Exploring Positive Health in Cardiac Patients: Personal Goals and Key Factors for Achieving Improved Well-Being.

Abstract

Positive health (PH) offers a broader perspective on well-being, emphasizing the ability to self-manage social, physical, and emotional challenges. This study explores PH among cardiac patients by assessing their self-perceived health, personal goals, and what is needed to achieve these goals, aiming to guide healthcare improvements from a holistic perspective. A qualitative, phenomenological study was conducted with 10 Dutch-speaking cardiac patients at the Medisch Spectrum Twente cardiology outpatient clinic. Participants completed the My Positive Health tool online, followed by a semistructured interview conducted at the clinic. Thematic analysis revealed that participants rated their health as moderate. Participants reported physical limitations (fatigue and shortness of breath) and mental challenges (anxiety and difficulty accepting). Personal goals included improving physical health, reducing anxiety, enhancing daily functioning, and adopting healthier lifestyles. Participants identified professional support, self-care, tools (eg, diet apps and planners), and changes in medical practices as critical factors needed to achieve their goals. Cardiac patients face multidimensional challenges beyond physical symptoms. A personalized, holistic healthcare approach aligned with the PH concept can better address these needs, improving well-being and reducing disease burden.