عنوان

بررسی نقش مواجهه با رویدادهای استرس زای زندگی و عوامل جمعیت شناختی و بالینی در پیگیری توانبخشی قلبی بعد از عمل کرونری آرتری بای پس گرفت در بیماران مراجعه کننده به بخش بازتوانی بیمارستان امام علی) ع (شهر کرمانشاه در سال1394

Text of Note

Background: Considering that referral to cardiac rehabilitation (CR) and adherence to CR has a significant impact in accelerating healing and reducing future outcomes, this study was conducted to investigate the status of dealing with the stress of life events and demographics and clinical factors among patients under CR and its related to the follow-up of CR in patients referral to CR of Imam Ali Hospital in Kermanshah. Methods: This descriptive-analytical study has a correlation design. Participants included 313 CABG patients hospitalized in Imam Ali Kermanshah in June to September 2015. Data were collected using a demographic and clinical checklists and Holmes and Rahe questionnaire for stressful life events. The cut off point for group membership included referral/not referral to CR and at least 80 participation in meetings and treatment follow-up. Data were analyzed using Chi-square tests, t-test, and logistic regression analysis using software SPSS21. Results: According to the results age mean of patients was 61.39 10.9 and 63.6 of them were male. The results showed that only 8.3 of patients have referral to CR and only 61.5 of these patients follow their treatment plan. The results showed that the self-employed (P = 0.019), class I obesity (P = 0.042), and more experienced stressful life events (P = 0.050) have the ability to predict non referral to CR. However, none of the variables couldnt predict a lack of follow-up CR (P > 0.05). Overall, the our model could explained 5 to 11.5 of variance for non referral to CR and 6.6 to 15.1 of variance for a lack of follow-up. Conclusion: The number of patients that referred to CR after CABG are very poor. According to the results, self-employ job, obesity class I, and highly exposed to life events stress are effect in non referral to CR. It is suggestion that be done more studies about this issue in Iran. Keywords :Cardiac disease ,Cardiac Rehabilitation, Referral to rehabilitation, Stress .

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