Experiences of patients who had undergone coronary artery bypass graft surgery with strengths-based nursing care

Year 2021, Volume: 34 Issue: 1, 57 - 65, 29.01.2021

Yasemin Altınbas , Meryem Yavuz Van Gıersbergen

https://doi.org/10.5472/marumj.869065

Cited By: 1

Abstract

Objective: Strengths-based nursing is a new approach and care philosophy and it is still unclear how it affects patients in the surgery
period. The aim of this study was to determine the experiences of patients who had undergone coronary artery bypass graft surgery
managed treated with this philosophy.
Patients and Methods: This qualitative study consisted of 23 patients who had undergone coronary artery bypass graft surgery in the
Cardiovascular Surgery Department of a university hospital in Izmir, Turkey. The data were collected using Individual Identification
Form, Semi-structured Interview Forms, SWOT Analysis Form and Classification of Qualitative Strengths Form. Thematic data
analysis was used to evaluate patient answers to the research questions.
Results: According to the analyses performed, seven main themes consisting of “Perception of Being Strong”, “Perception of Being
Weak”, “Care Process”, “Effects of Heart Disease”, “Reason for the Occurrence of the Disease”, “Need for Knowledge” and “Solution
Seeking” were determined in the preoperative interviews, and five main themes consisting of “Perception of Being Strong”, “Perception
of Being Weak”, “Surgery”, “Care Process” and “Education” were determined in the postoperative interviews.
Conclusion: This new philosophy in patient management has positive effects because it increases patients’ hopes for life, healing and
facilitating adaptation to the surgical procedure.

Keywords

Coronary artery bypass graft surgery, Patient, Experience, Strengths-based nursing care

References

• World Health Organization: Cardiovascular diseases (CVDs). World Health Organization; 2017. Available at: https:// www.who.int/news-room/fact-sheets/detail/cardiovasculardiseases-( cvds). (Accessed June 2020).
• Roosens C, Heerman J, De Somer F, Caes F, Van Belleghem Y, Poelaert J I. Effects of offpump coronary surgery on the mechanics of the respiratory system, lung, and chest wall: comparison with extracorporeal circulation. CritCare Med 2002;30:2430-7. doi: 10.1097/00003.246.200211000-00005
• Tolmie EP, Lindsay GM, Belcher PR. Coronary artery bypass graft operation: patients’ experience of health and well-being over time. Eur J CardiovascNurs 2006;5:228-36. doi: 10.1016/j. ejcnurse.2006.01.007
• Leegaard M, Fagermoen M S. Patients’ key experiences after coronary artery bypass grafting: a synthesis of qualitative studies. Scand J Caring Sci 2008;22:616-28. doi: 10.1111/j.1471- 6712.2007.00556.x.
• Whitsitt DR. Coping strategies and adaptation to coronary artery bypass surgery as experienced by three couples. Heart Lung 2012;41:350-9. doi: 10.1016/j.hrtlng.2012.02.013
• Diaz M, Larsen B. Preparing for successful surgery: an implementation study. Perm J 2005;9:23-7.
• Gottlieb LN. Strengths-based nursing care. Canada: Springer Publishing Company, 2013.
• Gottlieb LN. Strengths-based nursing. Am J Nurs 2014;114:24- 32. doi: 10.1097/01.NAJ.000.045.3039.70629.e2.
• AltınbaşY, van Giersbergen M Y. Strenghts-based nursing care. Health Sciences Journal of Adıyaman University 2019;5:1652- 63. doi: 10.30569/adiyamansaglik.528795
• Sandelowski M. Focus on research methods-whatever happened to qualitative description? Res Nurs Health 2000;23:334- 40. doi:10.1002/1098-240X(200008)23:4<334::AIDNUR9> 3.0.CO;2-G
• Kim H, Sefcik J S, Bradway C. Characteristics of qualitative descriptive studies: a systematic review. Res Nurs Health 2017;40:23-42. doi: 10.1002/nur.21768
• Morys JM, Bellwon J, Höfer S, Rynkiewicz A, Gruchała M. Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Arch Med Sci 2016;12:326-33. doi: 10.5114/aoms.2014.47881
• Emslie C. Women, men and coronary heart disease: a review of the qualitative literature. J Adv Nurs 2005;51: 382-95. doi: 10.1111/j.1365-2648.2005.03509.x.
• Smith J, Osborn M. Interpretative phenomenological analysis. In: Smith JA, ed. Qualitative Psychology: A Practical Guide to Research Methods. 3rd edition. London, England: Sage, 2015:54-80.
• Mooney M, Fitzsimons D, Richardson G. “No more couch potato!” Patients’ experiences of a pre-operative programme of cardiac rehabilitation for those awaiting coronary artery bypass surgery. Eur J Cardiovasc Nurs 2007;6:77-83. doi: 10.1016/j.ejcnurse.2006.05.002
• Bergvik S, Sorlie T, Wynn R. Approach and avoidance coping and regulatory focus in patients having coronary artery bypass graft surgery. J Health Psychol 2010;15:915-24. doi: 10.1177/135.910.5309359542
• Anderson L, Brown J P R, Clark A M, et al., Patient education in the management of coronary heart disease. Cochrane Database Syst Rev 2017;6:CD008895. doi: 10.1002/14651858. CD008895.pub3
• Lie I, Bunch E H, Smeby N A, Arnesen H, Hamilton G. Patients’ experiences with symptoms and needs in the early rehabilitation phase after coronary artery bypass grafting. Eur J Cardiovasc Nurs 2012;11: 14-24. doi: 10.1016/j. ejcnurse.2010.09.004
• Dunckley M, Ellard D, Quinn T, Barlow J. Recovery after coronary artery bypass grafting: patients’ and health professionals’ views of the hospital experience. Eur J Cardiovasc Nurs 2007; 6: 200-07. doi: 10.1016/J.EJCNURSE.2006.09.003
• Mohammadi N, Abbasi M, Nasrabadi A N, Salehiomran A, Davaran S, Norouzadeh R. Passion for life: lived experiences of patients after coronary artery bypass graft. J Tehran Heart Cent 2015;10:129-33.
• Leung Y W, Alter DA, Prior PL, Stewart D E, Irvine J, Grace S L. Posttraumatic growth in coronary artery disease outpatients: relationship to degree of trauma and health service use. J Psychosom Res 2012;72:293-9. doi: 10.1016/j. jpsychores.2011.12.011