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  • Coronary artery bypass graft surgery: discharge planning for successful recovery

    Author(s)
    Theobald, K
    McMurray, A
    Griffith University Author(s)
    McMurray, Anne M.
    Year published
    2004
    Metadata
    Show full item record
    Abstract
    Background. Coronary artery bypass graft (CABG) surgery is a lifesaving intervention, but the early recovery period presents a number of challenges for patients, carers and nurses. Early and adequate discharge planning based on in-depth knowledge of the postdischarge experience can help to ensure optimal recovery. Aim. This paper reports a study to examine the range of postdischarge issues, concerns and needs of patients and their family carers after discharge after CABG surgery, and explore their perceptions of unmet needs 1 year later. Methods. A two-phase naturalistic inquiry was undertaken. Interviews were conducted ...
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    Background. Coronary artery bypass graft (CABG) surgery is a lifesaving intervention, but the early recovery period presents a number of challenges for patients, carers and nurses. Early and adequate discharge planning based on in-depth knowledge of the postdischarge experience can help to ensure optimal recovery. Aim. This paper reports a study to examine the range of postdischarge issues, concerns and needs of patients and their family carers after discharge after CABG surgery, and explore their perceptions of unmet needs 1 year later. Methods. A two-phase naturalistic inquiry was undertaken. Interviews were conducted with 30 patients and their carers 4-5 weeks after coronary artery bypass grafting (phase 1) and 1 year after the initial interview (phase 2). Thematic analysis was used to identify the major concerns of participants. Findings. Almost half the patients experienced heart surgery as a huge personal shock. Adjusting to life afterwards was difficult, and they experienced a variety of changes, including pain. An unexpected finding was a heightened sense of body awareness and the need for postoperative physical adjustments. The financial implications of surgery were a major burden. Lifestyle adjustments were important and led to suggestions for support services, using telephone support and/or community patient networks. All participants recommended strengthening discharge planning with more accurate information about what to expect during recovery, to help them anticipate fluctuations in health and wellbeing. Carers experienced a wide range of unanticipated feelings during early recovery and had to deal with a number of personal changes. Conclusions. The findings suggest a need to improve discharge preparation and provide enhanced home support services. Further research should evaluate models of periodic follow-up and mechanisms for mutual support, and compare the experiences of cardiac patients and their carers with those of other surgical cohorts.
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    Journal Title
    Journal of Advanced Nursing
    Volume
    47
    Issue
    5
    Publisher URI
    http://www.blackwell-synergy.com/doi/full/10.1111/j.1365-2648.2004.03127.x
    DOI
    https://doi.org/10.1111/j.1365-2648.2004.03127.x
    Copyright Statement
    © 2004 Blackwell Publishing. The definitive version is available at [www.blackwell-synergy.com.]
    Subject
    Nursing
    Publication URI
    http://hdl.handle.net/10072/5547
    Collection
    • Journal articles

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