Reframing the dilemma of poor attendance at cardiac rehabilitation: an exploration of ambivalence and the decisional balance

Blackwell Publishing Ltd
Publication Type:
Journal Article
Journal Of Clinical Nursing, 2009, 18 (13), pp. 1842 - 1849
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Aim. To discuss the problem of poor attendance at cardiac rehabilitation from the alternative perspective of patient ambivalence. Background. Evidence supports the benefits of cardiac rehabilitation as a means for secondary prevention of coronary heart disease, yet current literature continues to document poor attendance at these programmes. Whilst extrinsic factors, such as transportation and lack of physician support have been identified as barriers, patients who choose not to attend these programmes are often described as lacking motivation or being non-compliant. However, it is possible that non-attendance is the result of ambivalence the experience of simultaneously wanting to and yet not wanting to, or the I want to, but I dont want to dilemma.
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