Coronary heart disease (CHD) has no cure and patients with myocardial infarction are at high risk for further cardiac events. Health education is a key driver for patients' understanding and motivation for lifestyle change, but little is known about patients' experience of such education. In this review, we aimed to explore how patients with CHD experience health education and in particular risk communication.A total of 2221 articles were identified through a systematic search in five databases. 40 articles were included and synthesized by using thematic analysis. Findings show that both 'what' was communicated, and 'the way' it was communicated, had the potential to influence patients' engagement with lifestyle changes. Communication about the potential of lifestyle change to reduce future risk were largely missing causing uncertainty, anxiety and for some disengagement with lifestyle change.Recommendations for ways to improve health education and risk communication are discussed to inform international practice.Qualitative Health Research preferences towards incorporating cardiopulmonary resuscitation training: A qualitative study.

Over the years, primary percutaneous coronary intervention (PCI) has been established as a superior emergency treatment for ST-elevation myocardial infarction (STEMI) in comparison to intravenous thrombolysis. This literature review is based on four qualitative studies and describes how patients with STEMI experience the acute phase of myocardial infarction with immediate PCI and how it affects their early recovery phase. Qualitative analysis in this study followed Noblit and Hare's method of metasynthesis. The results ascertained a correlation between the seriousness of the diagnosis and the quickness of treatment. PCI offers patients immediate pain relief. The patients' trust in the professionalism of the medical team becomes apparent through their passive participation during treatment. Although patients experience a quick recovery after PCI, they lack adequate information to completely understand their diagnosis of myocardial infarction. The patients feel having been cured by PCI, but continue to fear another myocardial infarction. The patients try to establish a new life routine, but report a lack of continuity in their healthcare provision. The results indicate that after PCI patients experience recurring changes of their perspective regarding their illness and well-being. Therefore, a comprehensive, sustained, and more patient-oriented approach regarding treatment in the early recovery phase is recommended.

No abstract

No abstract

No abstract