Attitudes Toward Cardiovascular Disease Risk Factors Among Patients Referred to a Cardiac Rehabilitation Center: Importance of Psychological Attitudes

摘要

Background:Patientsa€?understandingofheartdiseasesandtheirrelatedexperiencescanaffecteducationandpreventionofcoronaryheartdiseases.Asthepatientsa€?beliefsplayacrucialroleinthedevelopmentofeffectivetherapeuticrelationship,psychologicaladjustment,andcompliancewithtreatmentrecommendations.Objectives:ThepurposeofthisstudywastoinvestigatetheattitudestowardpsychologicalriskfactorsforcardiovasculardiseaseamongpatientsreferredtoacardiacrehabilitationcenterinImamAliHospitalinKermanshah,IranPatientsandMethods:Thiscross-sectionalstudywasperformedon775patientsreferredtoacardiacrehabilitationunitinImamAlihospitalinKermanshah,Iran.Datawerecollectedusingclinicalinterview,patientsa€?medicalrecords,andMillonclinicalmultiaxialinventory(MCMI-III),andanalyzedbydescriptivestatistics,includingmean,standarddeviation,andchia€?squaretest.StatisticalanalyseswereperformedusingSPSSsoftwareversion18Results:Thepatientsbelievedthatthemaincauseoftheirillnessisbehavioralriskfactors(42.0%).Then,theyreferredtopsychological(36.3%),biological(4.3%),andenvironmental(3.8%)factors,respectively.10.4%ofthepatientswerenotawareofthecauseoftheirillness.Also,stressisthemostimportantfactoramongthepsychologicalfactors(27.5%).Theresultsshowedthattherewasasignificantdifferenceamongthepatientsintermoffourattitudes(??2=820.356;P0.01);andbehavioralandpsychologicalattitudes(??2=6.025;P0.05).Infact,thepatientsidentifiedbehavioralproblemsasthemaincauseoftheirillness.Conclusions:Accordingtothepatientsa€?attitudes,afterthebehavioralfactors,psychologicalfactorsarethesecondcauseofheartdiseases.Therefore,ignoringthesefactorsbymembersofthemedicalteamsmayleadtoapoorperformanceofthetreatments.Asthesefactorsarecontrollable,learningtocontrolandmanagethemcanpreventthedevelopmentofsubsequentcardiovascularevents.