Patients' discharge experiences: Returning home after open-heart surgery

Lapum, Jennifer; Angus, Jan; Peter, Elizabeth; Watt‐Watson, Judy

doi:10.1016/j.hrtlng.2010.01.001

Cited by 48 publications

(39 citation statements)

References 43 publications

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“…Postsurgical management has traditionally focused on medical evaluation, echocardiographic assessment and anticoagulation 5 6. However, despite physical health improvements, deterioration in physical capacity7 and mental health8 can occur postsurgery, and the postoperative period may be challenging 9 10. Therefore, it is important to study whether further postoperative management strategies including cardiac rehabilitation could improve outcomes.…”

Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Sibilitz

Berg

Rasmussen

et al. 2016

Heart

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Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Sibilitz

Berg

Rasmussen

et al. 2016

Heart

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“…Patients can feel changed during their illness, leading to lifelong fragility [14]. Also, at discharge and returning home the feeling of vulnerability and worries about transition phases appear, and a fear of information gap can be dominant [15]. To better plan proper after care, describing and understanding patients’ perception of recovery after heart valve replacement is essential.…”

Section: Introductionmentioning

confidence: 99%

Patient experiences of recovery after heart valve replacement: suffering weakness, struggling to resume normality

et al. 2013

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BackgroundHeart valve disease is becoming a public health problem due to increasing life expectancy and new treatment methods. Patients are at risk of developing depression, anxiety or post-traumatic stress disorder after heart valve surgery. To better plan proper care, describing and understanding patients’ perception of recovery after heart valve replacement is essential. The objective was to describe the experience of recovery at home after heart valve replacement.MethodsQualitative interviews were conducted with 10 patients representing the population and these were later transcribed. The analysis was inspired by Ricoeur’s theory of interpretation, which consists of three levels: naive reading, structured analysis, and critical interpretation and discussion.ResultsThe overall concept that emerged was suffering weakness and struggling to resume normality. Patients all struggled to resume normal living, both in regaining physical strength and in reestablishing balance in overall living. The overall concept can be interpreted in terms of the following themes: Disturbed network: Invaluable relatives, Contact with healthcare staff, Rehabilitation. Disturbed body: Stressful complications, Bodily attention, Physically affected, Physical capability. Recovery: Interrupted living, Suffering weakness, Gradual recovery, Achieving normality. Reflections: Thoughts about the procedure and Feeling sad and fragile.ConclusionThe study presents the main themes of network, body, recovery and reflection for ten patients after heart valve replacement. These main themes can overall be summarized as suffering weakness and struggling to resume normality. Patients felt weak with a changed body, but after a long recovery process regained vitality and returned to their daily life.

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“…Our results are in line with Fenwick's [48] definition of readiness for discharge as a balance between a person's physical, mental and social resources and limitations in support at home. Other nursing researchers have reported similar results in studies investigating readiness for hospital discharge following heart, hip or cancer surgery [49][50][51]. These studies highlight that persons' readiness for discharge relies on feeling safe in terms of the nurses' knowledge and information about the persons' illness, risks and care needs; the need for medical equipment after surgery; and further safe and secure community nursing care.…”

Section: Discussionmentioning

confidence: 56%

"I Want to Go Home, but I Need to Stay": The Transition to become Ready for Discharge from Acute Psychiatric Wards, as Narrated by Persons Who Experienced Acute Psychotic Illness

Sebergsen¹,

Talseth²

2016

Int J Nurs Clin Pract

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Background: Discharge planning for persons with psychotic illness who are admitted to acute psychiatric wards is critical for decreasing the well-known risk of new phases of psychosis and early readmissions after discharge from the ward. There is limited knowledge about admitted persons' experience of their readiness for discharge from acute psychiatric wards. This study aims to describe and understand how persons with psychotic illness experience to become ready for discharge during their stay on an acute psychiatric ward. Method: During their hospital stay, 12 persons who recently had acute psychotic illness were interviewed about their experiences related to their upcoming discharge. The recorded interviews were transcribed and content analysed.

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Patients' discharge experiences: Returning home after open-heart surgery

Cited by 48 publications

References 43 publications

Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Cardiac rehabilitation increases physical capacity but not mental health after heart valve surgery: a randomised clinical trial

Patient experiences of recovery after heart valve replacement: suffering weakness, struggling to resume normality

"I Want to Go Home, but I Need to Stay": The Transition to become Ready for Discharge from Acute Psychiatric Wards, as Narrated by Persons Who Experienced Acute Psychotic Illness

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