فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: Commitment to implementing cardiac rehabilitation (CR) plays an important role inmanaging the problems caused by heart diseases. Commitment to the treatment plan implementationis accompanied by numerous positive consequences. This study was carried out to explain theconsequences of commitment to CR.MATERIALS AND METHODS: Data were collected through semi‑structured individual interviews with26 participants (13 CR specialists and 13 patients), using purposeful sampling. Interview questionsfocused on the factors influencing the formation of commitment to the CR and its consequences.Conventional content analysis with Graneheim and Lundman’s approach was used to analyze thedata. To obtain data trustworthiness, Lincoln and Guba’s criteria were used.RESULTS: The findings were classified in three categories: purposeful of a purposeful behaviorstructure (sense of controlling and managing the condition, sense of responsibility, sense of security),formation of active performance structure (interaction between the patient‑family‑treatment team,stabilization of behavior and prevention of intermittent behavior, no cessation of the treatment planand adherence to it, directing behaviors and adaptation to conditions) and achieving dynamic andeffective care (active follow‑up of the treatment plan, sense of satisfaction, reduced readmission,reduced costs, improved quality of life, reduced anxiety and concerns about treatment failure,increased self‑care ability).CONCLUSION: The results show that the patient’s commitment to CR is accompanied by optimalconsequences. The results of this study can help design the training plan for the CR staff and developthe clinical practice guidelines to provide educational‑care approaches to patients to reinforce theircommitment.