Year: 2023
Type: conference-abstract
Abstract: Background Cardiac events can be serious and life-changing. Whilst the physical or bodily (corporeal) effects of a cardiac event are well-researched, little research investigates psychosocial impacts, especially when the two recovery trajectories differ. Aim Using findings from a study of socio-cultural influences on exercise and health along the cardiac patient journey, this paper explores corporeal and psychosocial recovery and experiences of mind-body detachment. Methods Ethnographic research, undertaken with people having experienced a cardiac event and their significant others (n=17), explored the cardiac patient journey through participant observation, repeated semi-structured interviews, and reflexive journaling. Bourdieu’s sociological theoretical framework provided a powerful lens through which to analyse data. Written informed consent was obtained from all research participants and from non-participants present during observations. Ethical approval was obtained from NHS Research Ethics Committee and Health Research Authority (Ref: 19/YH/0183). Results Whilst the NHS cardiac rehabilitation model includes exercise and psychosocial support, these sub-fields of health care are often only accessed by those whose habitus (dispositions, attitudes, values that shape perceptions and actions) and capital (different resources) support their participation. This is made more difficult by the habitus-shaking effect of ill-health; thus, recovery journeys can be highly complex. Notably, prevailing societal discourses posit ageing-as-decline, making serious ill-health particularly psychosocially difficult to reconcile. Conclusion Physical and psychosocial recovery support are already core components of cardiac rehabilitation. However, it is important to acknowledge the complexity of support. This requires health professionals to discuss with patients personalised, socio-culturally informed, flexible approaches to exploring a multitude of interventions and agreeing care plans.
Source: Heart
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4387401050