The Perception of Exercise in Patients with Acute Myocardial Infarction

Authors

  • Raywadee Sanaklang Faculty of Nursing, Khon Kaen University
  • Wasana Ruaisungnoen Faculty of Nursing, Khon Kaen University
  • Maliwan Silarat Faculty of Nursing, Khon Kaen University

Keywords:

Perception, Exercise, Acute myocardial infarction

Abstract

Exercise, while beneficial for heart health in acute myocardial infarction (AMI) survivors, is often avoided due to fear. This descriptive qualitative study explored the perceptions of exercise in 20 AMI patients through in-depth interviews. Interviews were conducted using an interview guide developed by the researchers. The objective was to explore the perception of exercise in terms of its meaning, related factors, and exercise patterns.

The results revealed that AMI patients viewed any movement as exercise as they stated "any movement is exercise" and "movements prolong life" reflecting a recognition of its health benefits. Motivators included regaining health, recognizing exercise benefits, having friends to exercise, and family encouragement. However, fear of chest pain, anxiety, fatigue, and mobility limitations acted as barriers. They desired personalized, device-assisted, and supervised exercise, highlighting the need for tailored programs and specialized coaching for safe and effective rehabilitation.

Therefore, healthcare teams should develop diverse, personalized exercise programs and provide specialized coaching to ensure safe and effective rehabilitation for AMI patients.

References

Alharbi, M., Gallagher, R., Neubeck, L., Bauman, A., Prebill, G., Kirkness, A., & Randall, S. (2017). Exercise barriers and the relationship to self-efficacy for exercise over 12 months of a lifestyle-change program for people with heart disease and/or diabetes. European Journal of Cardiovascular Nursing, 16(4), 309–317.

American Association of Cardiovascular and Pulmonary Rehabilitation. (2020). Guidelines for cardiac rehabilitation programs (6th ed.). Human Kinetics.

Byrne, R. A., Rossello, X., Coughlan, J. J., Barbato, E., Berry, C., Chieffo, A., Claeys, M. J., Dan, G. A., Dweck, M. R., Galbraith, M., Gilard, M., Hinterbuchner, L., Jankowska, E. A., Jüni, P., Kimura, T., Kunadian, V., Leosdottir, M., Lorusso, R., Pedretti, R. F. E., … Ibanez, B. (2023). 2023 ESC guidelines for the management of acute coronary syndromes. European Heart Journal, 44(38), 3720–3826. https://doi.org/10.1093/eurheartj/ehad191

Damrongsin, S., Putwatana, P., & Khuwatsamrit, K. (2017). Self–care behaviors among patients with coronary in-stent restenosis. Journal of The Royal Thai Army Nurses, 18(2), 220–227. (in Thai)

Fangreow, S., & Ua-Kit, N. (2021). The effect of health promoting program on physical activity among myocardial infarction re-hospitalized patients after underwent percutaneous coronary intervention. Thai Journal of Cardio-Thoracic Nursing, 32(1), 14–28. (in Thai)

Gadager, B. B., Tang, L. H., Ravn, M. B., Doherty, P., Harrison, A., Christensen, J., Taylor, R. S., Zwisler, A. D., & Maribo, T. (2022). Benefits of cardiac rehabilitation following acute coronary syndrome for patients with and without diabetes: A systematic review and meta-analysis. BMC Cardiovascular Disorders, 22(1), 295. https://doi.org/10.1186/s12872-022-02723-5

Heart Association of Thailand Under the Royal Patronage of H. M. the King, Cardiovascular Intervention Association Thailand, Thai Vascular Association, & Committee for the Development of Health Service Systems in the Heart Disease Branch Ministry of Public Health. (2020). Thai acute coronary syndromes guidelines 2020. http://www.thaiheart.org/images/introc_1599350902/Thai%20ACS%20Guidelines%202020.pdf (in Thai)

Herber, O. R., Smith, K., White, M., & Jones, M. C. (2017). ‘Just not for me’-contributing factors to nonattendance/noncompletion at phase III cardiac rehabilitation in acute coronary syndrome patients: A qualitative enquiry. Journal of Clinical Nursing, 26(21–22), 3529–3542. https://doi.org/10.1111/jocn.13722

Hu, Q., Li, P. X., Li, Y. S., Ren, Q., Zhang, J., Liang, Y. C., Zhang, Q. Y., & Han, Y. L. (2023). Daily exercise improves the long-term prognosis of patients with acute coronary syndrome. Frontiers in Public Health, 11, 1126413. https://doi.org/10.3389/fpubh.2023.1126413

Meuandej, S., Senangkanikorn, N., Kamlaithong, N., & Saorong, P. (2021). The suitable health fitness center for the urban society. Rattanakosin Journal of Social Sciences and Humanities, 3(2), 70-81. (in Thai)

Nilsson, U., Oberg, B., & Back, M. (2023). Patients’ perceptions of exercise-based cardiac telerehabilitation after a myocardial infarction-a qualitative study. International Journal of Environmental Research and Public Health, 20(7), 5420. https://doi.org/10.3390/ijerph20075420

Ponpai, W., & Kaidit, A. (2017). Predictors for exercise behaviors among health personnel in Songkhla province. The Southern College Network Journal of Nursing and Public Health, 4(Suppl.), S180–S195. (in Thai)

Prateepmanowong, J. (2019). The relationships between activities of daily living, exercise behaviour and quality of life in older persons with coronary artery disease. The Journal of Faculty of Nursing Burapha University, 27(4), 66-76. (in Thai)

Rerkluenrt, J. (2019). Effect of learning-activated-telephone-home visiting (LATH) program on quality of life among patients with coronary artery disease. Thai Journal of Cardio-Thoracic Nursing, 30(1), 89-101. (in Thai)

Ruaisungnoen, W., Silarat, M., & Wonggom, P. (2020). Home-based cardiac rehabilitation for patients with coronary artery disease. Journal of Nursing and Health Care, 38(4), 18-27. (in Thai)

Ruano-Ravina, A., Pena-Gil, C., Abu-Assi, E., Raposeiras, S., van ’t Hof, A., Meindersma, E., Prescott, E. I. B., & González-Juanatey, J. R. (2016). Participation and adherence to cardiac rehabilitation programs: A systematic review. International Journal of Cardiology, 223, 436-443. https://doi.org/10.1016/j.ijcard.2016.08.120

Servio, T. C., Britto, R. R., de Melo Ghisi, G. L., da Silva, L. P., Silva, L. D. N., Lima, M. M. O., Pereira, D. A. G., & Grace, S. L. (2019). Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients. BMC Health Services Research, 19(1), 615. https://doi.org/10.1186/s12913-019-4463-9

Strategy and Planning Division, Ministry of Public Health. (2022). Public health statistics A.D. 2021. The Ministry of Public Health. (in Thai)

Sukanan, G., Salaeh, S., & Kaewutai, K. (2022). The development of nursing care model for rehabilitation of congestive heart failure patients in Pattani Hospital. The Journal of Faculty of Nursing Burapha University, 30(2), 67-80. (in Thai)

Thitikul, M., Duangpaeng, S., & Kunsongkeit, W. (2017). Factors influencing exercise behavior among acute myocardial infarction patients after percutaneous coronary intervention. Thai Red Cross Nursing Journal, 10(2), 155-173. (in Thai)

Tongtiam, W., Tantikosoom, P., & Jitpanya, C. (2016). Factors related to physical activity in patients with cardiovascular disease: Synthesis of research in Thailand. Journal of the Police Nurses, 8(1), 34-43. (in Thai)

Visseren, F. L. J., Mach, F., Smulders, Y. M., Carballo, D., Koskinas, K. C., Bäck, M., Benetos, A., Biffi, A., Boavida, J. M., Capodanno, D., Cosyns, B., Crawford, C., Davos, C. H., Desormais, I., Angelantonio, E. D., Franco, O. H., Halvorsen, S., Hobbs, F. D. R., Hollander, M., … Williams, B. (2021). 2021 ESC guidelines on cardiovascular disease prevention in clinical practice. European Heart Journal, 42(34), 3227–3337. https://doi.org/10.1093/eurheartj/ehab484

Winnige, P., Vysoky, R., Dosbaba, F., & Batalik, L. (2021). Cardiac rehabilitation and its essential role in the secondary prevention of cardiovascular diseases. World Journal of Clinical Cases, 9(8), 1761-1784. https://doi.org/10.12998/wjcc.v9.i8.1761

World Health Organization. (2020). The top 10 causes of death. https://kku.world/0qeef

Downloads

Published

2024-06-24

How to Cite

Sanaklang, R., Ruaisungnoen, W., & Silarat, M. (2024). The Perception of Exercise in Patients with Acute Myocardial Infarction. Nursing Journal CMU, 51(2), 43–56. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/267719

Issue

Section

Research Article