A qualitative study of the influencing factors of postoperative rehabilitation behavior in patients undergoing coronary artery bypass grafting based on the COM-B Model
Hu Yuan
Ma Wenjuan
Jiayinaer Muhataile
Li Li
Abstract：Objective To explore the factors influencing the participation of coronary artery bypass graft(CABG)patients in rehabilitation behaviour and to provide a reference for cardiac rehabilitation.Methods From January 2023 to March 2023,18 patients undergoing CABG in a grade 3,class A general hospital in Xinjiang were selected for semi-structured interview.Ability,opportunity,and motivation-behavior(COM-B)model were used to guide interviews and topics and to associate categorical data with three key domains(competence,opportunity,motivation-behavior)of the COM-B model to assess its associated factors.Results After completing 18 interviews,the data reached saturation.Factors influencing rehabilitation behavior of patients undergoing CABG came from ability factors(exercise intensity tolerance,rehabilitation cognitive deficiency),opportunity factors(peer support effect,lack of professional guidance,review follow-up inconvenience),motivation factors(beneficial rehabilitation behavior perception,stress negative emotional trigger,rehabilitation environment demand),respectively.Conclusion Patients undergoing CABG are affected by many factors for participating in rehabilitation behavior.When formulating personalized sports rehabilitation programs for them,medical staff should strengthen disease education,build an effective support system,and create a good rehabilitation environment for them,and to improve patients'compliance with rehabilitation exercise,so as to promote the improvement of patients'rehabilitation behavior.
Keywords：Coronary artery bypass graftingCOM-B modelRehabilitation behaviorInfluencing factorsQualitative study
Publication Date：2025-02-27
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 52-57 )