Qualitative study of obstructive factors in compliance with EECP treatment in discharged patients with coronary heart disease
Objective To explore the influencing factors hindering compliance of discharged patients with coronary heart disease on enhanced external counterpulsation(EECP),and to provide basis for formulating corresponding intervention strategies.Methods A semi-structured interview method was used to conduct in-depth interviews on 19 patients with coronary heart disease who received EECP treatment during hospitalization in Gansu Provincial Hospital from March 2020 to August 2021 but withdrew from the EECP treatment program after discharge.According to phenomenological theory,the Colaizzi 7-step analysis method was applied to analyze the interview data.Results Cognitive factors(insufficient understanding of the disease and EECP treatment),objective factors(distance,transportation,economy,time,epidemic impact)and psychological factors were all influencing factors that hinder the compliance of patients discharged from coronary heart disease with EECP treatment.Conclusion In order to improve the enthusiasm and compliance of discharged patients with coronary heart disease to participate in EECP treatment,the medical staff should formulate intervention measures according to the influencing factors of the lack of EECP treatment compliance of discharged patients with coronary heart disease from the cognitive factors,objective factors and psychological factors of patients.
Coronary heart diseaseEnhanced external counterpulsationWithdrawal/obstruction of treatmentQualitative study