Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management: experiences of elderly myocardial infarction patients.

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Liljeroos, TheaUppsala universitet,Klinisk psykologi i hälso- och sjukvård (författare)

Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management : experiences of elderly myocardial infarction patients.

Artikel/kapitelEngelska2022

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2021-02-23
Taylor & Francis Group,2022
electronicrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:uu-435450
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-435450URI
https://doi.org/10.1080/09638288.2021.1888321DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:145949535URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

PURPOSE: The study aimed to explore the self-perceived cognitive status and cognitive challenges associated with lifestyle changes in cardiac rehabilitation among elderly myocardial infarction (MI) patients (≥65 years). Further, the study explored coping strategies developed to manage these challenges in the everyday life.METHODS: Nine patients were included in the study. Data were collected by telephone or in person, between 6 and 12 weeks post MI, using semi-structured interviews. Data were analysed inductively, using thematic analysis.RESULTS: Four major themes were identified, highlighting elderly MI patients' experiences of their cognitive status and cardiac rehabilitation management: (1) A change in cognition over time, (2) Situating the MI within a challenging and changing life context, (3) Navigating the hurdles of cardiac rehabilitation, and (4) Being seen within the healthcare system.CONCLUSION: Elderly MI patients are situated in a complex life context, dealing with a transition to retirement, multiple health issues and age-related cognitive decline. In this context, the MI experience is marginalised, and cognitive decline normalized. By adopting individually tailored interventions and improving healthcare provider continuity and accessibility, cognitive challenges associated with cardiac rehabilitation could be easier to overcome.IMPLICATIONS FOR REHABILITATIONSelf-perceived cognitive impairment, in particular regarding memory, seems fairly common among elderly MI patients and should likely be identified prior to hospital discharge in order to optimize the prospects of self-care.There seems to exist an unmet need to implement the practice of individually adapted education and information further, in accordance with current recommendations for elderly cardiac patients.The overall health and cognitive status, social network and the objective living conditions (e.g., distance from service and housing) should be taken into account when planning the patient's cardiac rehabilitation management.Healthcare providers likely need to strengthen the continuity of care and increase its accessibility for elderly MI patients, in particular following the transfer from hospital care to local health centres.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
SAMHÄLLSVETENSKAP Psykologi Psykologi hsv//swe
SOCIAL SCIENCES Psychology Psychology hsv//eng
Cardiac rehabilitation
elderly
mild cognitive impairment
myocardial infarction
pre-existing conditions
self-care

Biuppslag (personer, institutioner, konferenser, titlar ...)

Puthoopparambil, Soorej Jose,1985-Uppsala universitet,Internationell kvinno- och mödrahälsovård och migration(Swepub:uu)soopu294 (författare)
Wallert, JohnKarolinska Institutet,Uppsala universitet,Klinisk psykologi i hälso- och sjukvård(Swepub:uu)johwa648 (författare)
Held, Claes,1956-Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)clahe947 (författare)
Olsson, Erik,1967-Uppsala universitet,Klinisk psykologi i hälso- och sjukvård(Swepub:uu)erols031 (författare)
Uppsala universitetKlinisk psykologi i hälso- och sjukvård (creator_code:org_t)

Sammanhörande titlar

Ingår i:Disability and Rehabilitation: Taylor & Francis Group44:15, s. 3834-38420963-82881464-5165

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Av författaren/redakt...: Liljeroos, Thea; Puthoopparambil, ...; Wallert, John; Held, Claes, 195 ...; Olsson, Erik, 19 ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kardiologi

SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Psykologi

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Av lärosätet: Uppsala universitet; Karolinska Institutet

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