title: [Factors influencing the participation of post coronary artery bypass patients in cardiac rehabilitation exercise].
abstract: BACKGROUND
  Studies have shown that cardiovascular rehabilitation exercise improves quality of life in post-coronary-bypass-surgery patients. However, the rate of participation in this exercise by this patient group in Taiwan has increased only 8.2% during the past 13 years (from 61.9% in 1996 to 70.1% in 2009). Little is known about the factors that influence patient motivation to participate in cardiovascular rehabilitation exercise.
  
  
  OBJECTIVE
  This study explores the factors that influence patient participation in rehabilitation exercise following coronary bypass surgery.
  
  
  METHODS
  This cross-sectional, correlational study recruited a convenience sample of 253 patients who had undergone coronary bypass surgery at a medical center in southern Taiwan. Structured questionnaires, including a patient rehabilitation exercise experience questionnaire, Short Form-36 Health Survey-Taiwan Form, and cardiac rehabilitation exercise design factors questionnaire were used for data collection. SPSS19.0 was used to analyze data.
  
  
  RESULTS
  The variables "healthcare provider recommendation of rehabilitation exercise", "exercise program accessibility", "physical health status", and "patient post-surgical exercise patterns" each had a significant influence on participant participation in post-surgical rehabilitation exercise. Binary logistic regression analyses identified "receiving information on rehabilitation exercise", "level of patient-perceived importance of rehabilitation exercise", and "having post-surgical exercise patterns" as important predictors of participation in a rehabilitation exercise program, with OR ratios of 112, 7.86, and 3.23 times respectively. These 3 factors accounted for 90.1% of the total variance.
  
  
  CONCLUSIONS
  Patient education on coronary bypass post-surgical rehabilitation exercise programs should be emphasized during pre-surgical consultation and care in order to facilitate the recovery of normal life functions following coronary bypass surgery.
authors: School of Nursing, Kaohsiung Medical University, ROC. fanhao@kmu.edu.tw.
authors: Hsin-Ju
authors: HJ
authors: Tang
authors: Shiau-Ting
authors: ST
authors: Tsai
authors: Fan-Hao
authors: FH
authors: Chou
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D003430:Cross-Sectional Studies; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010358:Patient Participation
keywords: SF-36 health survey; cardiovascular rehabilitation exercise; coronary bypass surgery