Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study

People living in rural Iceland have a higher rate of cardiovascular risk factors and healthcare utilisation compared to people in urban areas. The aim of this qualitative study was to explore the experiences of people with coronary heart disease, living in rural Iceland regarding patient education,...

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Autores principales:	Thórunn Björg Jóhannsdóttir, Brynja Ingadottir, Margrét Hrönn Svavarsdóttir
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	coronary heart disease patient education lifestyle rural health qualitative research self-care telemedicine Arctic medicine. Tropical medicine RC955-962
Acceso en línea:	https://doaj.org/article/efea0ab462ff4fd094918c9fd9c2ae6a
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id	oai:doaj.org-article:efea0ab462ff4fd094918c9fd9c2ae6a
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spelling	oai:doaj.org-article:efea0ab462ff4fd094918c9fd9c2ae6a2021-12-01T14:41:00ZRural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study2242-398210.1080/22423982.2021.2007667https://doaj.org/article/efea0ab462ff4fd094918c9fd9c2ae6a2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/22423982.2021.2007667https://doaj.org/toc/2242-3982People living in rural Iceland have a higher rate of cardiovascular risk factors and healthcare utilisation compared to people in urban areas. The aim of this qualitative study was to explore the experiences of people with coronary heart disease, living in rural Iceland regarding patient education, surveillance, and self-care support. The participants (N = 14, age 52‒79 years, 8 male), were interviewed 6 to 12 months after hospital discharge following a cardiac event (in 2018‒2019). Systematic text-condensation was used for analysis. The findings were categorised into three main themes: Education and support describes inadequate patient education and support from health-care professionals after discharge from hospitaland how the internet was the main information source supplemented with spouse’s and family support. Local healthcare services describe thelack of and importance of access to health-care professionals, stable services, and underutilisation of telemedicine and primary healthcare in the local area, and Self-care behaviour describes the lack of professional support with lifestyle changes and how the participants manage self-care as well as their attitudes towards the disease. The results indicate that access to continuous healthcare services and person-centred support focusing on prevention strategies are widely impaired in rural areas in Iceland.Thórunn Björg JóhannsdóttirBrynja IngadottirMargrét Hrönn SvavarsdóttirTaylor & Francis Grouparticlecoronary heart diseasepatient educationlifestylerural healthqualitative researchself-caretelemedicineArctic medicine. Tropical medicineRC955-962ENInternational Journal of Circumpolar Health, Vol 80, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronary heart disease patient education lifestyle rural health qualitative research self-care telemedicine Arctic medicine. Tropical medicine RC955-962
spellingShingle	coronary heart disease patient education lifestyle rural health qualitative research self-care telemedicine Arctic medicine. Tropical medicine RC955-962 Thórunn Björg Jóhannsdóttir Brynja Ingadottir Margrét Hrönn Svavarsdóttir Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
description	People living in rural Iceland have a higher rate of cardiovascular risk factors and healthcare utilisation compared to people in urban areas. The aim of this qualitative study was to explore the experiences of people with coronary heart disease, living in rural Iceland regarding patient education, surveillance, and self-care support. The participants (N = 14, age 52‒79 years, 8 male), were interviewed 6 to 12 months after hospital discharge following a cardiac event (in 2018‒2019). Systematic text-condensation was used for analysis. The findings were categorised into three main themes: Education and support describes inadequate patient education and support from health-care professionals after discharge from hospitaland how the internet was the main information source supplemented with spouse’s and family support. Local healthcare services describe thelack of and importance of access to health-care professionals, stable services, and underutilisation of telemedicine and primary healthcare in the local area, and Self-care behaviour describes the lack of professional support with lifestyle changes and how the participants manage self-care as well as their attitudes towards the disease. The results indicate that access to continuous healthcare services and person-centred support focusing on prevention strategies are widely impaired in rural areas in Iceland.
format	article
author	Thórunn Björg Jóhannsdóttir Brynja Ingadottir Margrét Hrönn Svavarsdóttir
author_facet	Thórunn Björg Jóhannsdóttir Brynja Ingadottir Margrét Hrönn Svavarsdóttir
author_sort	Thórunn Björg Jóhannsdóttir
title	Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
title_short	Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
title_full	Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
title_fullStr	Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
title_full_unstemmed	Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
title_sort	rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/efea0ab462ff4fd094918c9fd9c2ae6a
work_keys_str_mv	AT thorunnbjorgjohannsdottir ruralpatientsexperienceofeducationsurveillanceandselfcaresupportafterheartdiseaserelatedhospitalisationaqualitativestudy AT brynjaingadottir ruralpatientsexperienceofeducationsurveillanceandselfcaresupportafterheartdiseaserelatedhospitalisationaqualitativestudy AT margrethronnsvavarsdottir ruralpatientsexperienceofeducationsurveillanceandselfcaresupportafterheartdiseaserelatedhospitalisationaqualitativestudy
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Rural patients’ experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study

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