dc.contributor.author | Theobald, K | |
dc.contributor.author | McMurray, A | |
dc.contributor.editor | Alison Tierney | |
dc.date.accessioned | 2017-05-03T13:17:26Z | |
dc.date.available | 2017-05-03T13:17:26Z | |
dc.date.issued | 2004 | |
dc.date.modified | 2007-03-18T21:38:28Z | |
dc.identifier.issn | 0309-2402 | |
dc.identifier.doi | 10.1111/j.1365-2648.2004.03127.x | |
dc.identifier.uri | http://hdl.handle.net/10072/5547 | |
dc.description.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 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.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Blackwell Publishing Ltd. | |
dc.publisher.place | United Kingdom | |
dc.publisher.uri | http://www.blackwell-synergy.com/doi/full/10.1111/j.1365-2648.2004.03127.x | |
dc.relation.ispartofpagefrom | 483 | |
dc.relation.ispartofpageto | 491 | |
dc.relation.ispartofissue | 5 | |
dc.relation.ispartofjournal | Journal of Advanced Nursing | |
dc.relation.ispartofvolume | 47 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearchcode | 4205 | |
dc.title | Coronary artery bypass graft surgery: discharge planning for successful recovery | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.rights.copyright | © 2004 Blackwell Publishing. The definitive version is available at [www.blackwell-synergy.com.] | |
gro.date.issued | 2004 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | McMurray, Anne M. | |