{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T22:49:34Z","timestamp":1778798974199,"version":"3.51.4"},"reference-count":39,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,1,22]],"date-time":"2016-01-22T00:00:00Z","timestamp":1453420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Danish Strategic Research Council","award":["10-092790"],"award-info":[{"award-number":["10-092790"]}]},{"name":"Region Zealand, Denmark"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To explore the structure and content of narratives about the recovery process among patients undergoing heart valve surgery participating in cardiac rehabilitation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Several studies with short\u2010term follow\u2010up have shown that recovering from cardiac surgery can be challenging, but evidence on the long\u2010term recovery process is very limited, especially following heart valve surgery. Furthermore, few studies have explored the recovery process among cardiac rehabilitation participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study with serial interviews analysed using narrative methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We collected data over 18\u00a0months (April 2013\u2013October 2014). We recruited nine patients undergoing heart valve surgery from a randomized trial, CopenHeart<jats:styled-content style=\"fixed-case\"><jats:sub>VR<\/jats:sub><\/jats:styled-content> and conducted 27 individual narrative interviews at 2\u20103\u00a0weeks, 3\u20104\u00a0months and 8\u20109\u00a0months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>Following heart valve surgery, the participants expected to return to normality. The analysis identified four courses of recovery, with three non\u2010linear complex pathways deviating from the classic restitution narrative: the frustrated struggle to resume normality, the challenged expectation of normality \u2013 being in a limbo and becoming a heart patient. These deviating pathways were characterized by physical, existential and mental challenges even up to 9\u00a0months after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The recovery processes of participants' in cardiac rehabilitation were often more complicated than anticipated. Patients undergoing heart valve surgery may benefit from more extensive medical follow\u2010up immediately after discharge, individual psychological assessment and individualized, realistic information about the recovery trajectory.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.12904","type":"journal-article","created":{"date-parts":[[2016,1,22]],"date-time":"2016-01-22T14:10:16Z","timestamp":1453471816000},"page":"1097-1108","source":"Crossref","is-referenced-by-count":24,"title":["Cardiac rehabilitation patients' perspectives on the recovery following heart valve surgery: a narrative analysis"],"prefix":"10.1111","volume":"72","author":[{"given":"Tina Birgitte","family":"Hansen","sequence":"first","affiliation":[{"name":"Department of Cardiology Roskilde Hospital Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Dorthe","family":"Zwisler","sequence":"additional","affiliation":[{"name":"National Centre of Rehabilitation and Palliation University of Southern Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selina Kikkenborg","family":"Berg","sequence":"additional","affiliation":[{"name":"The Heart Centre Department of Cardiology Rigshospitalet Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstine L\u00e6rum","family":"Sibilitz","sequence":"additional","affiliation":[{"name":"The Heart Centre Department of Cardiology Rigshospitalet Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4980-4096","authenticated-orcid":false,"given":"Niels","family":"Buus","sequence":"additional","affiliation":[{"name":"Institute of Public Health University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Lee","sequence":"additional","affiliation":[{"name":"Institute of Public Health University of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,1,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2010.205096"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2005.09.006"},{"key":"e_1_2_11_4_1","unstructured":"BakerS.E.&EdwardsR.(2012)Downloaded(9\/11\u201015). 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