FYSIOTERAPEUTEN 6/22 39 Title: Cardiac patients’ experience of physical activity and exercise: A qualitative metasynthesis Abstract Background: Exercise-based cardiac rehabilitation may increase quality of life, improve work capacity and reduce risk factors for readmission and cardiovascular death. Nevertheless, many patients are unable to continue exercising after discharge from a rehabilitation unit; only 50% are able to maintain the recommended level of physical activity. It is important to examine the patients’ experiences with exercise after heart disease. The purpose of this study was to examine patients’ experience of exercise after institution-based cardiac rehabilitation. Method: A literature study with meta-synthesis of qualitative data was chosen. Searches were performed in the databases MEDLINE, Embase, Cinahl, AMED, PEDro and SveMed +. Metaethnography was used to analyze and synthesize data material. Results: Six qualitative interview studies met the inclusion criteria. Through the analysis we identified a main theme; internal and external influences on exercise. Four related sub-themes were also identified; routines and motivation; follow-up and support; training; and handling of negative and positive thoughts. People who managed to make exercise a lifestyle believed that the formation of routines was important for success. Follow-up, support and management of negative and positive thoughts may help patients to a more active lifestyle. Support from training partners and follow-up from a physiotherapist was important for maintaining motivation for exercise. Conclusion: This study shows that the participants differed in their experience of exercise after institution-based cardiac rehabilitation. Some people mastered exercise well, while others found it challenging. The emergence of routines, enjoyment, experienced accomplishments were important for exercise motivation. Challenges for maintaining exercise included the lack of organized exercise offers, as well as travel distance. Keywords: Cardiac rehabilitation, exercise, qualitative studies, meta-synthesis. Franco Pico MY, Santos Blanco LM, Jácome Hortúa AM, et al. The Effects of Maintenance Cardiac Rehabilitation: A SYSTEMATIC REVIEW. J Cardiopulm Rehabil Prev. 2020;40(4):224-44. Tilgjengelig fra: https://doi.org/10.1097/ HCR.0000000000000520 35. Heaney CA, Israel BA. Social networks and social support I: Glanz K, Rimer BK, Viswanath K, red. Health behavior and health education: theory, reaseach and practice. 4. utg. San Francisco: Jossey-Bass; 2008. s. 189-210. For mer informasjon besøk oss på fysiopartner.no eller ring 23 05 11 60 Trening, terapi og mobilisering Du finner et stort utvalg hos Fysiopartner MTT Pulleys – Bygg ditt eget produkt med vektpakker og tilbehør etter ditt behov. MOTOmed loop – Assistert aktivitetshjelpemiddel for arm/ben. Flere modeller.
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