Koenders Niek, van Zetten Henrita, Smulders Michelle, Smeenk Hans, van Kimmenade Roland, Smith Tim, Geuzebroek Guillaume, van Brakel Thomas, Verkroost Michel
Department of Rehabilitation, Radboud University Medical Center, Nijmegen, the Netherlands.
Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands.
Aorta (Stamford). 2024 Feb;12(1):1-7. doi: 10.1055/s-0044-1791668. Epub 2024 Oct 29.
Patients receive many different recommendations after thoracic aortic surgery. Unfortunately, there is much variation in recommendations between different surgical centers. This variation in recommendations creates uncertainty and anxiety in patients. Therefore, we aimed to provide an overview with clear lifestyle recommendations for patients before and after thoracic aortic surgery.
Documentary research and a framework analysis were used to analyze brochures, website texts, and health care protocols. These documents consisted of lifestyle recommendations for patients before and after thoracic aortic surgery (direct information) or cardiac surgery (indirect information). An analytical framework was constructed and all lifestyle recommendations for patients before and after thoracic aortic surgery were coded through indexing, charting, and mapping by two researchers (N.K. and H.v.Z.). The first draft with lifestyle recommendations was prepared by two researchers (N.K. and H.v.Z.). Feedback from all authors involved patients and consulted health care professionals was processed in the final draft.
In total, 170 documents were analyzed. Indexing revealed 414 lifestyle recommendations, which were included in the first draft. Charting, mapping, removal of duplicates, and processing of feedback resulted in a final draft with 52 lifestyle recommendations about behavioral change, body weight, nutrition, cessation of alcohol and drug use, cessation of smoking, wound healing, sedentary behavior and physical activity, mental well-being, and family and close relatives.
This study provides an overview of clear lifestyle recommendations for patients before and after thoracic aortic surgery. This overview is the first step because follow-up research is needed on which lifestyle recommendations are necessary and evidence-based. The overview of lifestyle recommendations serves as a foundation, after which individual customization can be provided.
患者在胸主动脉手术后会收到许多不同的建议。不幸的是，不同手术中心的建议存在很大差异。这种建议的差异给患者带来了不确定性和焦虑。因此，我们旨在为胸主动脉手术前后的患者提供一份包含明确生活方式建议的概述。
采用文献研究和框架分析来分析宣传册、网站文本和医疗保健协议。这些文件包含胸主动脉手术前后患者的生活方式建议（直接信息）或心脏手术的生活方式建议（间接信息）。构建了一个分析框架，由两名研究人员（N.K.和H.v.Z.）通过索引、图表绘制和映射对胸主动脉手术前后患者的所有生活方式建议进行编码。由两名研究人员（N.K.和H.v.Z.）编写了包含生活方式建议的初稿。所有作者、患者和咨询过的医疗保健专业人员的反馈都在最终稿中得到了处理。
总共分析了170份文件。索引显示有414条生活方式建议，这些建议被纳入初稿。通过图表绘制、映射、去除重复内容以及反馈处理，最终形成了一份包含52条生活方式建议的终稿，内容涉及行为改变、体重、营养、戒酒和戒毒、戒烟、伤口愈合、久坐行为和体育活动、心理健康以及家庭和近亲等方面。
本研究为胸主动脉手术前后的患者提供了一份包含明确生活方式建议的概述。这一概述只是第一步，因为还需要后续研究来确定哪些生活方式建议是必要的且基于证据。生活方式建议的概述是一个基础，在此基础上可以进行个性化定制。
