Research Article
Year 2022,
Volume: 17 Issue: 1, 15 - 22, 21.03.2022
Abstract
Amaç: Bu çalışmada; koroner arter bypass greft ameliyatı olan hastaların deneyimlerinin görünür kılınması ve daha derinlemesine anlaşılması amaçlandı.
Gereç ve Yöntem: Bu nitel çalışma, 10 koroner arter bypass greft hastası ile görüşülerek gerçekleştirildi. Çalışmada; Heidegger'in fenomenolojik yaklaşım yöntemi kullanıldı. Araştırmanın verileri Demografik Bilgi Formu ve Yarı Yapılandırılmış Görüşme Formu ile Kasım 2019-Mart 2020 tarihleri arasında toplandı.
Bulgular: Katılımcılar 53-79 yaş aralığında, en az bir yıl önce koroner arter by-pass greft cerrahisi geçiren hastalardır. Görüşmelerde iki kategori ortaya çıktı: "İz bırakan perioperatif dönem deneyimleri" olarak baypass cerrahisin duygu ve deneyimleri, "Şimdi / Hiçbir şey eskisi gibi değil" olarak bugünün duygu ve deneyimleri. Ayrıca dokuz alt tema belirlendi.
Sonuç: Hastalarda iz bırakan deneyimler; kültür ve inancın yansımasını içeriyordu ve hastalar şimdiki değişen yaşamlarına ve sağlıklarına yeni bir bakış açısı bulma eğilimindeydiler. Sonuçlar; hastaların sosyokültürel değer ve inançlarının bakım sürecine dahil edilmesinin gerekliliğini göstermektedir.
References
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- 2. Balbay Y, Gagnon-Arpin I, Malhan S, Öksüz ME, Sutherland G, Dobrescu A, et al. Modeling the burden of cardiovascular disease in Turkey. Anatol J Cardiol. 2018; 20: 235-240.
- 3. Mohammadi N, Abbasi M, Nasrabadi AN, Salehiomran A, Davaran S, Norouzadeh R. Passion for life: lived experiences of patients after coronary artery bypass graft. J Tehran Heart Cent. 2015; 10:129-133.
- 4. Tolmie EP, Lindsay GM, Belcher PR. Coronary artery bypass graft operation: Patients' experience of health and well-being over time. Eur J Cardiovasc Nurs. 2006; 5: 228-236.
- 5. Abbasi M, Mohammadi N, Nasrabadi AN, Fuh SB, Sadeghi T. Re-birth after coronary bypass graft surgery: A hermeneutic-phenomenological study. Glob J Health Sci. 2014; 6: 235-240.
- 6. Vila VDSC, Rossi LA, Costa MCS. Heart disease experience of adults undergoing coronary artery bypass grafting surgery. Rev Saude Publica. 2008; 42: 750-756.
- 7. Leegaard M, Fagermoen MS. Patients’ key experiences after coronary artery bypass grafting: a synthesis of qualitative studies. Scand J Caring Sci. 2008; 22: 616-628.
- 8. Dunckley M, Ellard D, Quinn T, Barlow J. Recovery after coronary artery bypass grafting: patients’ and health professionals’ views of the hospital experience. Eur J Cardiovasc Nurs. 2007; 6: 200-207.
- 9. Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004; 18: 145-153.
- 10. BÄCkstrÖM S, Wynn R, SØRlie T. Coronary bypass surgery patients’ experiences with treatment and perioperative care–a qualitative interview‐based study. J Nurs Manag. 2006; 14: 140-147.
- 11. Mendonça KMB, Andrade, TMD. Patient's perception about coronary artery bypass grafting. Braz J Cardiovasc Surg. 2015; 30: 544-551.
- 12. Kleinman A. Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Univ of California Press, 1980.
- 13. Mahoney JS. An ethnographic approach to understanding the illness experiences of patients with congestive heart failure and their family members. Heart & Lung, 2001; 30: 429-436.
- 14. Firmo JOA, Lima-Costa MF, Uchôa E. Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos. Cad Saúde Pública. 2004; 20: 1029-1040.
- 15. Shafi V, Mohammadi E, Ahmadi F. Experiences of open heart surgery patients from admission to discharge: a qualitative study. Iranian J Crit Care Nurs. 2013; 6: 1-10.
- 16. Mooney M, Fitzsimons D, Richardson G. “No more couch-potato!” Patients' experiences of a pre-operative programme of cardiac rehabilitation for those awaiting coronary artery bypass surgery. Eur J Cardiovasc Nurs. 2007; 6: 77-83.
- 17. Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: a phenomenological-hermeneutic study. Intensive Crit Care Nurs. 2012; 28: 6-15.
- 18. Doering LV, McGuire AW, Rourke D. Recovering from cardiac surgery: what patients want you to know. Am J Crit Care. 2002; 11: 333-343.
- 19. Koivula M, Hautamäki‐Lamminen K, Åstedt‐Kurki P. Predictors of fear and anxiety nine years after coronary artery bypass grafting. J Adv Nurs. 2010; 66: 595-606.
- 20. Berg K, Kaspersen R, Unby C, Frisman GH. The interaction between the patient and nurse anesthetist immediately before elective coronary artery bypass surgery. J PeriAnesth Nurs. 2013; 28: 283-290.
- 21. Aydin A, Gursoy A. The Care Needs and Care Dependency of Coronary Artery Bypass Graft (CABG) Patients After Hospital Discharge. Journal of Education and Research in Nursing. 2019; 16: 8-15. 22. Shahmansouri N, Janghorbani M, Salehi Omran A, Karimi AA, Noorbala AA, Arjmandi A, et al. Effects of a psychoeducation intervention on fear and anxiety about surgery: randomized trial in patients undergoing coronary artery bypass grafting. Psychology, Health & Medicine. 2014; 19: 375-383.
- 23. LaPier TK, Wintz G, Holmes W, Cartmell E, Hartl S, Kostoff N, et al. Analysis of activities of daily living performance in patients recovering from coronary artery bypass surgery. Physical & Occupational Therapy in Geriatrics. 2008; 27: 16-35.
- 24. Mousavi S, Sabzevar S, Abbaszade A, Hosseinnakhaie F. The effect of preparatory face to face education to reduce depression and anxiety in open heart surgery adult patient in Shafa hospital in Kerman, 2008. IJNR. 2011; 6: 29-38.
- 25. Amorim TV, Salimena AM, Souza ÍE. Women's temporality after cardiac surgery: contributions to nursing care. Rev Bras Enferm. 2015; 68:1056-62.
- 26. Tülek Z, Dünya CP, Çiftçioğlu RR, Dereci H. Determination of Factors that Impact Adherence to Warfarin in Patients with Stroke. Turkish Journal of Neurology. 2019; 25: 146-152.
- 27. Ghimire S. Barriers to diet and exercise among Nepalese type 2 diabetic patients. International Scholarly Research Notices. 2017; 14: 1273084.
- 28. Koenig HG. Spirituality and depression: A look at the evidence. South Med J. 2007; 100: 737-740.
- 29. Ebadi A, Ahmadi F, Ghanei M, Kazemnejad A. Spirituality: A key factor in coping among Iranians chronically affected by mustard gas in the disaster of war. Nursing & Health Sciences. 2009; 11: 344-350.
Journey From Experiences That Left Trace to Today in Patients Who Underwent Coronary Artery By-pass Graft Surgery
Abstract
Objectives: This study aims to make the experiences of patients who underwent coronary artery bypass graft surgery visible and to understand them more deeply.
Methods: This qualitative study was conducted through interviews with 10 coronary artery bypass graft patients. Heidegger’s phenomenological approach was used as a method. The data for the study was collected through Demographic Information Form and Semi-Structured Interview Form between November 2019-March 2020.
Results: The ages of the participants varied between 53 and 79 and they underwent coronary artery bypass graft surgery a minimum of a year ago. The interviews yielded two categories: emotions and experiences about the bypass surgery as “Perioperative period experiences that left a trace” and today’s emotions and experiences as “Now/Nothing is as it was before”. Also, nine subthemes were identified.
Conclusion: The Patients’ experiences that leave a trace involved reflections of the culture and faith, and it was obvious that they were inclined to find a new perspective for their changed lives and health. The results show the necessity of incorporating the sociocultural values and beliefs of patients in the care process.
References
- 1. Schwartz JB, Zipes DP. İn Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine. (Eds RO Bonow, DL Mann, DP Zipes, P Libby=:1727-1756). Philadelphia, US, Elsevier Health Sciences, 2012.
- 2. Balbay Y, Gagnon-Arpin I, Malhan S, Öksüz ME, Sutherland G, Dobrescu A, et al. Modeling the burden of cardiovascular disease in Turkey. Anatol J Cardiol. 2018; 20: 235-240.
- 3. Mohammadi N, Abbasi M, Nasrabadi AN, Salehiomran A, Davaran S, Norouzadeh R. Passion for life: lived experiences of patients after coronary artery bypass graft. J Tehran Heart Cent. 2015; 10:129-133.
- 4. Tolmie EP, Lindsay GM, Belcher PR. Coronary artery bypass graft operation: Patients' experience of health and well-being over time. Eur J Cardiovasc Nurs. 2006; 5: 228-236.
- 5. Abbasi M, Mohammadi N, Nasrabadi AN, Fuh SB, Sadeghi T. Re-birth after coronary bypass graft surgery: A hermeneutic-phenomenological study. Glob J Health Sci. 2014; 6: 235-240.
- 6. Vila VDSC, Rossi LA, Costa MCS. Heart disease experience of adults undergoing coronary artery bypass grafting surgery. Rev Saude Publica. 2008; 42: 750-756.
- 7. Leegaard M, Fagermoen MS. Patients’ key experiences after coronary artery bypass grafting: a synthesis of qualitative studies. Scand J Caring Sci. 2008; 22: 616-628.
- 8. Dunckley M, Ellard D, Quinn T, Barlow J. Recovery after coronary artery bypass grafting: patients’ and health professionals’ views of the hospital experience. Eur J Cardiovasc Nurs. 2007; 6: 200-207.
- 9. Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004; 18: 145-153.
- 10. BÄCkstrÖM S, Wynn R, SØRlie T. Coronary bypass surgery patients’ experiences with treatment and perioperative care–a qualitative interview‐based study. J Nurs Manag. 2006; 14: 140-147.
- 11. Mendonça KMB, Andrade, TMD. Patient's perception about coronary artery bypass grafting. Braz J Cardiovasc Surg. 2015; 30: 544-551.
- 12. Kleinman A. Patients and healers in the context of culture: An exploration of the borderland between anthropology, medicine, and psychiatry. Univ of California Press, 1980.
- 13. Mahoney JS. An ethnographic approach to understanding the illness experiences of patients with congestive heart failure and their family members. Heart & Lung, 2001; 30: 429-436.
- 14. Firmo JOA, Lima-Costa MF, Uchôa E. Projeto Bambuí: maneiras de pensar e agir de idosos hipertensos. Cad Saúde Pública. 2004; 20: 1029-1040.
- 15. Shafi V, Mohammadi E, Ahmadi F. Experiences of open heart surgery patients from admission to discharge: a qualitative study. Iranian J Crit Care Nurs. 2013; 6: 1-10.
- 16. Mooney M, Fitzsimons D, Richardson G. “No more couch-potato!” Patients' experiences of a pre-operative programme of cardiac rehabilitation for those awaiting coronary artery bypass surgery. Eur J Cardiovasc Nurs. 2007; 6: 77-83.
- 17. Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: a phenomenological-hermeneutic study. Intensive Crit Care Nurs. 2012; 28: 6-15.
- 18. Doering LV, McGuire AW, Rourke D. Recovering from cardiac surgery: what patients want you to know. Am J Crit Care. 2002; 11: 333-343.
- 19. Koivula M, Hautamäki‐Lamminen K, Åstedt‐Kurki P. Predictors of fear and anxiety nine years after coronary artery bypass grafting. J Adv Nurs. 2010; 66: 595-606.
- 20. Berg K, Kaspersen R, Unby C, Frisman GH. The interaction between the patient and nurse anesthetist immediately before elective coronary artery bypass surgery. J PeriAnesth Nurs. 2013; 28: 283-290.
- 21. Aydin A, Gursoy A. The Care Needs and Care Dependency of Coronary Artery Bypass Graft (CABG) Patients After Hospital Discharge. Journal of Education and Research in Nursing. 2019; 16: 8-15. 22. Shahmansouri N, Janghorbani M, Salehi Omran A, Karimi AA, Noorbala AA, Arjmandi A, et al. Effects of a psychoeducation intervention on fear and anxiety about surgery: randomized trial in patients undergoing coronary artery bypass grafting. Psychology, Health & Medicine. 2014; 19: 375-383.
- 23. LaPier TK, Wintz G, Holmes W, Cartmell E, Hartl S, Kostoff N, et al. Analysis of activities of daily living performance in patients recovering from coronary artery bypass surgery. Physical & Occupational Therapy in Geriatrics. 2008; 27: 16-35.
- 24. Mousavi S, Sabzevar S, Abbaszade A, Hosseinnakhaie F. The effect of preparatory face to face education to reduce depression and anxiety in open heart surgery adult patient in Shafa hospital in Kerman, 2008. IJNR. 2011; 6: 29-38.
- 25. Amorim TV, Salimena AM, Souza ÍE. Women's temporality after cardiac surgery: contributions to nursing care. Rev Bras Enferm. 2015; 68:1056-62.
- 26. Tülek Z, Dünya CP, Çiftçioğlu RR, Dereci H. Determination of Factors that Impact Adherence to Warfarin in Patients with Stroke. Turkish Journal of Neurology. 2019; 25: 146-152.
- 27. Ghimire S. Barriers to diet and exercise among Nepalese type 2 diabetic patients. International Scholarly Research Notices. 2017; 14: 1273084.
- 28. Koenig HG. Spirituality and depression: A look at the evidence. South Med J. 2007; 100: 737-740.
- 29. Ebadi A, Ahmadi F, Ghanei M, Kazemnejad A. Spirituality: A key factor in coping among Iranians chronically affected by mustard gas in the disaster of war. Nursing & Health Sciences. 2009; 11: 344-350.
There are 28 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Araştırma Makaleleri |
| Authors | |
| Publication Date | March 21, 2022 |
| Submission Date | December 21, 2020 |
| Acceptance Date | May 31, 2021 |
| Published in Issue | Year 2022 Volume: 17 Issue: 1 |
