在新的自我中寻找平静--对主动脉夹层术后患者及其心脏康复体验的定性研究

IF 2.9 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS European Journal of Cardiovascular Nursing Pub Date : 2024-07-17 DOI:10.1093/eurjcn/zvae098.027
S Rosenstroem, A S Anette Sjoel
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引用次数: 0

摘要

背景 主动脉夹层的特点是颈动脉突然破裂,血液进入主动脉壁。死亡率为每小时 1%,半数患者在 48 小时内死亡。手术后,建议患者将手臂举起的重量限制在 2 公斤以内,终身严格控制血压,并从事不会对主动脉造成压力的体力活动。尽管有关最佳康复的证据有限,丹麦的大学医院还是成立了一个团队,为主动脉夹层患者提供有组织的术后康复计划。研究目的 本研究旨在探讨主动脉夹层术后患者的专业康复计划的经验和重要性。研究方法 是一项定性访谈研究,受 Graneheim & Lundman 的启发,采用内容分析法进行分析。访谈参与者是在康复计划结束时或结束后不久通过医院的物理治疗师招募的。访谈通过电话或在医院的私人房间进行。结果 根据对 8 名患者(3 名女性和 5 名男性,年龄在 43-73 岁之间)的访谈,得出了一个总的主题:"在新的自我中寻找平静"。这一主题概括了患者适应新身份的历程,他们的身体发生了变化,受到了限制,同时他们对自己还活着充满了感激之情。三个次主题描述了从手术到康复课程结束的这段时间:1) 手术幸存--最初的奇迹和随后的不确定性;2) 康复课程增强了安全感和幸福感;3) 重获完整。结论 事实证明,专门的康复计划是帮助主动脉夹层患者在面对危及生命的创伤后从改变的自我中找到平静的重要支持。这些患者需要通过心外科护士提供的心脏康复治疗获得全面的身体和心理支持,并在具备主动脉夹层专业知识的物理治疗师的指导下及时开始专业康复治疗。
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Finding peace in a new version of oneself- a qualitative study of post operative patients after aorta dissection and their experiences of cardiac rehabilitation
Background Aortic dissection, characterized by a sudden rupture in the carotid artery allowing blood to enter the aortic wall. The mortality rate is 1% per hour, and half of the patients die within 48 hours. Following surgery, patients are advised to limit arm lifting to 2 kg, maintain strict blood pressure control for life, and engage in physical activities that do not strain the aorta. Despite the limited evidence on optimal rehabilitation, our University Hospital in Denmark has established a team that secure patients with aortic dissection a structured post operative rehabilitation program. Aim This study aims to explore the experiences and importance of a specialized rehabilitation program for individuals post-surgery for aortic dissection. Method A qualitative interview study, analyzed using content analysis inspired by Graneheim & Lundman. Interview participants were recruited through the physiotherapist at the hospital either at the end or shortly after their rehabilitation program. Interviews were conducted over the phone or in a private room at the hospital. Results Based on interviews with eight patients (three women and five men aged 43-73), an overarching theme emerged; "Finding peace in a new version of oneself." This theme encapsulates the journey of adapting to a new identity with a changed body that has limitations, combined with a sense of gratitude for being alive. Three subthemes describe the period from surgery to the end of the rehabilitation course: 1) Surviving the operation - the initial miracle and the subsequent uncertainties, 2) The rehabilitation course enhance a sense of security and well-being, and 3) Reclaiming wholeness. Conclusion A specialized rehabilitation program proves to be a crucial support in helping individuals with aortic dissection find peace in their altered selves after facing a life-threatening trauma. These patients require comprehensive physical and psychological support through cardiac rehabilitation provided by cardiac nurses, along with prompt initiation of specialized rehabilitation led by physiotherapists with expertise in aortic dissection.
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来源期刊
European Journal of Cardiovascular Nursing
European Journal of Cardiovascular Nursing CARDIAC & CARDIOVASCULAR SYSTEMS-NURSING
CiteScore
5.10
自引率
10.30%
发文量
247
审稿时长
6-12 weeks
期刊介绍: The peer-reviewed journal of the European Society of Cardiology’s Council on Cardiovascular Nursing and Allied Professions (CCNAP) covering the broad field of cardiovascular nursing including chronic and acute care, cardiac rehabilitation, primary and secondary prevention, heart failure, acute coronary syndromes, interventional cardiology, cardiac care, and vascular nursing.
期刊最新文献
Interviewing people on sensitive topics: challenges and strategies Prehospital treatment-seeking for acute coronary syndrome in culturally and linguistically diverse immigrant populations: a scoping review Finding peace in a new version of oneself- a qualitative study of post operative patients after aorta dissection and their experiences of cardiac rehabilitation Psychometric properties of the KCCQ-12 in an european cohort of patients with heart failure Patients' experiences of a digital group education targeting kinesiophobia after myocardial infarction or atrial fibrillation - a qualitative pilot study
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