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

Aims and Objectives This study explores how individuals with ischemic heart disease (IHD) experience well‐being and suffering in the early post‐discharge period and how these experiences influence their perspectives on cardiac rehabilitation (CR). Methodological Design A phenomenological‐hermeneutic approach was applied. Semi‐structured interviews explored participants' lived experiences. The COREQ guideline was followed. Ethical Issues and Approval The study is registered in the Internal Directory of Research Projects in the Central Denmark Region (reg. no. 1‐16‐02‐232‐19). It adheres to ethical principles for qualitative research, and all participants gave verbal and written informed consent. Methods We conducted semi‐structured interviews with 17 patients recently discharged following hospitalisation for IHD. Interviews were analysed using a five‐step meaning condensation process, guided by existential theory on dwelling–mobility. Results The overarching theme ‘The ambiguity of being mortal and living well’ captures the paradox of existential ‘homelessness’ and possibilities for well‐being. Three themes emerged: (1) Existential concerns and considering the severity of the disease —facing uncertainty and struggling to trust in the body; (2) Confidence in returning to a normal everyday life —regaining control through social support and familiar activities; (3) Existential possibilities and appreciation of life —a renewed outlook marked by gratitude and motivation for meaningful change. CR is perceived as a source of reassurance and support, but must feel personally relevant. Conclusion Patients' existential experiences shortly after discharge influence their engagement with CR. A person‐centred conversation about CR that integrates existential concerns can support well‐being, foster confidence and enhance CR participation.