Experiences and care needs of post-discharge patients who underwent cardiac surgery: A qualitative study

IF 1.7 4区 医学 Q2 NURSING
Akiko Makino, Satoshi Nakata, Toshiko Yoshida
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引用次数: 0

Abstract

Aim

This study clarifies the physical, psychological, and social forms of distress in, and care needs of, cardiac surgery patients, including optimal times for supporting them in their post-hospital discharge daily lives.

Methods

Semi-structured qualitative interviews were conducted. Participants included 12 adults (11 male and one female, mean age = 66.5 years) who had undergone cardiac surgery, experienced intensive care, and received outpatient care at the first post-discharge visit (around 2 ~ 3 weeks after discharge), around 3 months after discharge, and between 3 months and 1 year after discharge. Verbatim transcripts were analyzed based on similarities and differences for codes based on assessment items, and subcategories and categories were generated.

Results

After surgery, patients experienced physical, psychological, and social distress. First, they experienced physical pain shortly after discharge. Moreover, as they recovered at home, a gap between their sense of their recovery and the perceptions of those around them about their recovery often persisted, which led to psychological and social distress. Patients gained a sense of safety through “assurance of physical recovery” and security through “shared subjective distress.”

Conclusions

Post-cardiac surgery patients seek reassurance and safety by sharing experiences owing to daily life distress. Our findings could help provide better support to meet the care needs of such patients.

接受心脏手术的出院后患者的经验和护理需求:一项定性研究。
目的:本研究阐明了心脏手术患者的身体、心理和社会形式的痛苦和护理需求,包括在出院后的日常生活中为他们提供支持的最佳时间。方法:采用半结构化的定性访谈。参与者包括12名成年人(11名男性和1名女性,平均年龄 = 66.5 年),曾接受过心脏手术,接受过重症监护,并在出院后第一次就诊时接受过门诊治疗(约2 ~ 3. 出院后数周),约3 出院后3个月 月和1 出院后一年。根据评估项目代码的异同对逐字记录进行分析,并生成子类别和类别。结果:手术后,患者经历了身体、心理和社会方面的痛苦。首先,他们在出院后不久就感到身体疼痛。此外,当他们在家中康复时,他们的康复意识和周围人对他们康复的看法之间的差距往往持续存在,这导致了心理和社会痛苦。患者通过“身体恢复的保证”获得安全感,通过“共同的主观痛苦”获得安全。结论:心脏手术后患者通过分享日常生活痛苦的经历来寻求安慰和安全。我们的研究结果可能有助于提供更好的支持,以满足此类患者的护理需求。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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