ORIGINAL ARTICLE

Lived experiences of stress in patients with coronary artery bypass grafting: A Qualitative Study

Mohammad Ali Morowatisharifabad, Mohammad Reza Miri, Abbas Javadi , Toba Kazemi, Ahmad Nasiri

Mohammad Ali Morowatisharifabad
Professor, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Mohammad Reza Miri
Associate Professor, Social determinants of health research center, faculty of public health, Birjand University of Medical Sciences, Birjand, Iran.

Abbas Javadi
Health Education Group, International campus, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.. Email: [email protected]

Toba Kazemi
Birjand Cardiovascular Diseases Research Center, professor of cardiology, Birjand University of Medical Sciences, Birjand, Iran

Ahmad Nasiri
Associate Professor, Nursing and Midwifery Faculty, Birjand University of Medical Sciences, Birjand, Iran.
Online First: September 07, 2017 | Cite this Article
Morowatisharifabad, M., Miri, M., Javadi, A., Kazemi, T., Nasiri, A. 2017. Lived experiences of stress in patients with coronary artery bypass grafting: A Qualitative Study. Bali Medical Journal 6(3). DOI:10.15562/bmj.v6i3.660


Introduction: Hospitalization for surgery is associated with stress and anxiety for most patients. Candidates for Coronary Artery Bypass Grafting (CABG) experience a lot of stress and tension. This study aimed to identify and explore the determinants of stress in CABG patients.

Methods: This qualitative study builds on content analysis. The sample consisted of 21 CABG patients. Data was collected via unstructured interviews, and the sample was selected based on purpose and with maximum variation. The process of data analysis proposed by Graneheim and Lundman was followed. Credibility and dependability of the study were assured according to Guba and Lincoln’s evaluative criteria.

Results: The results were categorized into three main themes and five categories in terms of nature. The three-emerging themes include "presentation", "situational determinants", and "uncertainty".

Conclusion: Mental stress affects the length of stay in the hospital, postoperative pain, and quality of life. It is necessary to identify the most important stressors perceived by CABG patients, to control stress, and hence to comfort patients mentally by healthcare providers.

     

References

Bari A. Comparison of Coronary Bypass Surgery with Angioplasty in Patients with Multivessel Disease. N Engl J Med. 1996(335):217-25.

Esmaeili M, Maleki S, Shoghi M, Azizi F, Moghimi S. The effect of nursing education on knowledge, attitudes and beliefs in patients with coronary artery disease in response to myocardial infarction. 2013.

Seyam S, Heidarnia AR. Quality of life and factors related to it in cardiovascular patients after heart surgery. Journal of Birjand University of Medical Sciences. 2013;19 (6):33-41.

Esmaeili Z ZTS, Vazezzadeh N, Mohamadpour R. Quality of Life after Coronary Artery Bypass Grafting. J Mazandaran Univ Med Sci. 2007;61(17):170-4.

Pourghane P, Hosseini M-A, Mohammadi F, Ahmadi F, Tabari R. Patient's Perception of Cardiac Rehabilitation after Coronary Artery Bypass Graft (CABG): A Qualitative Study. Journal of Mazandaran University of Medical Sciences. 2013;23(106):61-76.

Bikmoradi A, Seifi Z, Poorolajal J, Araghchian M, Safiaryan R, Oshvandi K. Effect of inhalation aromatherapy with lavender essential oil on stress and vital signs in patients undergoing coronary artery bypass surgery: A single-blinded randomized clinical trial. Complementary Therapies in Medicine. 2015;23(3):331-8.

Neyse F, Daneshmandi M, Sadeghi Sharme M, Ebadi A. The effect of earplugs on sleep quality in patients with acute coronary syndrome. Journal of Critical Care Nursing. 2011;4(3):127-34.

Kalkman C, Visser K, Moen J, Bonsel G, Grobbee D, Moons K. Preoperative prediction of severe postoperative pain. Pain. 2003;105(3):415-23.

Gallagher R, McKinley S. Stressors and anxiety in patients undergoing coronary artery bypass surgery. American Journal of Critical Care. 2007;16(3):248-57.

Mitchell M. Anaesthesia type, gender and anxiety. Journal of perioperative practice. 2013;23(3):41-7.

Ghadiri E SM, Maghsoudi J. The effects of peer-led education on anxiety of the family caregivers of patients undergoing coronary artery bypass surgery (CABG) in Shahid Chamran center Isfahan University of Medical Sciences. IJPN. 2016;2(4):50-6.

Mirbagher Ajorpaz N MK. Effect of Prayer on the anxiety level in the family members of patients undergoing general surgery inShahid Beheshti Hospital of khashan. Health Commun J 2014;1(8):1-8.

Healy K. A Descriptive Survey of the Information Needs of Parents of Children Admitted for Same Day Surgery. Journal of Pediatric Nursing. 2013;28(2):179-85.

Gallagher R, McKinley S. Stressors and anxiety in patients undergoing coronary artery bypass surgery. American journal of critical care : an official publication, American Association of Critical-Care Nurses. 2007;16(3):248-57.

Berg K, Kaspersen R, Unby C, Hollman Frisman G. The Interaction Between the Patient and Nurse Anesthetist Immediately Before Elective Coronary Artery Bypass Surgery. Journal of PeriAnesthesia Nursing. 2013;28(5):283-90.

Bruce KM, Yelland GW, Smith JA, Robinson SR. Recovery of Cognitive Function After Coronary Artery Bypass Graft Operations. The Annals of Thoracic Surgery. 2013;95(4):1306-13.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse education today. 2004;24(2):105-12.

Streubert Speziale H, Carpenter D. Qualitative research in nursing. Third Editionth edition Philadelphia: Williams & Wilkings Co. 2003.

Miller R. Anesthesia: Mosby; 2004. 651-5 p.

Ghardashi F. Factors affecting preoprative anxiety. Koomesh. 2007;8(3):123-30.

Sadeghi T, Dehghan NN, Abbaszadeh A. Experience of families for waiting during their patients'surgery: a qualitative research. 2014; 1 (3): 27-36.

Santos Junior R, Miyazaki MCOS, Domingos NAM, Valério NI, Silva RF, Silva RCMA. Patients Undergoing Liver Transplantation: Psychosocial Characteristics, Depressive Symptoms, and Quality of Life. Transplantation Proceedings. 2008;40(3):802-4.

Caruana N, McKinley S, Elliott R, Gholizadeh L. Sleep during and after cardiothoracic intensive care and psychological health during recovery. Australian Critical Care. 2017;30(2):109-10.

Hashemi S, Montazerian M, Nisi.Laila, Ehsan B. Evaluation of education on patient's anxiety before abdominal surgical operations mandish. 2012;2(2-3):59-66.

Gaieni M AfM, rezaie M, Mohammadi N, Sayyed Fatemi N. Nurses ethical challenges in information Presentation to families of patients in ICU. Fourth Annual Congress of Medical Ethics and fourth annual congress of Nursing Ethics; February; Iran. 2016; 402-3.

Padmanabhan R, Hildreth A, Laws D. A prospective, randomised, controlled study examining binaural beat audio and pre‐operative anxiety in patients undergoing general anaesthesia for day case surgery. Anaesthesia. 2005;60(9):874-7.

Kohan S FJ, Mohammadalizade S, Bahrampoor A. Comparing the level of patients satisfaction from nurses & physicians caring way. Journal of nursing & midwifery 2004;1(3):57-68.

Sjöstedt L, Hellström R, Stomberg MW. Patients' need for information prior to colonic surgery. Gastroenterology nursing. 2011;34(5):390-7.

Asghari K, Lotfi M, Aghazadeh A, Abd EF. Effect of preoperative nursing visit on serum cortisol levels in patients waiting for operation: a rando-mized study with control group. 2009; 30(4):13-16.

Lindwall L, Von Post I. Continuity created by nurses in the perioperative dialogue–a literature review. Scandinavian journal of caring sciences. 2009;23(2):395-401.

Charron M, Mandell JB, Kolodny GM. Detection of a rare complication of appendicitis by scrotal imaging. Clinical nuclear medicine. 1988;13(10):761-2.

Park J, Neuman HB, Bennett AV, Polskin L, Phang PT, Wong WD, et al. Patients’ expectations of functional outcomes following rectal cancer surgery: a qualitative study. Diseases of the colon and rectum. 2014;57(2):151.

Barnieh L, King-Shier K, Hemmelgarn B, Laupacis A, Manns L, Manns B. Views of Canadian patients on or nearing dialysis and their caregivers: a thematic analysis. Canadian journal of kidney health and disease. 2014;1(1):4.


Article Views      : 0
PDF Downloads : 0