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冠状动脉搭桥手术后护理人员的特定需求、关注点、策略及建议。

Specific needs, concerns, strategies and advice of caregivers after coronary artery bypass surgery.

作者信息

Halm Margo A

机构信息

Salem Health, 890 Oak Street SE, Salem, OR 97301, USA.

出版信息

Heart Lung. 2016 Sep-Oct;45(5):416-22. doi: 10.1016/j.hrtlng.2016.07.001.

DOI:10.1016/j.hrtlng.2016.07.001
PMID:27664313
Abstract

OBJECTIVE

To describe concerns, needs, strategies and advice of coronary artery bypass (CABG) caregivers during the first 3 months post-surgery.

BACKGROUND

Nearly 400,000 patients underwent CABG surgery in 2010. While caregiving demand and difficulty has been investigated in early (4-8 weeks), mid (3 month), and later (6-12 months) recovery, no studies have explored early-to-mid concerns in-depth.

METHODS

In this qualitative study, a purposive sample of CABG partners participated in structured interviews. Themes for burden concerns, needs and strategies were derived using constant comparative analysis.

RESULTS

One global theme 'knowing what I'm supposed to be doing' emerged. Specific themes related to medications, mobility, symptom monitoring, memory, appetite, emotional spirits, and finances.

CONCLUSIONS

The resounding need for a dedicated caregiver program to prepare partners for their role, including what to expect, warrants exploration. Future research should validate these concerns in more diverse samples so interventions can be targeted to better support caregivers.

摘要

目的

描述冠状动脉搭桥术(CABG)患者术后前3个月护理人员的担忧、需求、策略及建议。

背景

2010年近40万患者接受了冠状动脉搭桥术。虽然已对早期(4 - 8周)、中期(3个月)和后期(6 - 12个月)康复阶段的护理需求和难度进行了调查,但尚无研究深入探讨早期至中期的担忧。

方法

在这项定性研究中,有目的地选取冠状动脉搭桥术患者的伴侣作为样本,参与结构化访谈。采用持续比较分析法得出负担担忧、需求和策略的主题。

结果

出现了一个总体主题“知道我该做什么”。具体主题涉及药物、活动能力、症状监测、记忆力、食欲、情绪和财务状况。

结论

迫切需要一个专门的护理人员培训项目,让伴侣为其角色做好准备,包括预期情况等,这值得探索。未来研究应在更多样化的样本中验证这些担忧,以便制定有针对性的干预措施,更好地支持护理人员。

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