Hinder och underlättande faktorer för initiering till fysisk träning efter hjärtinfarkt

Sammanfattning: Background: Myocardial infarction is one of the biggest health issues in Sweden. Over 25000 swedes get affected every year. There is strong evidence to show physical exercise can reduce heart related diseases and death. Only about 50 % of the patients participate in physical exercise after myocardial infarction. More knowledge about which biopsychosocial barriers and facilitators that can influence initiation to physical exercise in myocardial patients is therefore demanded. Purpose: The aim of this study was to investigate experienced barriers and facilitators to initiate physical exercise after a myocardial infarction. Method: A qualitative design with semi-structured interviews was used in this study. Five informants which experienced a myocardial infarction in the last 24 months. For the process and analysis of data a qualitative content analysis was used. Results: Other priorities, fatigue, fears and lack of self awareness to exercise activity-level was found as barriers for initiating physical exercise after myocardial infarction.Social support, importance of exercise, goals and individualised activity was found to be facilitators for initiating physical exercise after myocardial infarction. Conclusion: A good relationship, trust and information about the effects of physical exercise together with individualised exercise recommendations is important for facilitating initiationof physical exercise in myocardial patients.