{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T12:03:38Z","timestamp":1788609818838,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"17-18","license":[{"start":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T00:00:00Z","timestamp":1431993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"University College Zealand Denmark"},{"name":"The Department of Health Research in Region Zealand Denmark"},{"name":"The Department of Health Research in Naestved Hospital Denmark"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aims and objectives<\/jats:title>\n                    <jats:p>To investigate patients' lived experiences of exercise\u2010based cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Exercise\u2010based cardiac rehabilitation is used to enable patients with cardiac problems to move forward to lead satisfying lives. However, knowledge of patients' concerns while they follow the current programmes is sparse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study, which included nine men and two women with unstable angina pectoris and non\u2010ST\u2010elevation myocardial infarction, used a phenomenological\u2010hermeneutic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The patients were followed by field observations during exercise\u2010based cardiac rehabilitation. Focus group interviews were conducted at the programme end, and individual interviews were performed one to two months later. The interpretation comprised three methodological steps: na\u00efve reading, structural analysis, and comprehensive interpretation and discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Although both physically and psychologically challenged, the patients were encouraged to maintain an active lifestyle. Three themes were identified:\n                      <jats:italic>anxiety regarding exercise,<\/jats:italic>\n                      whereby the patients are initially insecure about how to behave with their diseased hearts;\n                      <jats:italic>encouragement from training together,<\/jats:italic>\n                      whereby the patients support each other in exercising; and\n                      <jats:italic>growing confidence in the heart,<\/jats:italic>\n                      whereby the patients enjoy being physically active.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In exercise\u2010based cardiac rehabilitation, patients' insecurity with respect to their heart disease is revealed as an existential anxiety. Through peer support and a positive physical perception, the patients gain renewed self\u2010efficacy, helping them to continue their lives in an active and satisfying way.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to clinical practice<\/jats:title>\n                    <jats:p>Knowing that patients are confronted with an existential anxiety during exercise\u2010based cardiac rehabilitation is important because it requires specific care. Recognising this anxiety also highlights how participating in the programme can be very demanding, which can help us understand aspects of adherence problems. Of greatest importance is that exercise\u2010based cardiac rehabilitation enables patients to find a new foothold, which comprises enjoying being physically active.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.12867","type":"journal-article","created":{"date-parts":[[2015,5,19]],"date-time":"2015-05-19T02:52:32Z","timestamp":1432003952000},"page":"2581-2590","source":"Crossref","is-referenced-by-count":47,"title":["Dealing with existential anxiety in exercise\u2010based cardiac rehabilitation: a phenomenological\u2010hermeneutic study of patients' lived experiences"],"prefix":"10.1111","volume":"24","author":[{"given":"Charlotte P","family":"Simon\u00ff","sequence":"first","affiliation":[{"name":"Institute of Health Section\u00a0of Nursing Science Aarhus University Aarhus Denmark"},{"name":"Region Zealand Slagelse Hospital Slagelse Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birthe D","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Research Unit of Nursing Institute of Clinical Research University of Southern Denmark Odense M Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Dreyer","sequence":"additional","affiliation":[{"name":"Institute of Health Section\u00a0of Nursing Science Aarhus University Aarhus Denmark"},{"name":"Department of Anaesthesiology Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regner","family":"Birkelund","sequence":"additional","affiliation":[{"name":"Section\u00a0of Health Services Research Lillebaelt Hospital\/University of Southern Denmark Vejle Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,5,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2011.20.2.107"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2001.02040.x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328334f42d"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03523.x"},{"key":"e_1_2_13_6_1","volume-title":"Selvets verden: Et livsforl\u00f8bs perspektiv [Self World: A Lifetime Perspective]","author":"Br\u00f8dslev Olsen J","year":"2000"},{"key":"e_1_2_13_7_1","first-page":"119","volume-title":"Perspektiver p\u00e5 rum og forandring","author":"Br\u00f8dslev Olsen J","year":"2003"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03601.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482620500478405"},{"issue":"4","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"S56","DOI":"10.1097\/JCN.0b013e318213efcf","article-title":"The global burden of cardiovascular disease","volume":"26","author":"Deaton C","year":"2011","journal-title":"The Journal of Cardiovascular Nursing"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2009.00433.x"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.12968\/ijtr.2010.17.11.79541"},{"key":"e_1_2_13_13_1","volume-title":"Ethnography \u2013 Principles in Practice","author":"Hammersley M","year":"2007"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001800.pub2"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-5151(03)00033-1"},{"key":"e_1_2_13_16_1","first-page":"26","volume-title":"The Concept of Anxiety [Begrebet angst]","author":"Kierkegaard S","year":"1980"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2005.01518.x"},{"key":"e_1_2_13_18_1","volume-title":"InterViews: An Introduction to Qualitative Research Interviewing","author":"Kvale S","year":"1996"},{"key":"e_1_2_13_19_1","doi-asserted-by":"crossref","DOI":"10.4324\/9780203994610","volume-title":"Phenomenology of Perception [Ph\u00e9nom\u00e9ologie de la perception]","author":"Merleau\u2010Ponty M","year":"2002"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.soc.22.1.129"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12272"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2009.10.002"},{"key":"e_1_2_13_23_1","unstructured":"PedersenBD(2005)Nursing Practice Language and Cognition. 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