Postoperative self-management experiences among patients with aortic dissection: a phenomenological approach.

IF 2.3 3区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS BMC Cardiovascular Disorders Pub Date : 2025-01-06 DOI:10.1186/s12872-024-04435-4
Liwei Zhang, Qiong Pan, Yanchun Peng, Sailan Li, Liangwan Chen, Yanjuan Lin
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Abstract

Objective: The objective of this study is to examine the postoperative self-management experiences of patients with aortic dissection (AD) through qualitative interviews, providing a foundation for the standardized management of postoperative home care for these patients.

Methods: Semi-structured interviews were conducted with 18 patients with AD postoperatively, in the cardiac surgery department of a tertiary hospital in Fujian Province between March and May 2020. This qualitative study used phenomenological methods and purposive sampling, with data analyzed using Colaizzi's seven-step approach to extract themes.

Results: Based on the interviews, four primary themes related to postoperative self-management challenges were identified: limited disease-related knowledge, inadequate disease management behavior, insufficient communication with healthcare providers, and compromised psychological well-being.

Conclusion: Postoperative self-management among patients with AD presents several challenges. Healthcare professionals should provide targeted interventions tailored to the specific condition and individual differences of the patient in self-management. Such interventions are crucial for enhancing the postoperative self-management abilities of patients with AD, promoting rehabilitation, and enhancing the overall quality of life.

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主动脉夹层患者术后自我管理经验:现象学方法。
目的:本研究旨在通过质性访谈,了解主动脉夹层(aortic dissection, AD)患者术后自我管理经验,为主动脉夹层患者术后家庭护理的规范化管理提供依据。方法:对福建省某三级医院心脏外科于2020年3月至5月收治的18例AD术后患者进行半结构化访谈。本定性研究采用现象学方法和目的性抽样,数据分析采用Colaizzi的七步法提取主题。结果:基于访谈,确定了与术后自我管理挑战相关的四个主要主题:疾病相关知识有限,疾病管理行为不足,与医疗保健提供者沟通不足,心理健康受损。结论:AD患者的术后自我管理面临一些挑战。医疗保健专业人员应根据患者自我管理的具体情况和个体差异提供有针对性的干预措施。这些干预措施对于提高AD患者术后自我管理能力,促进康复,提高整体生活质量至关重要。
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来源期刊
BMC Cardiovascular Disorders
BMC Cardiovascular Disorders CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
3.50
自引率
0.00%
发文量
480
审稿时长
1 months
期刊介绍: BMC Cardiovascular Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of disorders of the heart and circulatory system, as well as related molecular and cell biology, genetics, pathophysiology, epidemiology, and controlled trials.
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