Rehabilitation and guidance as reported by women and men who had undergone coronary bypass surgery

Abstract

Expanding the role of practical nurses to provide both preventive and rehabilitation guidance should be seen as an important strategy in health care. Individual needs, gender differences and support from families and peers should be taken into consideration when planning and implementing guidance.

The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative study

“…28 However, findings presented here show that in some cases, the impact of PR on the experience of social activities not only enables patients to support each other, but also enables them to overcome feelings of social isolation. Wempe and Wijkstra 29 stated that in order to prevent relapse post-PR, both physical and social activities need to be maintained, suggesting that social activities may be of equal importance to physical exercise in maintaining the benefits of PR.…”

Unmet Information and Communication Needs in the Intermediate Recovery from Coronary Artery Bypass Surgery

“…The male informants had few concerns about their diet, while the women had difficulties to change activity and exercise patterns. Unease with participating in exercise groups with people in better physical condition, lack of exercise among women, women's difficulties in fulfilling their roles, and being a convalescent are reported (10,11,21,22). Managing physical symptoms and monitoring recovery in the early recovery period seemed well attended to (19).…”

“…Our male informants shared that they felt guilt towards their spouse and family, and older women found it difficult to ask for practical help as well as share felt uncertainties. This can indicate that informational material should go beyond just acknowledging the importance of spousal support during recovery (10). Opportunities to raise existential questions would contribute to re-establishing a 'sense of coherence'.…”

“…Recovery experiences alter during recovery (3,9). Women report setbacks from unexpected muscular pain in the chest and problems with maintaining recommended activity levels after surgery (10,11,12). Men can experience the recovery process more smoothly than women, and they attribute this to family support, especially from a wife, partner or significant other (10).…”

Significados da Cirurgia Cardíaca para Pacientes Submetidos a Processo Cirúrgico

“…A opção por esse período se deu em função dos apontamentos da literatura, posto que esse é um período crítico, que diz respeito à adaptação pós-cirúrgica (Romano, 2001) e à retomada da rotina de vida (Koivunen, Isola, & Lukkarinen, 2007). Foram excluídos da pesquisa pacientes menores de 18 anos, não residentes na cidade de realização do estudo e aqueles que, em função de disfunções físicas e orgânicas, não pudessem falar.…”