Vol. 20 No. 38 (2023): Spirituality & Health
Oversigtsartikel

A review of the existential concerns of cardiac arrest survivors and the implications for rehabilitation: Do we need a new tool in the toolbox?

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  • Tobias Kvist Stripp,
  • Vicky Louise Joshi
Tobias Kvist Stripp
Institut for Sundhedstjenesteforskning, Syddansk Universitet
Bio
Vicky Louise Joshi
Videnscenter for Rehabilitering og Palliation, Odense Universitetshospital, Odense
Bio
DOI: https://doi.org/10.7146/tfss.v20i38.131489

Published 2023-06-20

Keywords

  • cardiac arrest survivor,
  • existential,
  • rehabilitation,
  • spiritual,
  • total pain

How to Cite

Stripp, T. K., & Joshi, V. L. (2023). A review of the existential concerns of cardiac arrest survivors and the implications for rehabilitation: Do we need a new tool in the toolbox?. Tidsskrift for Forskning I Sygdom Og Samfund - Journal of Research in Sickness and Society, 20(38), 25–48. https://doi.org/10.7146/tfss.v20i38.131489
Copyright Notice

Abstract

Many survivors of a cardiac arrest will suffer long-term secondary physical and emotional consequences due to the cardiac arrest. Evidence, mainly from qualitative studies, indicates that existential concerns including fear of death, fear of reoccurrence, and lack of meaning could also be considered a key secondary consequence. Rehabilitation after cardiac arrest is recommended in international guidelines including cardiac rehabilitation for secondary prevention of cardiac disease. However, until now, models of rehabilitation have not explicitly included rehabilitation or care for existential or spiritual concerns. Existential concerns may have a negative impact on rehabilitation due to fear of movement/kinesiophobia or loss of meaning in life leading to reduced participation. Conversely, some survivors report their cardiac arrest has given them a new chance at life, a determination to stay healthy potentially increasing participation in rehabilitation. Screening survivors for existential issues could help identify those who would benefit from interventions to reduce these concerns. Further, screening could recognize survivors for whom existential concerns are a barrier to participating in rehabilitation. However, more research is needed on how to screen survivors for existential concerns, how they might influence participation in rehabilitation, and identify effective methods to mitigate existential concerns to ensure survivors of cardiac arrest return to the best life possible.

 

 

PDF (Dansk)

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