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Article

Patients’ Readiness to Exercise After Cardiac Surgery: A Single-Center Observational Study

by
Eleni Anagnostopoulou
1,
Konstantinos Giakoumidakis
2,3,*,
Anastasia A. Chatziefstratiou
4,
Nikolaos V. Fotos
1,
Athina Patelarou
2,3,
Evridiki Patelarou
2,3 and
Hero Brokalaki
1
1
Department of Nursing, School of Health Sciences, National and Kapodistrian University of Athens, 11527 Athens, Greece
2
Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
3
Laboratory of Evidence-Based Healthcare, Education and Clinical Protocols, Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece
4
Cardiac Surgery Unit, General Pediatric Hospital of Athens “Agia Sophia”, 11527 Athens, Greece
*
Author to whom correspondence should be addressed.
Healthcare 2026, 14(13), 2012; https://doi.org/10.3390/healthcare14132012 (registering DOI)
Submission received: 5 June 2026 / Revised: 26 June 2026 / Accepted: 27 June 2026 / Published: 6 July 2026
(This article belongs to the Section Chronic Care)

Abstract

Background/Objectives: The prolonged bed rest of patients after cardiac thoracic surgery is associated with many deteriorations in their lives. This study examined patients’ readiness to exercise after cardiac surgery in Greece. Methods: This study employs a cross-sectional observational design. Data collection occurred from April to August 2024, and 98 patients who underwent cardiac surgery were enrolled in the study. Patient readiness was assessed via the Greek version of the “Readiness to Change Exercise Questionnaire,” which contains 13 questions divided into four subscales: pre-contemplation, contemplation, preparation, and action. Demographic and clinical data were obtained from medical records, while readiness for exercise was assessed by telephone interview three months after surgery. Data analysis was performed using IBM SPSS 21.0. Results: The mean age (standard deviation) was 64.2 (±10.7 years), while the majority were men (72.4%). In the “pre-contemplation “, “contemplation”, “preparation”, and “action” subscales, 11.2%, 11.2%, 24.5%, and 53.1% of the patients were allocated, respectively. Male patients (OR = 3.3, 95% CI 1.0–10.4, p = 0.042) were more likely to be ready for exercise than female patients. Compared with patients with low levels of preoperative physical activity, those with moderate and high levels of physical activity were more likely to be ready for exercise (OR = 5.2, 95% CI 1.4–18.7, p = 0.012 and OR = 7.4, 95% CI 2.1–26.0, p = 0.002, respectively). Conclusions: About half of the patients who have undergone cardiac surgery appear to have a good intention of exercising. Parameters such as sex, marital status, and preoperative exercise levels were significantly associated with these patients’ readiness to exercise.
Keywords: cardiac rehabilitation; exercise; cardiac surgery; readiness cardiac rehabilitation; exercise; cardiac surgery; readiness

Share and Cite

MDPI and ACS Style

Anagnostopoulou, E.; Giakoumidakis, K.; Chatziefstratiou, A.A.; Fotos, N.V.; Patelarou, A.; Patelarou, E.; Brokalaki, H. Patients’ Readiness to Exercise After Cardiac Surgery: A Single-Center Observational Study. Healthcare 2026, 14, 2012. https://doi.org/10.3390/healthcare14132012

AMA Style

Anagnostopoulou E, Giakoumidakis K, Chatziefstratiou AA, Fotos NV, Patelarou A, Patelarou E, Brokalaki H. Patients’ Readiness to Exercise After Cardiac Surgery: A Single-Center Observational Study. Healthcare. 2026; 14(13):2012. https://doi.org/10.3390/healthcare14132012

Chicago/Turabian Style

Anagnostopoulou, Eleni, Konstantinos Giakoumidakis, Anastasia A. Chatziefstratiou, Nikolaos V. Fotos, Athina Patelarou, Evridiki Patelarou, and Hero Brokalaki. 2026. "Patients’ Readiness to Exercise After Cardiac Surgery: A Single-Center Observational Study" Healthcare 14, no. 13: 2012. https://doi.org/10.3390/healthcare14132012

APA Style

Anagnostopoulou, E., Giakoumidakis, K., Chatziefstratiou, A. A., Fotos, N. V., Patelarou, A., Patelarou, E., & Brokalaki, H. (2026). Patients’ Readiness to Exercise After Cardiac Surgery: A Single-Center Observational Study. Healthcare, 14(13), 2012. https://doi.org/10.3390/healthcare14132012

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