A qualitative study exploring patients’ experiences of standard care or cardiac rehabilitation post minor stroke and transient ischaemic attack

Abstract

Objective:

To explore individuals’ experiences of receiving either standard care or comprehensive cardiac rehabilitation post minor stroke or transient ischaemic attack.

Design:

A qualitative study using semi-structured interviews, alongside a randomized controlled trial, exploring the effectiveness of comprehensive cardiac rehabilitation compared with standard care. Interviews were transcribed verbatim and subjected to thematic analysis.

Setting:

Individuals’ homes.

Subjects:

People who have experienced a minor stroke or transient ischaemic attack and who were partaking in a secondary prevention randomized controlled trial (6–7 months post the event, 17 males, five females; mean age 67 years).

Interventions:

Not relevant.

Main measures:

Not relevant.

Results:

Four themes were identified: information delivery, comparing oneself with others, psychological impact, attitudes and actions regarding risk factor reduction. Participants indicated a need for improved information delivery, specific to their own risk factors and lifestyle changes. Many experienced psychological impact as a result of their minor stroke. Participants were found to make two types of social comparison; the comparison of self to another affected by stroke, and the comparison of self to cardiac patients.

Conclusion:

Comprehensive cardiac rehabilitation was reported to have positive effects on people’s motivation to exercise. Following a minor stroke, many individuals do not recall information given or risk factors specific to them. Downward comparison with individuals who have had a cardiovascular event led to some underplaying the significance of their minor stroke.

Keywords

Minor stroke transient ischaemic attack cardiac rehabilitation secondary prevention

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