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冠状动脉搭桥手术体验的探索性研究。

An exploratory study of the coronary artery bypass graft surgery experience.

作者信息

Bartz C

机构信息

Health Services Command, Fort Sam Houston, TX.

出版信息

Heart Lung. 1988 Mar;17(2):179-83.

PMID:3258303
Abstract

The purpose of this study was to explore the experiences of patients who have had coronary artery bypass graft surgery (CABGS). Semistructured interviews using descriptive and contrast questions were done with a convenience sample of five married Anglo men. The sampling frame spanned time from 4 days to 3 years after surgery. Three informants were interviewed twice. The transcribed interviews were subjected to content analysis. With the experience of coronary artery surgery, the informants moved from health and independence to illness and dependence. Considering the transition to dependence, informants described aspects of personal control and interpersonal confidence. Considering perceptions during dependence, informants described surviving the surgery, coming to awareness, sensing physical injury, and sensing the surroundings. Understanding patients' views on the experience of CABGS can make nursing care planning and delivery more focused and deliberate. The study provides a preliminary basis for continued research toward a conceptual model of CABGS patients' experiences.

摘要

本研究的目的是探索接受冠状动脉搭桥手术(CABGS)患者的经历。对五名已婚盎格鲁男性的便利样本进行了使用描述性和对比性问题的半结构化访谈。抽样范围涵盖术后4天至3年的时间段。三名受访者接受了两次访谈。对转录后的访谈进行了内容分析。随着冠状动脉手术经历的发展,受访者从健康和独立转变为患病和依赖。考虑到向依赖状态的转变,受访者描述了个人控制和人际信心方面的情况。考虑到依赖期间的认知,受访者描述了手术存活、逐渐清醒、感知身体损伤以及感知周围环境的情况。了解患者对CABGS经历的看法可以使护理计划和实施更加有针对性和深思熟虑。该研究为进一步研究CABGS患者经历的概念模型提供了初步基础。

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