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Patient experiences following cardiothoracic surgery: an interview study.
Genevieve Gardner1, Doug Elliott, Jaswin Gill
1CNC, Cardiothoracic Surgery, Prince of Wales Hospital, Australia. gardnerg@sesahs.nsw.gov.au
European Journal of Cardiovascular Nursing
|June 1, 2005
Summary
Patients recovering from cardiothoracic surgery experience varied physical and psychological challenges. Enhanced support and education are crucial for managing expectations and improving recovery outcomes.
Area of Science:
- Cardiovascular Surgery
- Qualitative Health Research
Background:
- Limited research exists on the lived experiences of patients during cardiac surgery recovery.
- Previous studies focused on health-related quality of life but not individual recovery narratives.
Purpose of the Study:
- To explore patient memories and experiences during hospital stays and post-discharge recovery after cardiothoracic surgery.
- To identify key themes influencing patient recovery trajectories.
Main Methods:
- Exploratory qualitative approach utilizing semi-structured interviews with eight participants.
- Content analysis of interview transcripts, involving open coding and thematic categorization.
Main Results:
- Seven major themes emerged: ICU impressions, comfort, illness progression, social support, emotional state, acceptance, and life changes.
- Participants reported varied pain, dysfunction, and emotional disturbances, with some experiencing significant life view alterations.
- Memory of intensive care unit (ICU) stays was inconsistent, ranging from vivid recollections to complete amnesia.
Conclusions:
- Facilitating realistic recovery expectations requires improved patient orientation, education, and support.
- Systematic follow-up addressing both physical and psychological recovery is essential for optimal patient outcomes.