Olsson Karin, Näslund Ulf, Nilsson Johan, Hörnsten Åsa
Cardiology, Heart Centre Department of Public Health and Clinical Medicine Umeå University Umea Sweden.
Department of Nursing Umeå University Umea Sweden.
Nurs Open. 2018 Feb 4;5(2):149-157. doi: 10.1002/nop2.124. eCollection 2018 Apr.
The aim of this study was to explore how patients experienced the recovery process from transcatheter aortic valve implantation.
A qualitative approach where in-depth interviews were used.
Eleven men and eight women undergoing transcatheter aortic valve implantation were individually interviewed 6 months after transcatheter aortic valve implantation. Grounded theory was used for the analysis.
The analysis generated the core concept "A journey of balancing between life-struggle and hope" connected to descriptive, bipolar categories. Before transcatheter aortic valve implantation patients not only felt threatened but also experienced hope. The rehabilitation phase was described as demanding or surprisingly simple. At the 6 months follow-up patients were pleased to return to life, however, still struggling with limitations. To feel hope is essential for transcatheter aortic valve implantation patients' well-being, both before and during the recovery process. It is important that healthcare professionals not only support hopeful thinking but also take time to discuss and prepare patients, talk about concerns and build confidence. Individual plans for rehabilitation should be designed.
本研究旨在探讨患者经历经导管主动脉瓣植入术后恢复过程的体验。
采用定性研究方法，进行深入访谈。
对11名男性和8名女性经导管主动脉瓣植入术后6个月的患者进行了单独访谈。采用扎根理论进行分析。
分析得出核心概念“在生活挣扎与希望之间平衡的旅程”，并与描述性的两极类别相关。在经导管主动脉瓣植入术前，患者不仅感到受到威胁，同时也体验到希望。康复阶段被描述为要求苛刻或出人意料地简单。在6个月随访时，患者很高兴回归生活，但仍在与各种限制作斗争。对经导管主动脉瓣植入术患者而言，在恢复过程之前和期间感受到希望对其幸福感至关重要。医疗保健专业人员不仅要支持积极的思考，而且要花时间与患者讨论并做好准备，谈论他们的担忧并建立信心，这一点很重要。应制定个性化的康复计划。
