Background: The rehabilitation process of postoperative cardiac surgery patients integrates both long-term recovery from heart disease and short-term postsurgical rehabilitation, and patients may have fears about exercising that affect recovery from the disease and the surgical trauma. At present, few studies have focused on the real experience of patients with kinesiophobia after cardiac surgery. Objectives: To explore the real psychological experiences of patients with kinesiophobia after cardiac surgery and to understand kinesiophobia from the patient's perspective. Methods: This study used a phenomenological approach to recruit 21 participants. The data were gathered through semistructured in-depth face-to-face interviews. Data were analyzed according to the Colaizzi phenomenology method. Results: Six themes were summarized: Barriers to nurse-patient communication; Psychological mapping caused by the external environment; Week support system ; Intrusive thinking; Postoperative adverse reaction; Health behavior dynamics: real practice behavior of early activities. Conclusions: Kinesiophobia in postoperative cardiac surgery patients is a change in psychological state resulting from three stimuli: external environment (medical staff, wardmates, and family), physiological (postoperative somatic sensation), and psychological, and all three influence and interact with each other. Coping with kinesiophobia in patients after cardiac surgery is a dynamic process that requires internal and external support.
Background Promoting patient participation in decision-making aims to maintain the partnership between doctors and patients, reflect the patients’ goals, values, and preferences, and achieve patient-centered care. Realizing patient-centered care, shared collaboration between doctors and patients, and the decision-making process that considers the patients’ priorities and goals are the keys to high-quality health care. Therefore, it is indispensable to analyze the patients’ willingness to participate in the decision-making process and related participation needs regarding anticoagulation treatment for patients undergoing valve replacement. Purpose To analyze the patients’ willingness to participate in the decision-making process and the participation needs of patients undergoing mechanical cardiac valve replacement in the process of anticoagulation therapy to provide a basis for promoting patients' participation in decision-making. Methods Using phenomenological research methods, data were collected through semistructured interviews. Patients were interviewed after mechanical valve replacement from June to August 2021 in a Grade A hospital in Nanjing. Data were analyzed according to the Colaizzi phenomenology method. Results Three major themes were identified from the data: strong willingness to participate but low actual participation, supportive needs, and family members’ participation. Conclusions This study guided interventions to encourage patients who underwent heart valve replacement to participate in the decision-making process. From the patient's perspective, obtaining support in the decision-making process and caregiver enthusiasm is important. This study prompted thoughts about the use of auxiliary tools and provided a reliable basis for constructing decision-making auxiliary programs to guide clinical practice.
ObjectiveTo analyze the relationship between post-operative sense of coherence and family function in patients with type A aortic dissection (AD).MethodsNinety patients with AD treated from January 2019 to December 2020 were selected as the research subjects. All patients received surgical treatments. Two weeks after the operation, the Sense of Coherence Scale (SOC-13) and Family APGAR index scale (APGAR) were used to evaluate the patients' sense of coherence and family function. Baseline data of all patients were collected, the SOC-13 scores of patients with type A AD with different demographic characteristics were compared, and the relationship between family function and patients' sense of coherence was analyzed.ResultsThe ninety patients with type A AD had a low level of psychological consistency, and the average SOC-13 score was 49.84 ± 3.89 points. The SOC-13 score of patients with type A AD with family monthly incomes <5,000 yuan and moderate and severe family dysfunction was lower than that of patients with family monthly incomes ≥5,000 yuan and good family function. The difference was statistically significant (P < 0.05). There was no statistically significant difference in the SOC-13 scores of patients with type A AD with different demographic characteristics (P > 0.05). The results of multiple linear regression analysis showed that family monthly income <5,000 yuan and moderate and severe family dysfunction might be general influencing factors of sense of coherence among patients with type A AD (P < 0.05). Y = 43.333 + 6.667X1 + 16.730X2 was obtained.ConclusionThe post-operative sense of coherence of patients with type A AD may be affected by family function.
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