Implementation of Early Mobilization in Post-CABG Patients: A Constructivist Grounded Theory Study

Area of Science:

• Cardiovascular Surgery
• Rehabilitation Medicine
• Health Psychology

Background:

• Coronary artery bypass grafting (CABG) is a critical treatment for coronary artery disease.
• Effective postoperative rehabilitation, particularly early mobilization, is vital for patient recovery.
• Suboptimal adherence to early mobilization protocols post-CABG presents a significant clinical challenge.

Purpose of the Study:

• To explore the situational factors facilitating successful early mobilization in patients post-coronary artery bypass grafting (CABG).
• To identify key elements that enable patients to adhere to early activity protocols after CABG surgery.

Main Methods:

• Conducted semi-structured interviews with 15 post-CABG patients who successfully implemented early mobilization.
• Employed a constructivist grounded theory approach to data analysis.
• Modified interview guides iteratively based on emerging themes.

Main Results:

• Identified three stages of successful early mobilization: intention, initiation, and maintenance.
• Highlighted three influential domains: Core Context (perceived importance, beliefs, personal experiences), Essential Conditions (physical/psychological state, knowledge, outcomes), and External Factors (environment, rehabilitation system, social support).

Conclusions:

• Offers novel insights into the facilitators of early mobilization post-CABG by focusing on successful patient experiences.
• Provides a foundation for developing targeted interventions to enhance patient adherence to rehabilitation protocols.
• Emphasizes the importance of a holistic approach, considering patient-specific, systemic, and social factors.