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI) and provide a reference for clinical interventions.Methods:Aged CHD patients who underwent PCI in the Department of Cardiovascular Medicine at Hunan Provincial People's Hospital from January to June 2022 were selected by purposive sampling and underwent semi-structured interviews. Content analysis was employed for data analysis.Results:The factors hindering exercise rehabilitation in aged CHD patients after PCI can be categorized into two major groups: endogenous factors and exogenous factors. Endogenous factors were categorized into four themes: inadequate understanding, adverse disease experiences, weakness and physical dysfunction, and poor self-perception. Exogenous factors were categorized into four themes: lack of cardiac rehabilitation prescriptions and programs, social environmental barriers, insufficient family support, and restricted medical insurance coverage.Conclusions:The factors hindering exercise rehabilitation in aged CHD patients after PCI are diverse and complex. Prior to implementing exercise rehabilitation, healthcare professionals should thoroughly assess individuals' health conditions, rehabilitation needs, and limiting factors, and provide feasible rehabilitation content and formats.
