Patients' experiences of mediastinitis after coronary artery bypass graft procedure

Area of Science:

• Cardiovascular Surgery
• Patient Experience Research
• Infectious Disease Complications

Background:

• Mediastinitis is a serious complication following Coronary Artery Bypass Graft (CABG) surgery.
• Limited research exists on the patient's perspective of suffering and care during mediastinitis post-CABG.
• Mediastinitis significantly impacts patient well-being, autonomy, and prolongs hospitalization.

Purpose of the Study:

• To explore patients' lived experiences of medical and nursing care for mediastinitis after CABG.
• To understand how patients coped with the stress and threats associated with mediastinitis and its treatment.
• To investigate patients' perceptions of the long-term influence of mediastinitis on their lives and CABG outcomes.

Main Methods:

• Qualitative study employing content analysis of patient experiences.
• Focus on patient narratives regarding their encounters with healthcare professionals and treatment.
• Exploration of coping mechanisms and future life impact.

Main Results:

• Three core themes emerged: physical/psychological discomfort impacting autonomy, coping with perceived danger and stress, and beliefs about the effect on CABG outcomes.
• Patient experiences were shaped by healthcare staff's knowledge, nursing care quality, and patient understanding.
• Coping strategies included problem-solving, information seeking, dissociation, distraction, minimization, and emotional expression.

Conclusions:

• Mediastinitis following CABG presents profound physical and psychological challenges for patients.
• The quality of medical and nursing care, patient comprehension, and individual coping mechanisms are crucial in managing the patient experience.
• Patients maintain a belief in positive CABG outcomes despite uncertainty regarding rehabilitation, highlighting the need for continued support and clear communication.