期刊
GERIATRIC NURSING
卷 39, 期 2, 页码 191-198出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.gerinurse.2017.08.006
关键词
Geriatric nursing; Home-care services; Cardiac rehabilitation; Cardiovascular diseases; Secondary prevention
资金
- University of Pennsylvania President's Engagement Prize
- Home Heart Health initiative
- NYU Langone Health and Visiting Nurse Service of New York Center
- NYU Langone Health and Visiting Nurse Service of New York
Home care clinicians have an opportunity to improve care for post-hospitalization patients with cardiovascular disease. This mixed methods study examined the feasibility and acceptability of an adapted cardiac rehabilitation (CR) program for the home care setting. Surveys measuring patient self-care and knowledge were administered to patients (n = 46) at baseline and at 30-day follow-up. Semi-structured interviews were conducted with patients (n = 28) and home care clinicians (n = 11) at completion of the program. All survey indicators demonstrated a trend towards improvement, with a statistically significant increase in the self-care management subscale (p = 0.002). Qualitative analyses identified three patient themes (self-awareness, nutrition, motivation) and three clinician themes (systematic approach, motivation, patient selection process). Incorporating CR into the home care setting proved to be a feasible and acceptable approach to increasing access to CR services among elderly patients. (C) 2017 Elsevier Inc. All rights reserved.
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