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What Do Patients Fear on Their First Out-of-Bed Mobilisation Following Open-Heart Surgery? A Phenomenological
Sevim Akbal1, Meltem Yildirim2, Seher Unver3
1Nursing Department in Health School, Trakya University, Kesan Health School, Edirne, Turkey.
Nursing in Critical Care
|August 18, 2025
Summary
Early mobilization after open-heart surgery is vital. Nurses
Area of Science:
- Cardiovascular Surgery
- Patient Recovery
- Nursing Care
Background:
- Early patient mobilization is critical for preventing complications like muscle weakness and respiratory issues post-surgery.
- Nurses face challenges when patients are reluctant to mobilize, impacting recovery.
Purpose of the Study:
- To explore patients' initial experiences with out-of-bed mobilization after open-heart surgery.
- To understand the emotions patients associate with this crucial recovery phase.
Main Methods:
- Phenomenological analysis of 16 open-heart surgery patients using semi-structured interviews.
- Data collected via face-to-face interviews (approx. 15 min each) between October 2022 and May 2023.
- Colaizzi's 7-step framework guided the descriptive phenomenological analysis.
Main Results:
- Patients reported fears of pain, dizziness, and falls during mobilization.
- Trust in nurses and their encouragement were key to overcoming fears.
- Positive mindset and prior successful mobilization motivated patients.
Conclusions:
- Tailored nursing interventions addressing psychological and physical concerns are essential for post-surgical mobilization.
- These interventions enhance patient recovery and mobility.
- Further research on specific interventions and multidisciplinary approaches is recommended.
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