被遗弃在无人区:等待择期冠状动脉搭桥手术患者经历的定性研究。

IF 2.3 Q1 NURSING
Nursing Research and Practice Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI:10.1155/nrp/3139277
Dorte Baek Olsen, Ida Elisabeth Hoejskov, Malene Missel
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引用次数: 0

摘要

冠状动脉旁路移植术是缺血性心脏病和多血管疾病患者改善生存、症状和生活质量的主要治疗方法。然而,等待冠状动脉搭桥手术的患者往往与年老、虚弱和缺乏活动作斗争,导致焦虑和不确定。心理困扰、疼痛和久坐行为会使他们的病情恶化。预康复结合了锻炼、教育和支持,旨在提高手术准备,但其成功取决于了解患者的观点,而本研究探讨了等待冠状动脉搭桥术的患者的经历,为未来预康复计划的设计提供见解。本定性研究旨在探讨基于患者生活经历的择期冠状动脉搭桥术等待现象。该研究采用解释学-现象学方法,并在手术前一天对一名女性和九名男性进行了有针对性的深度访谈。对数据的分析揭示了基于被遗弃在无人区的经历,在感觉被囚禁和希望逃脱,准备战斗,感觉虚弱和依赖社会支持之间的平衡的主题。本研究发现的现象强调了等待冠状动脉搭桥术的生活经验固有的复杂性。在为等待冠状动脉搭桥术的患者制定康复计划时,理解并整合这些方面具有重要的临床意义,特别是在制定有针对性的干预措施时加强医疗保健实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Abandoned in No Man's Land: A Qualitative Study on Patient Experiences While Waiting for Elective Coronary Artery Bypass Surgery.

Coronary artery bypass grafting is the primary treatment for patients with ischemic heart disease and multivessel disease to improve survival, symptoms, and quality of life. However, patients waiting for coronary artery bypass grafting surgery often struggle with advanced age, frailty, and inactivity, leading to anxiety and uncertainty. Psychological distress, pain, and sedentary behavior can worsen their condition. Prehabilitation, combining exercise, education, and support, aims to improve readiness for surgery, but its success depends on understanding patients' perspectives, while this study explores the experiences of patients awaiting coronary artery bypass grafting surgery to contribute insights into the design of future prehabilitation programs. This qualitative study aimed to explore the phenomenon of waiting to have elective coronary artery bypass grafting surgery based on patients' lived experiences. The study used a hermeneutic-phenomenological approach and conducted purposely selected in-depth interviews with one female and nine men the day before surgery. Analysis of the data revealed themes based on experiences of being abandoned in no man's land, balancing between feeling imprisoned and hoping to escape, preparing to fight, and feeling weak and dependent on social support. The phenomena this study uncovered underscore the complexities inherent to the lived experience of waiting for coronary artery bypass grafting surgery. Understanding and integrating these aspects when planning prehabilitation programs for patients waiting for coronary artery bypass grafting surgery have substantial clinical relevance, particularly for enhancing healthcare practice when developing targeted interventions.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
21
审稿时长
19 weeks
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