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Rehabil Nurs. 2001 Jul-Aug;26(4):132-40.

An act of courage: women's decision-making processes regarding outpatient cardiac rehabilitation attendance.

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University of Arkansas for Medical Sciences, College of Nursing, 4301 W. Markham Street, Slot 784, Little Rock, AR 72205, USA.


The purpose of this qualitative study was to describe the factors that affect women's attendance and adherence to a cardiac rehabilitation (CR) program after a myocardial infarction (MI). We used in-depth interviews and a health survey form to collect data. The purposive sample consisted of 40 women who had experienced a first MI within the previous 6 weeks to 12 months. Of those 40, 18 women were not offered the program, 8 declined it, and 14 attended. Using content analysis and constant comparison, we identified three distinct phases: "initial decision," "CR attendance," and "reevaluation." Four data clusters positively influenced the continuation of CR attendance: "Psychological Appraisal," "Program Components," "Staff Behaviors," and "Outcomes." When women encountered a fifth cluster--"Barriers"--they entered the reevaluation phase. Results of this study support specific interventions for each phase.

[Indexed for MEDLINE]

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