Abstract:

Objective To explore the motivation types in coronary heart disease（CHD） patients during cardiac rehabilitation and to provide strategies for improving rehabilitation adherence and behavior change. Methods Using a descriptive qualitative research method，semi-structured interviews were conducted with 20 CHD patients from two tertiary class A hospitals in Daqing City. Directed content analysis was applied to the data analysis. Results Three themes with nine subthemes emerged. ①Autonomous motivation：rehabilitation cognitive restructuring，therapeutic alliance communication synergy，positive feedback on the sense of benefit，psychological resilience empowerment；②Controlled motivation：authority compliance and family guilt-driven；③Amotivation：lack of self-management，avoidance-based defense mechanisms，and doctor-patient trust crisis. Conclusion CHD patients demonstrate varying degrees and types of rehabilitation motivation during cardiac rehabilitation. Healthcare providers should promptly assess the type of rehabilitation motivation and take targeted intervention measures to promote the internalization of cardiac rehabilitation motivation by meeting the basic psychological needs of patients，thereby improving cardiac rehabilitation compliance.

Key words: Coronary Disease, Cardiac Rehabilitation, Motivation, Self-Management, Qualitative Research