Objective To understand the factors hindering exercise rehabilitation in aged patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI)and provide a reference for clinical interventions.Methods Aged CHD patients who underwent PCI in the Department of Cardiovascular Medicine at Hunan Provincial People's Hospital from January to June 2022 were selected by purposive sampling and underwent semi-structured interviews.Content analysis was employed for data analysis.Results The factors hindering exercise rehabilitation in aged CHD patients after PCI can be categorized into two major groups:endogenous factors and exogenous factors.Endogenous factors were categorized into four themes:inadequate understanding,adverse disease experiences,weakness and physical dysfunction,and poor self-perception.Exogenous factors were categorized into four themes:lack of cardiac rehabilitation prescriptions and programs,social environmental barriers,insufficient family support,and restricted medical insurance coverage.Conclusions The factors hindering exercise rehabilitation in aged CHD patients after PCI are diverse and complex.Prior to implementing exercise rehabilitation,healthcare professionals should thoroughly assess individuals'health conditions,rehabilitation needs,and limiting factors,and provide feasible rehabilitation content and formats.
关键词
冠心病/经皮冠状动脉介入治疗/心脏康复/障碍因素/质性研究
Key words
Coronary heart disease/Percutaneous coronary intervention/Cardiac rehabilitation/Hindering factor/Qualitative study