Article

PURPOSE: It is important for patients recovering from coronary
artery bypass (CAB) surgery to initiate and maintain recommended exercise
guidelines. The purpose of this qualitative study was to describe factors that
influence adherence to exercise, and perceptions of activity limitations and
health-related quality of life (QoL) in older patients recovering from CAB
surgery. SUBJECTS: Participants were 28 people aged 65 and older, prospectively
recruited from a U.S. hospital following CAB surgery. PROCEDURES: A qualitative
description methodology was used to identify factors that influenced
participants' feelings about exercise and QoL. Data were collected using phone
interviews 3, 6, and 12 months after surgery. Data were coded by identifying
significant statements, grouping them into meaningful units or "themes", and
generating descriptions of participants' experiences and understandings. RESULTS:
Across time points, participants' most commonly described motivators were that it
feels good to exercise, and belief that it improves physical health. The most
commonly cited barriers to exercise were other time commitments, inclement
weather, and pain/injury/illness related or unrelated to CAB surgery. DISCUSSION
AND CONCLUSION: Motivating themes remained consistent across the time intervals
but the number of responses regarding barriers to exercise increased over time. A
better understanding of the patient experience may help to promote exercise
initiation and adherence following CAB surgery.

Langue : ANGLAIS