KMID : 1140920180420010154
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Annals of Rehabilitation Medicine 2018 Volume.42 No. 1 p.154 ~ p.165
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Barriers to Outpatient Hospital-Based Cardiac Rehabilitation in Korean Patients With Acute Coronary Syndrome
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Im Hyo-Won
Baek So-Ra Jee Sung-Ju Ahn Jung-Min Park Myung-Woo Kim Won-Seok
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Abstract
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Objective: To investigate factors associated with enrollment and participation in cardiac rehabilitation (CR) in Korea.
Methods: Patients admitted to four university hospitals with acute coronary syndrome between June 2014 and May 2016 were enrolled. The Cardiac Rehabilitation Barriers Scale (CRBS) made of 21-item questionnaire and divided in four subdomains was administered during admission. CRBS items used a 5-point Likert scale and ¡Ã2.5 was considered as a barrier. Differences between CR non-attender and CR attender, or CR non-enroller and CR enroller in subscale and each items of CRBS were examined using the chi-square test.
Results: The CR participation rate in four hospitals was 31% (170 of the 552). Logistical factors (odds ratio [OR]=7.61; 95% confidence interval [CI], 4.62?12.55) and comorbidities/functional status (OR=6.60; 95% CI, 3.95?11.01) were identified as a barrier to CR enrollment in the subdomain analysis. Among patients who were enrolled (agreed to participate in CR during admission), only work/time conflict was a significant barrier to CR participation (OR=2.17; 95% CI, 1.29?3.66).
Conclusion: Diverse barriers to CR participation were identified in patients with acute coronary syndrome. Providing the tailored model for CR according to the individual patient¡¯s barrier could improve the CR utilization. Further multicenter study with large sample size including other CR indication is required.
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KEYWORD
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Cardiac rehabilitation, Exercise therapy, Acute coronary syndrome, Patient participation, Secondary prevention
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