South China Journal of Preventive Medicine ›› 2022, Vol. 48 ›› Issue (2): 173-177.doi: 10.12183/j.scjpm.2022.0173

• Original Article • Previous Articles     Next Articles

Compliance of cardiac rehabilitation in patients with coronary heart disease in Shijingshan District, Beijing

GUO Ya-nan, YANG Liu, CUI Man-fei   

  1. Heart Rehabilitation Center, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China
  • Received:2021-07-08 Online:2022-02-20 Published:2022-03-30

Abstract: Objective To investigate the compliance and influencing factors of cardiac rehabilitation in patients with coronary heart disease (CHD). Methods CHD patients who were treated in a rehabilitation hospital in Beijing from May 2018 to September 2020 were selected as the research objects. Rehabilitation physicians gave guidance to the patients on their rehabilitation behavior after discharge. The members of the group followed up on the patients' compliance with rehabilitation behaviors, used descriptive analysis methods to analyze the results, and used univariate and multivariate analysis methods to analyze the influencing factors of cardiac rehabilitation compliance. Results A total of 2 115 cases were followed up 6 months after discharge. Males accounted for 55.08% of the patients. The average age was (55.32±1.52) years old, the youngest was 38 years old and the oldest was 72 years old. Among the cardiac rehabilitation behaviors, 821 were fully compliant, 921 were partially compliant, and 373 were non-compliant, accounting for 38.82%, 43.55%, and 17.64%, respectively. The overall compliance rate was 82.36%. Binary Logistic regression analysis showed that the educational level was junior middle school or senior high school (OR=2.543), college degree or above (OR=4.274), monthly income 3 000-4 999 yuan (OR=3.304), monthly income ≥5 000 yuan (OR=2.785), depression (OR=0.301), cognitive score of cardiac rehabilitation≥17 (OR=6.475), health belief score of CHD ≥101 (OR=11.100), social support score ≥36 (OR=8.836), self-management efficacy score ≥62 (OR=12.417) and illness perception questionnaire-revised (IPQ-R) score ≥131 (OR=6.412) were the influencing factors of compliance of cardiac rehabilitation in CHD patients. Conclusion Patients with CHD in Shijingshan District of Beijing have relatively poor compliance with cardiac rehabilitation, which is related to education level, monthly income, depression, disease perception, cognitive level of cardiac rehabilitation, health beliefs in CHD, social support, and self-management efficacy.

Key words: Coronary heart disease, Cardiac rehabilitation, Compliance, Health belief, Social support, Self-management efficacy

CLC Number: 

  • R541.4