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Fear of movement after an acute cardiac event, experiences, beliefs, barriers and support needs in patients and their caregiver.

Session EAPC Essentials 4 You - ePosters

Speaker Paul Keessen

Event : EAPC Essentials 4 You 2020

  • Topic : preventive cardiology
  • Sub-topic : Secondary Prevention
  • Session type : ePosters

Authors : P Keessen (Amsterdam,NL), CHM Latour (Amsterdam,NL), B Visser (Amsterdam,NL), ICD Van Duijvenbode (Amsterdam,NL), A Van Proosdij (Amsterdam,NL), D Reen (Amsterdam,NL), WJM Scholte Op Reimer (Amsterdam,NL)

P Keessen1 , CHM Latour1 , B Visser1 , ICD Van Duijvenbode1 , A Van Proosdij1 , D Reen1 , WJM Scholte Op Reimer2 , 1Amsterdam University of Applied Sciences , ACHIEVE - Amsterdam Centre for Innovative Health Practice - Amsterdam - Netherlands (The) , 2Amsterdam UMC - Location Academic Medical Center - Amsterdam - Netherlands (The) ,

Secondary Prevention

Background: Fear of movement (Kinesiophobia) after an acute cardiac hospitalization (ACH) is associated with reduced physical activity (PA) and non-adherence to cardiac rehabilitation (CR). In order to stimulate PA and the uptake of CR, more insight is needed in 1) experiences, beliefs and barriers associated with kinesiophobia and 2) support needs in patients and spouses concerning PA and CR.
Purpose: To investigate factors (i.e. experiences, beliefs and barriers) related to the presence of kinesiophobic traits after an ACH.  
Methods: 16 participants (9 women, mean age 63) with an ACH were included in this study. Nine patients were identified with high levels of kinesiophobia (Tampa Scale for Kinesiophobia Diutch version >28). Patients participated in semi-structures interviews 2-3 weeks after hospital discharge. All interviews were analyzed with an inductive content analysis.
Results: Six main themes were identified as experiences, beliefs and barriers related to kinesiophobia: 1) negative experience hospital, 2) lack of information and support, 3) distressing body signals, 4) Fear of injury, 5) passive coping style and 6) Lack of support. Patients formulated the following support needs: 1) consistent information about their cardiac event/intervention and building up PA after ACH, 2) contact with a health care professional during and after hospital discharge to be reassured and develop and active lifestyle.
Conclusion: This study reveals important factors that are related to kinesiophobia and describes the support needs of patients with kinesiophobia. These findings can be used to develop a tailored intervention to prevent kinesiophobia and potentially bridge the gap from hospital discharge to CR.

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