Eckhardt Ann L, Swanlund Susan L
University of Illinois at Chicago, Chicago, IL 61822, USA.
Prog Cardiovasc Nurs. 2008 Fall;23(4):178-83. doi: 10.1111/j.1751-7117.2008.00012.x.
The benefits of Off-Pump Coronary Artery Bypass surgery (OPCAB) are well documented, but little information is available that explores the patient's perception of the experience. The purpose of this study was to explore the differences in perceptions and experiences in patients who have undergone both OPCAB and on-pump Coronary Artery Bypass Grafting procedures. Guided by naturalistic inquiry, semistructured qualitative interviews were conducted and audio taped with 4 men living independently. Inductive analysis of the transcripts revealed 7 themes: general comparisons, health care seeking symptoms, loss of control, faith and trust, postoperative depression, interactions with health care professionals, and sharing the life-time experience. The findings from this study will help to guide future research in the area of cardiovascular surgery.
非体外循环冠状动脉搭桥手术(OPCAB)的益处已有充分记录,但关于患者对该手术体验的看法的信息却很少。本研究的目的是探讨接受过OPCAB和体外循环冠状动脉搭桥手术的患者在认知和体验上的差异。在自然主义探究的指导下,对4名独立生活的男性进行了半结构化定性访谈并录音。对访谈记录的归纳分析揭示了7个主题:总体比较、就医症状、失去控制感、信念与信任、术后抑郁、与医护人员的互动以及分享人生经历。本研究的结果将有助于指导心血管外科领域的未来研究。