Factors Influencing Outpatient Cardiac Rehabilitation Attendance

Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses
Pip HutchinsonBob Marshall

Abstract

In the current health climate, the length of stay of cardiac patients in hospital has been decreasing, and this has significantly reduced the time nurses and colleagues have for providing inpatient cardiac rehabilitation (CR). The purpose of this research was to determine if inpatient CR has an influence on outpatient cardiac rehabilitation attendance for women, Māori, and older people. An audit of patients discharged from hospital between November 2011 and July 2012 with a diagnosis of acute coronary syndrome were sent a postal questionnaire. The survey was completed by 143 people: 46% female, 12% Māori, and 70% > 65 years. Only 38% attended outpatient CR on discharge. Reasons for not attending included lack of referral to CR, and 61% understood only some/none of the information given to them while in hospital. The Cardiac Rehabilitation Coordinator most consistently recommended attendance, but this invitation was extended after discharge from hospital. Attendance at outpatient CR is low and may increase with an improved individualized plan of care including greater cultural considerations and attention to discharge planning. An automatic referral tool as well as following evidence-based guidelines for inpatient care may incre...Continue Reading

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Citations

Oct 30, 2015·Expert Review of Cardiovascular Therapy·Ross ArenaAudrey Borghi-Silva
Jan 15, 2016·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Elaine T Miller
Jan 10, 2018·The Journal of Cardiovascular Nursing·Pricilla Geraldine WittkopfFernando Luiz Cardoso

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