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Dissertation
Social Isolation and its Role in Cardiac Rehabilitation Adherence
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Heart disease affects approximately 697,000 Americans and costs our health care system $219 billion annually. Cardiac rehabilitation is a program utilized to improve health outcomes after a cardiac event or procedure and can save health systems up to $9200 per person per year of life saved. Only 25% participate nationally and many who do start the program, drop-out. Psychological factors limit an individual’s ability to participate. Studies have explored psychosocial factors of non-adherence including depression, anxiety, social isolation, and stress. Continued attention is warranted to identify interventions to improve cardiac rehabilitation attendance. Purpose: The purpose of this project was to increase cardiac rehabilitation graduation rates by identifying individuals at risk of decreased adherence to cardiac rehabilitation and provide intervention. Methods: All new patients enrolled in outpatient cardiac rehabilitation between July and August 2023, aged > 18 years old, from one outpatient site in Iowa participated. Social isolation status was assessed, using a pre-determined screening tool. A follow-up phone call intervention was aimed at the identified socially isolated individuals and attendance rates of all individuals were monitored for graduation rates to identify correlates of social isolation. Findings: A total of 36 participants were included in analysis. Eight participants were socially isolated; 63.9% were male; 63.9% were referred to cardiac rehabilitation after catheter lab interventions, including stent placements; average age was 66.8 (SD = 13) years. A Fisher’s Exact test resulted in p = 0.155, with no statistical significance between the socially isolated and not socially isolated individuals and CR attendance rates. Discussion: Social isolation is associate with decreased attendance rates. Project outcomes support interventions aimed at psychosocial factors to improve adherence and increase graduation rates.
Details
- Title: Subtitle
- Social Isolation and its Role in Cardiac Rehabilitation Adherence
- Creators
- Emily Elizabeth McDonald - University of Iowa
- Contributors
- Heather Dunn (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Adult/Gerontological Nurse Practitioner (Primary Care)
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Emily Elizabeth McDonald
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255602771
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