Cardiovascular disease – coronary heart disease – qualitative research


Abstract Background Cardiovascular disease is the leading cause of death worldwide (World Health Organisation, 2008). This study focuses coronary heart disease and the management of lifestyle changes in prevention and ongoing treatment. In doing this, cardiac rehabilitation most useful. Through this process, individuals may experience a variety of issues, which may influence their overall health status. Despite the importance of rehabilitation being acknowledged, there is need for all available literature to be synthesised, in order to understand the range of issues that the individuals encounter. Aim To systematically explore the issues that cardiac rehabilitation patient’s encounter and the effect these may have on modifying health related behaviour. Method Electronic database literature searching was carried out using: The Cochrane Collaboration, INTUTE, British Nursing Index (Ovid), CINAHL (EBSCO) and PsychInfo (Ovid). Cited searching of all identified references was also carried out. The literature that satisfied the predefined inclusion criteria were then quality assessed through critical appraisal. Results Twenty one studies were included in the review. These studies were synthesised through a coding process, which identified a variety of recurring issues. Conclusions This study recognises the diverse issues that affect patients when changing their behaviour, during rehabilitation. With the ten year review of the National Service Framework for coronary heart disease (Department of Health, 2000) approaching, this work will aid understanding of issues encountered. This will enable future guidance and services to address these issues

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    This paper was published in Nottingham ePrints.

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