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Acceptability, Preferred Medium, and Components of Nurse-Led Cardiac Telerehabilitation: A Cross-Sectional Study

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  • Chaochao Hong
  • Qiong Yan
  • Hongmei Qi
  • Yaoyao Zhang
  • Ling Yu
  • Lijie Dong
  • Jing Wang

Abstract

Cardiac rehabilitation (CR) is a comprehensive and multidisciplinary secondary prevention care in coronary heart disease (CHD). There are barriers at the patient and health system levels that prevent CR from being utilized. Cardiac telerehabilitation led by nurses (Ne-CTR) can alleviate the obstacles to participation in CR. A patient perspective can improve CR access. This study was the first pre-program investigation to clarify the status of knowledge and participation in CTR. We sought to clarify the acceptability, the reasons for rejection, the desired form, components, and associated factors with the components needed for (Ne-CTR) in patients with CHD. The study aimed to help develop a protocol for Ne-CTR for Chinese patients with CHD. A cross-sectional study was conducted between 2020 and 2021. Hospitals in four provinces in China were included. The participants were 671 patients with CHD in hospitals located in three regions of China. A self-administered questionnaire collected information about demographics, knowledge, and participation in CTR, acceptability, preferred medium, and components of Ne-CTR. Student’s t- test, analysis of variance, and multiple linear regression analyzed the factors associated with component needs. All the analyses were conducted using IBM SPSS version 25.0. Most participants ( n  = 434, 66.77%) had a poor understanding and participation in CTR. In addition, 65.38% ( n  = 439) of participants were willing to accept the Ne-CTR program, and 43.56% ( n  = 98) identified safety as reasons for not accepting such a program. In the group accepting Ne-CTR, 35% chose hospital-designed professional applications as a medium for Ne-CTR when offered. Education (4.44 ± 1.056) and drug information (4.44 ± 1.040) had the highest average need score. Education, monthly income, marital status, previous CTR participation, and health insurance were associated with the demand level scores of Ne-CTR. This study demonstrated high levels of need for Ne-CTR among patients with CHD and identified the desired medium, components, and associated factors of Ne-CTR. These findings provide reference information for the construction of a Ne-CTR program.

Suggested Citation

  • Chaochao Hong & Qiong Yan & Hongmei Qi & Yaoyao Zhang & Ling Yu & Lijie Dong & Jing Wang, 2024. "Acceptability, Preferred Medium, and Components of Nurse-Led Cardiac Telerehabilitation: A Cross-Sectional Study," Clinical Nursing Research, , vol. 33(2-3), pages 146-156, March.
    • Handle: RePEc:sae:clnure:v:33:y:2024:i:2-3:p:146-156
    DOI: 10.1177/10547738241228634
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    References listed on IDEAS

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    1. Kuangnan Fang & BenChang Shia & Shuangge Ma, 2012. "Health Insurance Coverage and Impact: A Survey in Three Cities in China," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-8, June.
    2. Rafaella Zulianello dos Santos & Sidnei Almeida & Andrea Korbes Scheafer & Marlus Karsten & Paul Oh & Magnus Benetti & Gabriela Lima de Melo Ghisi, 2023. "Feasibility of a Virtual Educational Programme for Behaviour Change in Cardiac Patients from a Low-Resource Setting," IJERPH, MDPI, vol. 20(11), pages 1-11, May.
    3. Kathryn O’Toole & Diane Chamberlain & Tracey Giles, 2020. "Exploration of a nurse practitioner‐led phase two cardiac rehabilitation programme on attendance and compliance," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(5-6), pages 785-793, March.
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