Show simple item record

dc.contributor.authorTheobald, K
dc.contributor.authorMcMurray, A
dc.contributor.editorAlison Tierney
dc.date.accessioned2017-05-03T13:17:26Z
dc.date.available2017-05-03T13:17:26Z
dc.date.issued2004
dc.date.modified2007-03-18T21:38:28Z
dc.identifier.issn0309-2402
dc.identifier.doi10.1111/j.1365-2648.2004.03127.x
dc.identifier.urihttp://hdl.handle.net/10072/5547
dc.description.abstractBackground. 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.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherBlackwell Publishing Ltd.
dc.publisher.placeUnited Kingdom
dc.publisher.urihttp://www.blackwell-synergy.com/doi/full/10.1111/j.1365-2648.2004.03127.x
dc.relation.ispartofpagefrom483
dc.relation.ispartofpageto491
dc.relation.ispartofissue5
dc.relation.ispartofjournalJournal of Advanced Nursing
dc.relation.ispartofvolume47
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.titleCoronary artery bypass graft surgery: discharge planning for successful recovery
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.rights.copyright© 2004 Blackwell Publishing. The definitive version is available at [www.blackwell-synergy.com.]
gro.date.issued2004
gro.hasfulltextNo Full Text
gro.griffith.authorMcMurray, Anne M.


Files in this item

FilesSizeFormatView

There are no files associated with this item.

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record