Document Type : Original Article

Authors

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

Abstract

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
commitment.

Keywords

  1. Benjamin EJ, Blaha MJ, Chiuve SE, Cushman M, Das SR, Deo R,
    et al. Heart disease and stroke statistics‑2017 update: A report from
    the American Heart Association. Circulation 2017;135:e146‑603.
    2. Fryar CD, Fakhouri TH, Carroll MD, Frenk SM, Ogden CL. The
    association of nativity/length of residence and cardiovascular
    disease risk factors in the United States. Prev Med 2020;130:105893.
    3. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease
    in Iran in the last 40 years: Prevalence, mortality, morbidity,
    challenges and strategies for cardiovascular prevention. Arch
    Iran Med 2019;22:204‑10.
    4. Ribeiro GS, Melo RD, Deresz LF, Dal Lago P, Pontes MR,
    Karsten M. Cardiac rehabilitation programme after transcatheter
    aortic valve implantation versus surgical aortic valve replacement:
    Systematic review and meta‑analysis. Eur J Prev Cardiol
    2017;24:688‑97.
    5. Mehra VM, Gaalema DE, Pakosh M, Grace SL. Systematic review
    of cardiac rehabilitation guidelines: Quality and scope. Eur J Prev
    Cardiol 2020;27:912‑28.
    6. Prabhu NV, Maiya AG, Prabhu NS. Impact of cardiac
    rehabilitation on functional capacity and physical activity after
    coronary revascularization: A scientific review. Cardiol Res Pract
    2020;2020:1‑9.
    7. Bakhshayeh S, Sarbaz M, Kimiafar K, Vakilian F, Eslami S. Barriers
    to participation in center‑based cardiac rehabilitation programs
    and patients’ attitude toward home‑based cardiac rehabilitation
    programs. Physiother Theory Pract 2019:1‑11.
    8. Cristo DD, Nascimento NP, Dias AS, Sachetti A. Telerehabilitation
    for cardiac patients: systematic review. Int J Cardiov Sci
    2018;31:443‑50.
    9. Sage S. Cardiac rehabilitation: Motivation and commitment. Br.J
    Card Nurs 2013;8:237‑40.
    10. Higgins T, Larson E, Schnall R. Unraveling the meaning of
    patient engagement: A concept analysis. Patient Educ Couns
    2017;100:30‑6.
    11. García‑MoyanoL, AltisentR, Pellicer‑García B, Guerrero‑Portillo S,
    Arrazola‑Alberdi O, Delgado‑Marroquín MT. A concept analysis
    of professional commitment in nursing. Nurs Ethics 2019;26:
    778‑97.
    12. Creamer AM. Therapeutic Commitment and Care of Persons with
    Mental Illness: A Survey of Nurse Practitioners’ Role Perceptions;
    2011.
    13. Salehi‑tali S, Ahmadi F, Zarea K, Fereidooni-Moghadam M.
    Commitment to care: the most important coping strategies among
    family caregivers of patients undergoing haemodialysis. Scand J
    Caring Sci 2018;32:82‑91.
    14. Holmvall C, Twohig P, Francis L, Kelloway EK. Applying justice
    and commitment constructs to patient–health care provider
    relationships. Can Fam Physician 2012;58:e159‑65.
    15. Nijjar PS, Connett JE, Lindquist R, Brown R, Burt M, Pergolski A,
    et al. Randomized trial of mindfulness‑based stress reduction
    in cardiac patients eligible for cardiac rehabilitation. Sci Rep
    2019;9:18415.
    16. Holloway I, Galvin K. Qualitative Research in Nursing and
    Healthcare. New York: John Wiley & Sons; 2016.
    17. Graneheim UH, Lindgren BM, Lundman B. Methodological
    challenges in qualitative content analysis: A discussion paper.
    Nurse Educ. Today 2017;56:29‑34.
    18. Speziale HS, Streubert HJ, Carpenter DR. Qualitative Research
    in Nursing: Advancing the Humanistic Imperative. Philadelphia:
    Lippincott Williams & Wilkins; 2011.
    19. Graneheim UH, Lundman B. Qualitative content analysis in
    nursing research: Concepts, procedures and measures to achieve
    trustworthiness. Nurse Educ Today 2004;24:105‑12.
    20. Drisko J. Standards for qualitative studies and reports. Qualitative
    Res Soc Work 2013:3‑34.
    21. Guba EG, Lincoln YS. Competing paradigms in qualitative
    research: Theories and issues. Approaches to qualitative research:
    A reader on theory and practice. Oxford University Press,
    New York 0.2004: 17‑38.
    22. Kassymova GK, Tokar OV, Tashcheva AI, Slepukhina GV,
    Gridneva SV, Bazhenova NG, et al. Impact of stress on creative
    human resources and psychological counseling in crises. Educ
    Inf Technol (Dordr) 2019;13:26‑32.
    23. Fowler Davis S, Hinde S, Ariss S. Complex programme evaluation
    of a ‘new care model’ vanguard: A shared commitment to quality
    improvement in an integrated health and care context. BMJ Open
    2020;10:e029174.
    24. Kramer M. Learning about emotions in illness: Integrating
    psychotherapeutic teaching into medical education, edited by
    peter shoenberg and. Psychodyn Psychiatry 2015;43:316‑20.
    25. Becker HS. Notes on the concept of commitment. Am J Sociol
    1960;66:32‑40.
    26. Rather RA, Tehseen S, Itoo MH, Parrey SH. Customer brand
    identification, affective commitment, customer satisfaction, and
    brand trust as antecedents of customer behavioral intention of
    loyalty: An empirical study in the hospitality sector. J Acad Mark
    Sci 2019;29:196‑217.
    27. Hadden BW, Agnew CR, Tan K. Commitment readiness and
    relationship formation. Pers Soc Psychol Bul 2018;44:1242‑57.
    28. Ooi J, Francová A, Székely M, Michael J. The sense of commitment
    in individuals with borderline personality traits in a non‑clinical
    population. Front Psychiatry 2018;9:519.
    29. Chai DS, Hwang SJ, Joo BK. Transformational leadership and
    organizational commitment in teams: The mediating roles of
    shared vision and team‑goal commitment. Perform Improv Q
    2017;30:137‑58.
    30. Agnew CR, Hadden BW, Tan K. It’s about time: Readiness,
    commitment, and stability in close relationships. Soc Psychol
    Personal Sci 2019;10:1046‑55.
    31. Cifci SD, Erdogan BZ. Antecedents and measurement of brand
    commitment and behavioural loyalty. J Cust Behav 2016;15:321‑36.
    32. Mohiuddin AK. Pharmacist‑patient relationship: Commitment
    to care. Biomed J Sci Tech Res 2019;19:15588‑9.
    33. Karataş T, Bostanoğlu H. Perceived social support and
    psychosocial adjustment in patients with coronary heart disease.
    Int J Nurs Pract 2017;23:e12558.
    34. Hadden BW, Harvey SM, Settersten RA Jr., Agnew CR. What do
    I call us? The investment model of commitment processes and
    changes in relationship categorization. Soci Psychol Personality
    Sci 2019;10:235‑43.
    35. Falk A, Zimmermann F. Information processing and commitment.
    Economic J 2018;128:1983‑2002.
    36. MeyerJP, Espinoza JA. Occupational commitment. In: Handbook
    of Employee Commitment. Cheltenham: Edward Elgar
    Publishing; 2016.
  2. 37. Boyd NM, Nowell B. Sense of community, sense of community
    responsibility, organizational commitment and identification, and
    public service motivation: a simultaneous test of affective states
    on employee well‑being and engagement in a public service work
    context. Public Manag Rev 2020;22:1‑27.
    38. Rodrigues D, Lopes D, Kumashiro M. The “I” in us, or the eye on
    us? Regulatory focus, commitment and derogation of an attractive
    alternative person. PLoS One 2017;12:e0174350.
    39. Putnam DE, Finney JW, Barkley PL, Bonner MJ. Enhancing
    commitment improves adherence to a medical regimen. J Consult
    Clin Psychol 1994;62:191.
    40. Setyajidi B, Kambuaya B, Tuhumena R, Bharanti E. Influence
    of patient satisfaction through commitment to loyalty inpatient
    HOSPITALS Jayapura. Adv Soc Sci Res J 2018;5:370‑378. https://
    doi.org/10.14738/assrj. 54.4298.
    41. Ruano‑Ravina A, Pena‑Gil C, Abu‑Assi E, Raposeiras S,
    van’t Hof A, Meindersma E, et al. Participation and adherence to
    cardiac rehabilitation programs. A systematic review. Int J Cardiol
    2016;223:436‑43.
    42. Vargas J, Goel A, Stoner T, Fowler K. Heart failure hospitalist can
    reduce length of stay, Can Reduce Readmission, and Can Reduce
    Cost. J Card Fail 2019;25:S121.