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Patient satisfaction with cardiac rehabilitation: association with utilization, functional capacity, and heart-health behaviors

机译：病人对心脏康复的满意度：与利用率，功能能力和心脏健康行为的关联

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Background: Cardiac rehabilitation (CR) societies recommend assessment of patient satisfaction given its association with health care utilization and outcomes. Recently, the Patient Assessment of Chronic Illness Care (PACIC, Glasgow) was recommended as an appropriate tool for the CR setting. The objectives of this study were to 1) describe patient satisfaction with CR, 2) test the psychometric properties of the PACIC in the CR setting, and 3) assess the association of patient satisfaction with CR utilization and outcomes. Methods: Secondary analysis was conducted on an observational, prospective CR program evaluation cohort. A convenience sample of patients from 1 of 3 CR programs was approached at their first CR visit, and consenting participants completed a survey. Clinical data were extracted from charts pre- and post-program. Participants were e-mailed surveys again 6?months (including the PACIC) and 1 and 2?years later. Results: Of 411 consenting patients, 247 (60.2%) completed CR. The mean PACIC score was 2.8±1.1/5. Internal reliability was α=0.95. The total PACIC score varied significantly by site ( F =3.12, P =0.046), indicating discriminant validity. Patient satisfaction was significantly related to greater CR adherence ( r =0.22, P <0.01) and completion ( t =2.63, P <0.01), greater functional status at CR discharge ( r =0.17, P =0.03) and 2?years post-intake ( r =0.19, P =0.03), greater physical activity at discharge ( r =0.18, P =0.02), as well as lower depressive symptoms at discharge ( r =-0.16, P =0.02) and 1-year follow-up ( r =-0.19, P =0.03). These associations sustained adjustment for sex. Conclusion: Patients were relatively satisfied with their care. The PACIC is a psychometrically validated scale, which could serve as a useful tool to assess patient satisfaction with CR.
机译：背景：心脏康复（CR）协会建议评估患者的满意度，因为它与医疗保健利用率和结果相关。最近，建议将慢性病护理患者评估（PACIC，格拉斯哥）作为CR设定的适当工具。这项研究的目的是：1）描述患者对CR的满意度，2）在CR情况下测试PACIC的心理测量特性，以及3）评估患者满意度与CR利用率和结局的关系。方法：对一项观察性，前瞻性CR项目评估队列进行二级分析。在首次CR访视时，对来自3个CR计划中的1个的患者的便利性样本进行了调查，并同意参与者完成了一项调查。从程序前后的图表中提取临床数据。再次向参与者发送了6个月（包括PACIC）以及1年和2年后通过电子邮件发送的调查问卷。结果：在411名同意患者中，有247名（60.2％）完成了CR。 PACIC平均得分为2.8±1.1 / 5。内部可靠性为α= 0.95。 PACIC总分因部位而异（F = 3.12，P = 0.046），表明判别效度。患者的满意度与CR依从性更高（r = 0.22，P <0.01）和完成率（t = 2.63，P <0.01），CR出院时的功能状态更好（r = 0.17，P = 0.03）和术后2年显着相关。摄入（r = 0.19，P = 0.03），出院时有更多的体育活动（r = 0.18，P = 0.02），出院时抑郁症状较低（r = -0.16，P = 0.02）和1年随访-向上（r = -0.19，P = 0.03）。这些协会持续调整性别。结论：患者对其护理相对满意。 PACIC是经过心理计量学验证的量表，可以用作评估患者对CR满意度的有用工具。

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