Existential Well-Being and Suffering in the Context of Cardiac Rehabilitation: A Qualitative Interview Study

Abstract

Aim: This study explored how people with ischemic heart disease (IHD) experience well-being and suffering shortly after hospital discharge, and how this shapes their views on cardiac rehabilitation (CR).

Methods: Using a phenomenological-hermeneutic approach, semi-structured interviews were conducted with 17 recently discharged IHD patients. Data were analysed through a five-step meaning condensation process informed by existential theory. The study followed COREQ guidelines and ethical standards, with informed consent obtained from all participants.

Results: The main theme, “The ambiguity of being mortal and living well,” reflected tensions between vulnerability and well-being. Three themes emerged: (1) existential concerns, uncertainty, and loss of trust in the body; (2) rebuilding everyday life through support and familiar routines; and (3) renewed appreciation of life and motivation for change. CR was viewed as reassuring and supportive when perceived as personally relevant.

Conclusion: Existential experiences after discharge influence engagement in CR. Person-centred conversations that address existential concerns may strengthen well-being, confidence, and participation in rehabilitation.