Document Type : Original Article


1 PhD Candidate, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,

2 Department of Medical‑Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,

3 Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran


BACKGROUND: Commitment to implementing cardiac rehabilitation (CR) plays an important role in
managing the problems caused by heart diseases. Commitment to the treatment plan implementation
is accompanied by numerous positive consequences. This study was carried out to explain the
consequences of commitment to CR.
MATERIALS AND METHODS: Data were collected through semi‑structured individual interviews with
26 participants (13 CR specialists and 13 patients), using purposeful sampling. Interview questions
focused 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 the
data. To obtain data trustworthiness, Lincoln and Guba’s criteria were used.
RESULTS: The findings were classified in three categories: purposeful of a purposeful behavior
structure (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 plan
and adherence to it, directing behaviors and adaptation to conditions) and achieving dynamic and
effective 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 optimal
consequences. The results of this study can help design the training plan for the CR staff and develop
the clinical practice guidelines to provide educational‑care approaches to patients to reinforce their


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