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Geriatr Nurs. 2018 Mar - Apr;39(2):191-198. doi: 10.1016/j.gerinurse.2017.08.006. Epub 2017 Oct 6.

A Mixed Methods Evaluation of the Feasibility and Acceptability of an Adapted Cardiac Rehabilitation Program for Home Care Patients.

Author information

1
University of Pennsylvania, School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA, 19104-6096, USA. Electronic address: jodi.feinberg@homehearthealth.org.
2
Visiting Nurse Service of New York, Center for Home Care Policy & Research, 1250 Broadway 7th floor, New York, NY, 10001, USA.
3
Care Transitions and Population Health Management, NYU Langone Health, 545 1st ave, New York, NY, 10016, USA.
4
School of Nursing, Columbia University, 617 W 168th St, New York, NY, 10032, USA.
5
University of Pennsylvania, School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA, 19104-6096, USA.
6
University of Pennsylvania, School of Nursing, Claire M. Fagin Hall, 418 Curie Boulevard, Philadelphia, PA, 19104-6096, USA; Visiting Nurse Service of New York, Center for Home Care Policy & Research, 1250 Broadway 7th floor, New York, NY, 10001, USA.

Abstract

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.

KEYWORDS:

Cardiac rehabilitation; Cardiovascular diseases; Geriatric nursing; Home-care services; Secondary prevention

PMID:
28992976
DOI:
10.1016/j.gerinurse.2017.08.006
[Indexed for MEDLINE]

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