Danish heart patients' participation in and experience with rehabilitation

• Published in: Scandinavian journal of public health 2012-03, Vol.40 (2), p.126-132
• Main Authors: WÜRGLER, M.W., SONNE, L.T., KILSMARK, J., VOSS, H., SØGAARD, J.
• Format: Article
• Language: English
• Subjects: Adult; Age Factors; Aged; Ambulatory Care - statistics & numerical data; Ambulatory Care - utilization; Biological and medical sciences; Cardiology. Vascular system; Cardiovascular diseases; Coronary heart disease; Denmark; Educational Status; Female; Heart; Heart disease; Humans; Ischaemic heart diseases; Ischemia - rehabilitation; Logistic Models; Male; Medical care; Medical sciences; Middle Aged; Miscellaneous; Myocarditis. Cardiomyopathies; Original articles; Patient Participation; Patient Satisfaction; Patients; Population Surveillance; Psychological factors; Psychological support; Psychosocial rehabilitation; Psychosociology; Public health. Hygiene; Public health. Hygiene-occupational medicine; Rehabilitation; Sex Factors; Social Support; Socioeconomic Factors; Surveys and Questionnaires; Therapy
• ISSN: 1403-4948; 1651-1905
• DOI: 10.1177/1403494811435487

Aim:This study investigated the proportion of Danish patients in cardiac therapy for ischaemic heart disease who participated in cardiac rehabilitation. The study examined differences in patients' participation in and experience and satisfaction with cardiac rehabilitation. Methods: Data were obtained from a postal questionnaire in a representative sample of patients in therapy for an ischaemic heart disease. Response data were tabulated and analysed by logistic regression. Results: 3% of the patients participated in a complete rehabilitation programme according to Danish standards, 47% of the patients participated in a partial rehabilitation programme, and additionally 32% of the patients participated in a very limited rehabilitation programme. The number of patients participating in a complete rehabilitation programme was low due to the fact that only few patients (and their relatives) received psychological support. The factors living alone and low education are associated with low participation and in particular with receiving psychological support. Elderly (≥50 years) and male patients showed higher satisfaction scores. Patients receiving psychosocial elements in their rehabilitation programme reported higher satisfaction with their rehabilitation. Conclusions: Few Danish patients with ischaemic heart disease participate in a complete rehabilitation programme mainly due to psychosocial elements not yet being an integral part of cardiac rehabilitation in Denmark. There is a need to differentiate and tailor cardiac rehabilitation to different patient segments, e.g. by gender and age.