纳米比亚霍马斯地区温得和克一家国家转诊医院心脏瓣膜手术后病人的康复和应对经验

Q2 Nursing

International Journal of Africa Nursing Sciences Pub Date : 2025-01-01 DOI:10.1016/j.ijans.2025.100894

Lilian S. Masule , Kristofina Amakali , Wilma E. Wilkinson

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引用次数: 0

摘要

心脏瓣膜疾病是一项重大的公共卫生挑战，导致全球心血管发病率和死亡率。它可以作为心脏瓣膜修复和置换手术的指征。目的探讨和描述心脏瓣膜手术患者的康复和应对经验。方法采用定性、探索性、描述性和情境设计。采用有目的的抽样方法选择研究对象。共访谈12例（N = 12）例患者，采用面对面访谈的方式，持续收集数据，直至数据饱和。数据分析采用Tesch的内容分析法。结果发现：5个子主题支持的患者对康复和应对的不同体验；2个子主题支持的患者对护士和家属对心脏瓣膜手术后支持和护理的体验。结论由于对心脏瓣膜术后自我护理知识和信息的缺乏，患者在出院后的康复和应对方面存在一定的困难。患者重视护士和家庭的支持，但由于护理支持不足和家庭由于缺乏心脏康复知识而过度保护而感到失望。研究结果对制定护士教育计划以促进心脏瓣膜手术后患者的心脏康复具有启示意义。

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Patients’ experience of recovery and coping after heart valve surgery at a national referral hospital, windhoek, khomas region, namibia

Introduction

Heart valve disease is a significant public health challenge contributing to cardiovascular morbidity and mortality worldwide. It serves as an indication for heart valve repair and replacement surgeries.

Aim

This study aimed to explore and describe the patients’ experience of recovery and coping heart valve surgery.

Methods

A qualitative, exploratory, descriptive, and contextual design was employed. A purposive sampling method was used to select the participants. A total of twelve (N = 12) patients were interviewed through face-to-face interviews and data collection continued until data saturation was achieved. Data were analyzed using Tesch’s method of content analysis.

Findings

Two themes that emerged were different experiences of patients regarding recovery and coping supported by 5 sub-themes, and experiences of the patients regarding support and care from nurses and family members after heart valve surgery supported by 2 subthemes.

Conclusion

The findings revealed that patients had challenges with recovery and coping after they were discharged from the hospital due to a lack of knowledge and information on self-care after heart valve surgery. Patients valued support from nurses and families, but some were disappointed due to inadequate nursing support and overprotective families owing to a lack of knowledge on cardiac rehabilitation.

Contribution

The findings have implications for developing an educational programme for nurses to facilitate the cardiac rehabilitation of patients after heart valve surgery.

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来源期刊

International Journal of Africa Nursing Sciences Nursing-Nursing (all)

CiteScore

2.40

自引率

0.00%

发文量

114

审稿时长

21 weeks

期刊介绍： International Journal of Africa Nursing Sciences (IJANS) is an international scientific journal published by Elsevier. The broad-based journal was founded on two key tenets, i.e. to publish the most exciting research with respect to the subjects of Nursing and Midwifery in Africa, and secondly, to advance the international understanding and development of nursing and midwifery in Africa, both as a profession and as an academic discipline. The fully refereed journal provides a forum for all aspects of nursing and midwifery sciences, especially new trends and advances. The journal call for original research papers, systematic and scholarly review articles, and critical papers which will stimulate debate on research, policy, theory or philosophy of nursing as related to nursing and midwifery in Africa, technical reports, and short communications, and which will meet the journal''s high academic and ethical standards. Manuscripts of nursing practice, education, management, and research are encouraged. The journal values critical scholarly debate on issues that have strategic significance for educators, practitioners, leaders and policy-makers of nursing and midwifery in Africa. The journal publishes the highest quality scholarly contributions reflecting the diversity of nursing, and is also inviting international scholars who are engaged with nursing and midwifery in Africa to contribute to the journal. We will only publish work that demonstrates the use of rigorous methodology as well as by publishing papers that highlight the theoretical underpinnings of nursing and midwifery as it relates to the Africa context.