Zhang Liwei, Pan Qiong, Peng Yanchun, Li Sailan, Chen Liangwan, Lin Yanjuan
Department of Nursing, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian Province, China.
Department of Cardiac Surgery Nursing, Fujian Medical University Union Hospital, Fuzhou, 350001, Fujian Province, China.
BMC Cardiovasc Disord. 2025 Jan 6;25(1):4. doi: 10.1186/s12872-024-04435-4.
The objective of this study is to examine the postoperative self-management experiences of patients with aortic dissection (AD) through qualitative interviews, providing a foundation for the standardized management of postoperative home care for these patients.
Semi-structured interviews were conducted with 18 patients with AD postoperatively, in the cardiac surgery department of a tertiary hospital in Fujian Province between March and May 2020. This qualitative study used phenomenological methods and purposive sampling, with data analyzed using Colaizzi's seven-step approach to extract themes.
Based on the interviews, four primary themes related to postoperative self-management challenges were identified: limited disease-related knowledge, inadequate disease management behavior, insufficient communication with healthcare providers, and compromised psychological well-being.
Postoperative self-management among patients with AD presents several challenges. Healthcare professionals should provide targeted interventions tailored to the specific condition and individual differences of the patient in self-management. Such interventions are crucial for enhancing the postoperative self-management abilities of patients with AD, promoting rehabilitation, and enhancing the overall quality of life.
本研究旨在通过定性访谈探讨主动脉夹层（AD）患者术后的自我管理体验，为这些患者术后居家护理的规范化管理提供依据。
2020年3月至5月间，在福建省某三级医院心脏外科对18例AD术后患者进行了半结构式访谈。本定性研究采用现象学方法和目的抽样法，运用Colaizzi七步法对数据进行分析以提取主题。
基于访谈，确定了与术后自我管理挑战相关的四个主要主题：疾病相关知识有限、疾病管理行为不足、与医护人员沟通不足以及心理健康受损。
AD患者术后自我管理存在若干挑战。医护人员应针对患者自我管理的具体病情和个体差异提供有针对性的干预措施。此类干预措施对于提高AD患者术后自我管理能力、促进康复以及提高整体生活质量至关重要。
