The Health Directorate of East-Iceland, Egilsstadir, Iceland.
Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland and Landspitali University Hospital, Reykjavik, Iceland.
Int J Circumpolar Health. 2021 Dec;80(1):2007667. doi: 10.1080/22423982.2021.2007667.
People living in rural Iceland have a higher rate of cardiovascular risk factors and healthcare utilisation compared to people in urban areas.The aim of this qualitative study was to explore the experiences of people with coronary heart disease, living in rural Iceland regarding patient education, surveillance, and self-care support. The participants (N = 14, age 52‒79 years, 8 male), were interviewed 6 to 12 months after hospital discharge following a cardiac event (in 2018‒2019). Systematic text-condensation was used for analysis. The findings were categorised into three main themes: describes inadequate patient education and support from health-care professionals after discharge from hospitaland how the internet was the main information source supplemented with spouse's and family support. describe thelack of and importance of access to health-care professionals, stable services, and underutilisation of telemedicine and primary healthcare in the local area, and describes the lack of professional support with lifestyle changes and how the participants manage self-care as well as their attitudes towards the disease.The results indicate that access to continuous healthcare services and person-centred support focusing on prevention strategies are widely impaired in rural areas in Iceland.
冰岛农村居民的心血管危险因素和医疗保健利用率高于城市居民。本定性研究旨在探讨居住在冰岛农村的冠心病患者在患者教育、监测和自我护理支持方面的体验。参与者（N=14，年龄 52-79 岁，8 名男性）在 2018-2019 年心脏病发作后出院 6-12 个月接受了采访。采用系统文本压缩进行分析。研究结果分为三个主题：（1）描述了出院后医护人员提供的不足够的患者教育和支持，以及互联网是主要的信息来源，同时还得到了配偶和家庭的支持。（2）描述了当地医疗专业人员、稳定的服务、远程医疗和初级保健的缺乏和重要性，以及对生活方式改变缺乏专业支持，参与者如何管理自我护理以及他们对疾病的态度。（3）结果表明，冰岛农村地区普遍存在持续医疗服务和以预防策略为重点的以人为本的支持机会有限。
