Increasing patient-initiation of cardiac rehabilitation referral in female percutaneous coronary intervention patients

Can J Cardiovasc Nurs. 2005;15(1):23-7.

Abstract

Substantial health risks continue following coronary revascularization, and cardiac rehabilitation (CR) plays a large role in enhancing prognosis. However, fewer women than men are referred to and participate in CR. This study prospectively evaluates a psycho-educational intervention designed to increase patient-initiation of CR referral discussion with their physician, It was hypothesized that an educational brochure along with a motivational interview would facilitate the discussion of CR between physicians and female patients, ultimately resulting in increased referral of women to CR when compared to a control group. Eighty female percutaneous coronary intervention patients were recruited from two acute care sites in Toronto, Ontario. Eight weeks later, a second research assistant blind to condition telephoned participants to assess aftercare and CR referral processes. Results showed that patients in the experimental group more often discussed CR with a health care provider (chi2(1)=5.99, p=.01), and there was a trend toward increased referral when compared to control patients (chi2(1)=2.83, p=.09). Gaps in secondary prevention are noted, and areas for improved referral of women patients to CR are discussed.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Angioplasty, Balloon, Coronary / psychology*
  • Angioplasty, Balloon, Coronary / rehabilitation
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Motivation
  • Ontario
  • Pamphlets
  • Patient Education as Topic / methods*
  • Patient Participation / psychology*
  • Patient Participation / statistics & numerical data
  • Prognosis
  • Prospective Studies
  • Referral and Consultation* / statistics & numerical data
  • Risk Factors
  • Single-Blind Method
  • Surveys and Questionnaires
  • Teaching Materials / standards*
  • Women* / education
  • Women* / psychology