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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2012 June;48(2):223-30

language: English

What do patients really know about cardiopulmonary rehabilitation: a cross-sectional survey study

Karapolat H. U. 1, Kurtais Y. 2, Tur B. S. 2, Demirsoy N. 3, Özyemişci Taşkiran Ö. 3, Sarp Ü. 2, Hafiz M. 2, Külcü D. G. 4, Sarikaya S. 5, Soyupek F. 6, Sütbeyaz S. T. 7, Delialioğlu S. Ü. 7, Alemdaroğlu E. 7, Ordu Gökkaya N. K. 7, Doğan A. 7, Köseoğlu F. 7, Ekşioğlu E. 8, Duyur Çakit B. 9, Dülgeroğlu Erdoğdu D. 10, Tuncay F. 9, Figen Ayhan F. 9, Güzel R. 11

1 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Ege University, Ege, Turkey;
2 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Ankara University, Ankara, Turkey;
3 Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Gazi University, Gazi, Turkey;
4 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Yeditepe University, Yeditepe, Turkey;
5 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Karaelmas University, Karaelmas, Turkey;
6 Department of Physical and Rehabilitation Medicine, Faculty of Medicine, Süleyman Demirel University, Süleyman Demirel, Turkey;
7 S.B. Ankara Physical Therapy and Rehabilitation, Training and Research Hospital, Ankara, Turkey;
8 S.B. Etlik İhtisas Training and Research Hospital, Physical Medicine and Rehabilitation Clinic;
9 S.B. Ankara Training and Research Hospital, Physical Medicine and Rehabilitation Clinic, Ankara, Turkey;
10 S.B. Yildirim Beyazit Training and Research Hospital, Physical Medicine and Rehabilitation Clinic;
11 Department of Physical and Rehabilitation Medicine, Çukurova University, Faculty of Medicine, Çukurova, Turkey


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BACKGROUND: Although it is known that cardiopulmonary rehabilitation (CPR) reduces mortality and morbidity, it is not widely implemented as is in Turkey. One factor might be lack of demand since the levels of knowledge and awareness among patients who are eligible for CPR seem to be insufficient.
AIM: It is aimed to investigate the level of awareness and knowledge of CPR among patients with cardiopulmonary problems.
DESIGN: Cross-sectional survey study
SETTING: Outpatient
METHODS: Knowledge regarding CPR was assessed by questionnaires given to 690 patients recruited in seven university hospitals and six training and research hospitals in which either comprehensive or limited CPR services are available.
POPULATION: Patients who have cardiopulmonary problems
RESULTS: Of the patients, 34.7% were given information on CPR by healthcare staff, and 25.3% reported that their source of information was physicians. Although 49.9% of the patients knew that they needed to exercise for their cardiac/pulmonary problems, only 23.4% and 32.1% of those were aware that fast walking and climbing stairs, respectively, would not pose a risk to their cardiac/pulmonary health. The majority of the patients believed that activities of daily living, which comprise the most important component of exercise-based CPR, were harmful for their cardiopulmonary health. We found that 31.1% of the patients exercised regularly. During their stay at the hospital, certain kinds of exercises were suggested to 62.7% of the patients, and 34.7% of these patients performed various exercises.
Of the patients who were given detailed information on cardiopulmonary rehabilitation, 69% stated that they would be willing to participate in a similar program.
CONCLUSION: Although nearly half of the patients stated that they needed CR, it was observed that the ratio of patients who had true knowledge of CPR was low among patients. It is imperative to furnish patients with information on CPR, both in the field of PMR and throughout Turkey, and to put more effort into running those services effectively. Furthermore, we should make an effort to increase the level of liaison between patients and physicians and other healthcare professionals who participate in the treatment of cardiac/pulmonary patients.

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