{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T12:21:42Z","timestamp":1764332502847},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T00:00:00Z","timestamp":1497484800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Cardiovascular Nursing"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Little evidence exists on whether cardiac rehabilitation is effective for patients after heart valve surgery. Yet, accepted recommendations for patients with ischaemic heart disease continue to support it. To date, no studies have determined what heart valve surgery patients prefer in a cardiac rehabilitation programme, and none have analysed their experiences with it. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aims:<\/jats:title><jats:p> The purpose of this qualitative analysis was to gain insight into patients\u2019 experiences in cardiac rehabilitation, the CopenHeart<jats:sub>VR<\/jats:sub> trial. This trial specifically assesses patients undergoing isolated heart valve surgery. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p> Semi-structured interviews were conducted with nine patients recruited from the intervention arm of the trial. The intervention consisted of a physical training programme and a psycho-educational intervention. Participants were interviewed three times: 2\u20133 weeks, 3\u20134 months and 8\u20139 months after surgery between April 2013 and October 2014. Data were analysed using qualitative thematic analysis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> Participants had diverse needs and preferences. Two overall themes emerged: cardiac rehabilitation played an important role in (i) reducing insecurity and (ii) helping participants to take active personal responsibility for their health. Despite these benefits, participants experienced existential and psychological challenges and musculoskeletal problems. Participants also sought additional advice from healthcare professionals both inside and outside the healthcare system. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p> Even though the cardiac rehabilitation programme reduced insecurity and helped participants take active personal responsibility for their health, they experienced existential, psychological and physical challenges during recovery. The cardiac rehabilitation programme had several limitations, having implications for designing future programmes. <\/jats:p><\/jats:sec>","DOI":"10.1177\/1474515117716245","type":"journal-article","created":{"date-parts":[[2017,6,15]],"date-time":"2017-06-15T20:37:26Z","timestamp":1497559046000},"page":"45-53","update-policy":"http:\/\/dx.doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Patient perceptions of experience with cardiac rehabilitation after isolated heart valve surgery"],"prefix":"10.1093","volume":"17","author":[{"given":"Tina B","family":"Hansen","sequence":"first","affiliation":[{"name":"Department of Cardiology, Zealand University Hospital, Roskilde, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Selina K","family":"Berg","sequence":"additional","affiliation":[{"name":"The Heart Centre, Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstine L","family":"Sibilitz","sequence":"additional","affiliation":[{"name":"The Heart Centre, Department of Cardiology, Copenhagen University Hospital, Rigshospitalet, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann D","family":"Zwisler","sequence":"additional","affiliation":[{"name":"National Centre of Rehabilitation and Palliation, University of Southern Denmark and University Hospital of Odense, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tone M","family":"Norekv\u00e5l","sequence":"additional","affiliation":[{"name":"Department of Heart Disease, Haukeland University Hospital, Bergen, Norway"}],"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"}]},{"given":"Niels","family":"Buus","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Midwifery, University of Sydney, Australia"},{"name":"St Vincent\u2019s Private Hospital Sydney, Australia"},{"name":"St Vincent\u2019s Hospital Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,6,15]]},"reference":[{"key":"bibr1-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69208-8"},{"key":"bibr2-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.2010.203661"},{"key":"bibr3-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2015.04.078"},{"key":"bibr4-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu425"},{"key":"bibr5-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6955-12-23"},{"key":"bibr6-1474515117716245","first-page":"CD010876","volume":"3","author":"Sibilitz KL","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr7-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi426"},{"key":"bibr8-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3283313592"},{"key":"bibr9-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12076"},{"key":"bibr10-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12904"},{"key":"bibr11-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000104"},{"key":"bibr12-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/2047487314536364"},{"key":"bibr13-1474515117716245","first-page":"pii","author":"Sibilitz KL","year":"2016","journal-title":"Heart"},{"key":"bibr14-1474515117716245","doi-asserted-by":"publisher","DOI":"10.4135\/9781849209878"},{"key":"bibr15-1474515117716245","volume-title":"The active interview","author":"Holstein JA","year":"2015"},{"key":"bibr16-1474515117716245","volume-title":"The human becoming school of thought: A perspective for nurses and other health professionals","author":"Parse RR","year":"1998"},{"key":"bibr17-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/1474515114521920"},{"key":"bibr18-1474515117716245","unstructured":"Coffey AJ, Atkinson PA. Making sense of qualitative data: Complementary research strategies. London: SAGE Publications, 1996."},{"key":"bibr19-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/107780040200800307"},{"key":"bibr20-1474515117716245","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v10.28717"},{"key":"bibr21-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcnurse.2011.03.005"},{"key":"bibr22-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.12867"},{"key":"bibr23-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313501093"},{"key":"bibr24-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/0193945904265690"},{"key":"bibr25-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/1474515115594524"},{"key":"bibr26-1474515117716245","first-page":"6","volume":"8","author":"Barello S","year":"2016","journal-title":"Front Psychol"},{"key":"bibr27-1474515117716245","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.5763"},{"key":"bibr28-1474515117716245","volume-title":"Narrative inquiry","author":"Lincoln Y","year":"1985"},{"key":"bibr29-1474515117716245","first-page":"354","volume":"28","author":"Siemieniuk RA","year":"2016","journal-title":"BMJ"},{"key":"bibr30-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/1474515116641297"},{"key":"bibr31-1474515117716245","doi-asserted-by":"publisher","DOI":"10.1177\/2047487314526072"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1474515117716245","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1474515117716245","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1474515117716245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T09:33:41Z","timestamp":1610530421000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/17\/1\/45-53\/5925015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,15]]},"references-count":31,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1177\/1474515117716245"],"URL":"https:\/\/doi.org\/10.1177\/1474515117716245","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,6,15]]}}}