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Coronary artery disease patients' perception of their health and expectations of benefit following coronary artery bypass grafting

Lindsay, G., Smith, L.N., Hanlon, P., and Wheatley, D.J. (2000) Coronary artery disease patients' perception of their health and expectations of benefit following coronary artery bypass grafting. Journal of Advanced Nursing, 32 (6). pp. 1412-1421. ISSN 0309-2402 (doi:10.1046/j.1365-2648.2000.01621.x)

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Abstract

This prospective descriptive study has analysed 214 patient interviews before and 1 year after coronary artery bypass grafting (CABG). The preoperative interview explored issues related to the impact of coronary artery disease upon health and expectations of benefit from the patients' perspective. The postoperative interview examined patients' accounts of the experience of operation and its impact on their health. A thematic analysis of the interview data was undertaken. The main factors relating to health status preoperatively were described in terms of 'dependency' on others and medication, and 'impending doom' of some major life threatening event. Benefits to health postoperatively were viewed in terms of 'removal of a death sentence' and 'freedom of choice'. Expectations of benefit from operation were varied and included 'freedom and independence', 'hope, chance and uncertainty' and 'addition of years to life and life to years'. Undergoing the operation was described by themes of the 'enormity of the experience' and 'the importance of lay support'. These findings provide a greater understanding of the 'lived experience' of both coronary artery disease and undergoing coronary artery bypass grafting. Unrealistic expectations of the benefits of CABG highlights the need for improvement in the way patients are informed about risks and benefits of interventions. In addition, the views and insights suggest that CABG operation is regarded as a significant major life event; thus more information, advice and counselling might help support patients before, during and after surgery.

Item Type:Article
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Hanlon, Prof Philip and Lindsay, Dr Grace and Wheatley, Prof David and Smith, Prof Lorraine
Authors: Lindsay, G., Smith, L.N., Hanlon, P., and Wheatley, D.J.
Subjects:R Medicine > RC Internal medicine
College/School:College of Medical Veterinary and Life Sciences > School of Medicine > Centre for Population and Health Sciences
College of Medical Veterinary and Life Sciences > School of Medicine > Nursing and Health Care
College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Public Health
Journal Name:Journal of Advanced Nursing
Journal Abbr.:JAN
Publisher:Wiley-Blackwell
ISSN:0309-2402
ISSN (Online):1365-2648
Published Online:9 October 2008

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