Patient perspectives of participating in the cardiac CopenHeartRFA rehabilitation program for patients treated with ablation for atrial fibrillation

Abstract

Signe S Risom,1,2 Johanne Lind,2 Pamela J McCabe,3 Selina Kikkenborg Berg1,4,5 1The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark; 2Department of Nursing, Metropolitan University College, Copenhagen, Denmark; 3Mayo Clinic, Rochester, MN, USA; 4Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; 5National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark Purpose: The CopenHeartRFA trial was designed and conducted to explore the effects of rehabilitation on patients treated with ablation for atrial fibrillation (AF). It included a cardiac rehabilitation program consisting of physical exercise and psychoeducational consultations over 6 months. As part of the evaluation of the CopenHeartRFA trial, both quantitative and qualitative data were collected. The intervention was delivered by a multidisciplinary team. Aim: This study aimed to understand the experience of patients treated for AF with ablation who participated in the CopenHeartRFA cardiac rehabilitation program. Methods: A qualitative descriptive design was used. A purposive sample of 10 patients who had completed the intervention consented to participate. The interviews were conducted face-to-face and were audio-recorded and transcribed. Qualitative content analyses were used to analyze the data. The interviews were analyzed individually by two researchers and themes were constructed and discussed. Results: The sample included 10 participants, mean age 54.6 years. Four categories were identified and labeled: 1) strengthening belief in one’s own physical capacity and survival; 2) still struggling with fear of AF symptoms; 3) a need for support to move on; and 4) regaining confidence in one’s own mental strength with support from professionals. Conclusion: The four themes describe a positive experience from participating in the rehabilitation program. The rehabilitation program promoted self-efficacy for engaging in physical activity and the benefit of a safe environment for processing the emotional responses and the value of the therapeutic relationship between the patient and the rehabilitation provider. Keywords: atrial fibrillation, rehabilitation, qualitative research

Keywords

• Atrial fibrillation
• rehabilitation
• qualitative research.