Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses最新文献

{"title":"Validation of the State-Trait Hopelessness Scale in Stroke Survivors.","authors":"Jill Rye, Lynn L White, Angela Kroeze Visser, Kristin Van De Griend, Debbie Bomgaars, Irene van Woerden","doi":"10.1097/RNJ.0000000000000547","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000547","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the reliability and validity of the State-Trait Hopelessness Scale (STHS) in stroke survivors.</p><p><strong>Design: </strong>Three-phase validation study evaluating psychometric properties.</p><p><strong>Methods: </strong>Content validity was assessed through expert panel review followed by cognitive interviews with stroke survivors to evaluate face validity. In phase three, psychometric testing was conducted and the STHS was compared with the Beck Hopelessness Scale (BHS) in 95 hospitalized stroke survivors.</p><p><strong>Results: </strong>Experts rated items as quite or very relevant and very clear. Cognitive interviews confirmed appropriate participant comprehension and response processes; no revisions were required. The STHS demonstrated acceptable internal consistency (State α=0.78; Trait α=0.89). Principal component analyses confirmed the scale structure. Correlation of the STHS and BHS (r=0.17-0.21) suggests related but distinct constructs for stroke survivors.</p><p><strong>Clinical relevance to the practice of rehabilitation nursing: </strong>This is the first study to evaluate the reliability and validity of the STHS scale in stroke survivors.</p><p><strong>Conclusions: </strong>The STHS shows promise in identifying hopelessness in stroke survivors and its potential use to guide interventions to improve patient outcomes.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clarifying the Specific Role of Nurses in Rehabilitation is Key to Enhancing Interprofessional Collaboration: A Multi-method Study.","authors":"Cynthia Beigprégonne, Anja Pattschull, Charlotte Germain, Hadjira Bakiri, Christophe Luthy, Christophe Graf, Huguette Guisado, Celine Ventose, Gora Da Rocha Rodrigues","doi":"10.1097/RNJ.0000000000000538","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000538","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to clarify the perception of the specific nursing role among nurses and the interprofessional team in two rehabilitation units of a Swiss University hospital.</p><p><strong>Design and methods: </strong>As part of an implementation project, we employed a multi-method design, including qualitative and quantitative approaches, to conduct a comprehensive contextual analysis in preparation for introducing an innovation in two rehabilitation units of the Geneva University Hospital. We performed 11 focus groups among nurses, nurse managers, other health care professionals, patients, and family members (N=50), analyzed using a six-stage thematic analysis approach. A structured questionnaire was additionally completed by 35 nurses.</p><p><strong>Results: </strong>The nursing role in rehabilitation was recognized but only partially deployed. Identified barriers included unclear role definitions, lack of leadership, organizational constraints and limited interprofessional understanding. Nurses prioritized patient autonomy and holistic care, while interprofessional teams primarily perceived nurses in delegated roles. Quantitative results highlighted the importance of prioritizing the nursing role but revealed challenges in interprofessional collaboration, particularly regarding feasibility and competence.</p><p><strong>Clinical relevance to the practice of rehabilitation nursing: </strong>Clarifying and reinforcing the contributions of rehabilitation nurses is essential to enhancing leadership, interprofessional collaboration, and patient outcomes. Recommended strategies include reflective practice, interprofessional training, and promoting nursing-specific competencies early in education (undergraduate/postgraduate training).</p><p><strong>Conclusion: </strong>Clarifying the specific nursing role in rehabilitation and participating in interprofessional training are key to improving collaboration and strengthening leadership. Future efforts should focus on integrating role clarification and leadership into nursing education to optimize teamwork and patient outcomes.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147641188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and Facilitators to Pulmonary Rehabilitation Adherence in Patients With Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Mixed Methods Systematic Review.","authors":"Fangrong Jia, Chuleeporn Prompahakul, Chantra Promnoi, Waraporn Kongsuwan","doi":"10.1097/RNJ.0000000000000532","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000532","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary rehabilitation (PR) is a key nonpharmacological intervention that significantly improves prognosis and health outcomes in patients experiencing acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Despite its proven benefits, PR adherence among this population remains low, with multiple factors influencing participation and completion.</p><p><strong>Objective: </strong>This mixed-methods systematic review aims to analyze and synthesize current evidence on the barriers and facilitators affecting PR adherence in patients with AECOPD.</p><p><strong>Design: </strong>A systematic search was conducted in MEDLINE, PubMed, and Web of Science to identify studies examining PR adherence in patients with AECOPD. Studies published in English from 2014 to 2024 that involved adult patients with AECOPD participating in PR programs were included if they reported on adherence to PR and its influencing factors. Excluded were review articles, case reports, editorials, conference abstracts, and studies without accessible full text. Articles were extracted and analyzed using the convergent integrated approach.</p><p><strong>Results: </strong>Eight studies met the inclusion criteria, including four quantitative studies, three qualitative studies, and one mixed-methods study. The methodological quality of the included studies ranged from moderate to high. Thematic analysis revealed the barriers and facilitators of PR adherence: (1) personal motivation and education, (2) physical and psychological health, (3) family and social support, and (4) transportation and economic challenges.</p><p><strong>Conclusion: </strong>Multiple and interrelated factors affect PR adherence in patients with AECOPD. The present findings indicate that future intervention research should test the effectiveness of developing individualized PR plans based on disease severity, addressing psychological barriers, and implementing motivation-enhancing interventions. Likewise, intervention studies are needed to verify that involving family members in the rehabilitation process and expanding the role of health care professionals in providing proactive, continuous support improve long-term adherence and patient outcomes.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Supportive Care Needs, Caregiver Burden, and Mental Well-Being Among Family Caregivers of Patients With Cancer: A Cross-Sectional Study.","authors":"Eda Ünal, Gülyeter Erdoğan Yüce, Gamze Muz, Cihan Erol","doi":"10.1097/RNJ.0000000000000540","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000540","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to investigate the relationships between supportive care needs, caregiver burden, and mental well-being of family caregivers providing care to patients with cancer.</p><p><strong>Design: </strong>We conducted a cross-sectional correlational study.</p><p><strong>Methods: </strong>We collected data from 217 family caregivers of patients with cancer during their relatives' treatment in oncology clinics, outpatient oncology clinics, and outpatient chemotherapy units of two hospitals between February and May 2024. We utilized the Supportive Care Needs Survey-Partners and Caregivers, the Zarit Caregiver Burden Scale, and the WHO-5 Well-Being Index. The Supportive Care Needs Survey includes four sub-dimensions: psychological and emotional needs, health care and information needs, work and social needs, and communication and family needs. We conducted Pearson correlations and mediation analyses to examine relationships among supportive care needs, caregiver burden, and mental well-being.</p><p><strong>Results: </strong>We found a moderate negative relationship between well-being and caregiver burden (r=-.494, p<.01), and between well-being and supportive care needs (r=-.390, p<.01). We found a strong positive correlation between caregiver burden and supportive care needs (r=.616, p<.01). Mediation analysis indicated that higher supportive care needs were associated with greater caregiver burden, which was associated with lower mental well-being.</p><p><strong>Clinical relevance: </strong>Nurses are essential for identifying and addressing caregivers' supportive care needs.</p><p><strong>Conclusions: </strong>Our findings indicate that supportive care needs are associated with poorer mental well-being, andassociated with caregiver burden. Addressing caregivers' needs may help reduce their burden and, consequently, improve their mental well-being.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Perspectives Following Lower Limb Amputation Due to Vascular Etiology: A Systematic Meta-Aggregation.","authors":"Iben Engelbrecht Giese, Tanja Mortensen Chræmmer, Helle Lund Rasmussen, Sisse Heiden Laursen","doi":"10.1097/RNJ.0000000000000543","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000543","url":null,"abstract":"<p><strong>Purpose: </strong>Major dysvascular lower limb amputations often lead to psychosocial challenges postdischarge. This review aimed to synthesize evidence on the psychosocial perspectives during the postdischarge rehabilitation phase.</p><p><strong>Design: </strong>Systematic meta-aggregation.</p><p><strong>Methods: </strong>Full-text peer-reviewed articles were retrieved from PubMed, Embase, APA PsycInfo, Scopus, and CINAHL Ultimate up to August 11, 2023. Data were synthesized using the Joanna Briggs Institute meta-aggregation approach. Confidence in findings was assessed with GRADE-CERQual.</p><p><strong>Findings: </strong>From 30 studies, 289 findings were synthesized into 12 key findings. According to findings, physical limitations, environmental barriers, social interactions, and personal expectations shaped activity, identity, independence, sexuality, and emotional adjustment. Prostheses, social support, and coping strategies facilitated engagement, while stigma, grief, fear, and financial strain posed challenges. Confidence levels were 7=\"high,\" 4= \"moderate,\" 0=\"low,\" and 1=\"very low.\"</p><p><strong>Clinical relevance: </strong>Rehabilitation and counseling programs for persons with major dysvascular lower limb amputations should integrate psychosocial assessment and individualized goals. Nurses can support patients by facilitating peer support, addressing emotional distress, and managing expectations around prosthetic use to promote independence, mobility, and social participation.</p><p><strong>Conclusions: </strong>Postdischarge psychosocial experiences for persons with major dysvascular lower limb amputations are multifaceted. Holistic, tailored approaches supporting autonomy, mobility, and emotional health are essential. Future research should consider cultural and health care system differences.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Yoga-Based Interventions on Quality of Life and Psychosocial Variables in Caregivers: Systematic Review and Meta-Analysis.","authors":"Gamze Muz, Gülyeter Erdoğan Yüce","doi":"10.1097/RNJ.0000000000000542","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000542","url":null,"abstract":"<p><strong>Purpose: </strong>This meta-analysis investigated the effects of yoga-based interventions on caregiver quality of life and psychosocial variables.</p><p><strong>Design: </strong>This study was conducted as a systematic review and meta-analysis.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted through September 2024 across Web of Science, CENTRAL, PubMed, and MEDLINE, identifying 926 records. After duplicate removal, 658 studies were screened by title and abstract, and 35 articles underwent full-text assessment. After exclusions due to reporting issues, insufficient data, or irrelevant outcomes, 12 studies were ultimately included in the meta-analysis.</p><p><strong>Results: </strong>This meta-analysis demonstrated that yoga-based interventions were associated with a significant reduction in caregivers' anxiety [standardised mean difference (SMD)=-0.99, p=.003], depression (SMD=-0.69, p=.002), and stress levels (SMD=-0.35, p=.028). In addition, yoga-based interventions led to a significant improvement in psychological quality of life (SMD=0.82, p<.001) and overall quality of life (SMD=0.88, p=.007). In contrast, yoga-based interventions did not show a statistically significant effect on caregiver burden, physical quality of life, social relationships, or financial status (p>.05).</p><p><strong>Clinical relevance: </strong>Nurses may recommend yoga-based interventions to caregivers as a way to support their mental health, psychosocial well-being, and quality of life.</p><p><strong>Conclusions: </strong>Yoga-based interventions were effective in improving the quality of life and psychosocial variables among caregivers.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147523526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing Practices for Full Therapy Participation for Patients With Candida auris in an Inpatient Rehabilitation Setting.","authors":"Jessica Nwachukwu, Ayisha Allen, Kelley M Boston, Sandi Steinfeld","doi":"10.1097/RNJ.0000000000000537","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000537","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness of a dedicated rehabilitation gym space for patients with Candida auris (C. auris) requiring contact isolation in an inpatient rehabilitation setting. This initiative had an aim of improving access to the therapy gym while maintaining infection prevention protocols for patients with C. auris.</p><p><strong>Methods: </strong>Through collaboration with hospital leadership and public health authorities, a secondary gym space was identified and converted exclusively for patients with C. auris. Data collected over 14 months included patients' functional outcomes and infection transmission rates.</p><p><strong>Results: </strong>Twenty-five patients with C. auris were admitted to the rehabilitation facility between December 2022 and March 2024; 18 received in-room therapy, and seven received therapy in the dedicated gym. A greater proportion of patients using the dedicated gym achieved mobility improvement goals (57.1%) compared with those who received therapy in-room (35.7%). Self-care and mobility score improvement scores for the two groups were not statistically significant. There were no instances of in-facility transmission of C. auris.</p><p><strong>Conclusions: </strong>Rehabilitation health care workers can safely support functional progress in contact-isolated patients by using dedicated therapy spaces, maintaining infection control, and optimizing patients' functional outcomes. Although we had a small sample , findings suggest that mobility outcomes may improve when C. auris patients have access to a dedicated gym. Further monitoring is needed to assess long-term impact.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147518051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated With Motor and Cognitive Function Recovery After Traumatic Brain Injury: A Retrospective Cohort Study.","authors":"Shu-Mei Yang, Ting-Ju Lai, You-Lin Lu, Hsing-Yu Chen, Hsiao-Ting Tsai, Sheng-Hao Cheng, Meng-Ting Lin","doi":"10.1097/RNJ.0000000000000539","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000539","url":null,"abstract":"<p><strong>Purpose: </strong>To identify predictors of motor and cognitive function recovery in patients with traumatic brain injury (TBI) for optimizing rehabilitation strategies.</p><p><strong>Design: </strong>A retrospective cohort study.</p><p><strong>Methods: </strong>Medical records of hospitalized patients with TBI at a tertiary medical center between June 2019 and June 2023 were reviewed. Patients with a history of brain surgery or tumors before the TBI were excluded. Demographic data, neurological assessments, rehabilitation indicators, and imaging findings were collected. Functional outcomes, including the modified Rankin Scale (mRS), Glasgow Outcome Scale (GOS), Glasgow Outcome Scale-Extended (GOSE), and Barthel index (BI), and cognitive outcomes assessed using the Rancho Los Amigos Scale (RLAS), were evaluated at multiple time points. Multivariable regression analyses identified independent predictors of recovery.</p><p><strong>Results or findings: </strong>Among 160 patients, worse motor and cognitive function outcomes were associated with older age, lower initial RLAS scores, impaired sitting balance, temporal lobe hematomas, hydrocephalus, prolonged hospitalization, delayed physical therapy, immobility-related complications, anemia, and poor premorbid function. Among these, modifiable factors, including delayed initiation of physical therapy [adjusted odds ratio (aOR): 1.049, P=.014] and immobility-related complications (aOR: 2.363, P=.013), were independently associated with worse 4-week mRS outcomes.</p><p><strong>Clinical relevance to the practice of rehabilitation nursing: </strong>Understanding key predictors of recovery allows rehabilitation nurses to identify high-risk patients early, prioritize interventions, and tailor rehabilitation plans to improve outcomes.</p><p><strong>Conclusions: </strong>Initial cognitive function and sitting balance serve as important prognostic indicators at presentation, whereas prevention of clinical complications represents a modifiable target for intervention to promote recovery in patients with TBI. Targeted strategies based on these predictors can enhance rehabilitation effectiveness.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147483180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of a Guideline-Based Training Program on the Knowledge Level of Rehabilitation Nurses About Intermittent Catheterization: A Pretest-Posttest Study.","authors":"Nilgun Aras, Nurcan Çalişkan, Bilge Yilmaz","doi":"10.1097/RNJ.0000000000000541","DOIUrl":"https://doi.org/10.1097/RNJ.0000000000000541","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of an educational program, based on the 2024 European Association of Urology Nurses guidelines, on the knowledge level of rehabilitation nurses regarding intermittent catheterization (IC).</p><p><strong>Design: </strong>Single-group pretest-post-test quasi-experimental study.</p><p><strong>Method: </strong>Twenty-one rehabilitation nurses from a tertiary-level rehabilitation centre in Turkey participated in a 60-min single face-to-face training session (lecture) based on the European Association of Urology Nurses (EAUN) 2024 guideline Data were collected using a demographic questionnaire and a 20-item IC knowledge test. Pretest and post-test scores were compared using the Wilcoxon signed-rank test.</p><p><strong>Results: </strong>The 21 participants (100% female; mean professional experience 17.95±9.61 years) showed a significant increase in knowledge scores (pretest: 14.04±1.65; post-test: 18.61±1.88; P<.001), representing a 32.5% improvement. Incorporating updated, evidence-based guidelines such as those from the European Association of Urology Nurses into nursing education can enhance clinical competence.</p><p><strong>Conclusions: </strong>The clinical relevance of this study is that guideline-based training effectively improves the IC knowledge of rehabilitation nurses, potentially reducing complications associated with IC and improving the quality of care and patient outcomes such as patient safety. Regular updates to training content, aligned with current best practice guidelines, are essential for maintaining safe and effective patient care.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"I Am No Longer Trapped in a Glass Cage: A Qualitative Interview Study of the Patients' Experience on Specialized Aortic Rehabilitation After Aortic Dissection Surgery.","authors":"Stine Rosenstrøm, Rosalie Magboo, Ulrik Dixen, Sussie Foghmar, Malene Mourier, Anette Sjøl","doi":"10.1097/RNJ.0000000000000507","DOIUrl":"10.1097/RNJ.0000000000000507","url":null,"abstract":"<p><strong>Background: </strong>This study explored patients' experience with a specialized rehabilitation course after aortic dissection surgery.</p><p><strong>Method: </strong>A qualitative study was conducted using content analysis inspired by Graneheim and Lundman. Participants were recruited by a physiotherapist at the end of or shortly after the rehabilitation course at the hospital to partake in an interview. The interviews were held either over the phone or in a private room at the hospital.</p><p><strong>Results: </strong>Through eight patient interviews (three women and five men aged 45-73 years), an overarching theme was identified: Finding peace in a new version of oneself , which deals with having to find oneself in a new role with a different body that must and can do less, at the same time with a feeling of gratitude for being alive. In addition, three subthemes arose from the time of operation and throughout the course of rehabilitation: (1) Having survived the operation-first the miracle! And what now ? (2) The rehabilitation course provides security and provides well-being. (3) Becoming a whole person again .</p><p><strong>Conclusion: </strong>This study provides important insights of patients' perspectives of how structured cardiac rehabilitation after aortic dissection supports patients finding peace in a new version of themselves.</p>","PeriodicalId":94188,"journal":{"name":"Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses","volume":" ","pages":"10-17"},"PeriodicalIF":1.0,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}