Perceived Barriers to the Implementation of Phase Ⅰ Cardiac Rehabilitation after Coronary Artery Bypass Grafting by Health Professionals:A Qualitative Study on Theoretical Domain Framework
Perceived Barriers to the Implementation of Phase Ⅰ Cardiac Rehabilitation after Coronary Artery Bypass Grafting by Health Professionals:A Qualitative Study on Theoretical Domain Framework
Objective To explore the perceived barriers in the implementation of phase Ⅰ cardiac rehabilitation after coronary artery bypass grafting(CABG)in health professionals,and to provide references for targeted intervention.Methods The study was carried out with descriptive qualitative methodology through semi-structured interviews based on the theoretical domain framework(TDF),after interviewing 15 selected medical staff,and the data were collected and analyzed through content analy-sis.Results Findings showed that with TDF,perceived themes of barriers for healthcare professionals to implement phase Ⅰcardiac rehabilitation after CABG included the lack of knowledge,lack of skills,blurring of professional boundaries,lack of pro-fessional self-confidence,poor evaluation of expectations and inadequate patient cooperation,lack of commitment to the goal,cognitive load,lack of resources and poor environmental interaction,lack of organizational climate and social support,negative influences,lack of implementation processes and monitoring measures and difficulty in changing habits.Conclusions There are multiple factors affecting health professionals'implementation of phase Ⅰ cardiac rehabilitation after CABG,which can provide reference for the development and improvement of cardiac rehabilitation management strategies and clinical practice protocols.
关键词
理论域框架/冠状动脉旁路移植术/心脏康复/障碍因素/质性研究
Key words
theoretical domain framework/coronary artery bypass grafting/cardiac rehabilitation/barriers/qualitative study
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