A phenomenological study exploring the patients’ experience and views on the structure and content of an intervention for patients waiting for coronary artery bypass surgery.

Maria Mooney, Donna Fitzsimons

Research output: Contribution to conferenceAbstract

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Abstract

Introduction: Lengthy waiting time for coronary
artery bypass surgery (CABS) has created difficulties
for patients (Fitzsimons et al, 2000). Although
it has been suggestd that it may present a window
of opportunity , where patients could benefit from
structured intervention to improve health status and
facilitate better long-term outcome. However, there
is sparse evidence on which to base the structure
and contnt of a pre-surgery intervention for patients
waiting for CABS (Arthur et al,2000). This paper
describes the first stage of a larger interventional
project which sought to devise a nurse-led intervention
for patients waiting for CXABS and explore
associated outcomes.

Intervention: A 12 week pilot programme of cardiac
rehabilitation was devloped, based on available
literature. It included exercise, education and
support. Exercise is a novel intervention for this
patient group.

Objectives: 1. To explore the patients’ experience
of a stuctures pre-operative intervention. 2. To seel
the individuals’ views on the structure and content
of the programme.

Method: A purposive sample of all seven participants
who had completed a pilot, pre-operative
cardiac rehabilitation was selected. Semi-structured
interviews were taped, transcribed, and analysed
using Colaizzi’s approach (Parahoo, 1997).

Results: Before the programme participants
reported feeling worried and afraid to exercise.
They all stated that the programme helped them to
inmprove fitness levels and overcome fear, as well asproviding increased support and a better knowledge
of heart disease and surgery. Participants expressed
a wish for the programme to continue for longer and
some wanted less information rgarding the actual
surgery. Implications This paper describes a novel
approach to caring for these patients, employing
users’ to evaluate the effectiveness of the intervention.
It highlights the importance of designing
research projects that are responsive to clinical need
and discuss the inherent difficulties. We recommend
innovative ways of delivering support throughout
the waiting period be explored.
Original languageEnglish
Pages107-107
Publication statusPublished - 2005
EventThe 2005 Royal College of Nursing International Nursing Research Conference - Europa Hotel and Spires Conference Centre , Belfast, United Kingdom
Duration: 08 Mar 200511 Mar 2005

Conference

ConferenceThe 2005 Royal College of Nursing International Nursing Research Conference
CountryUnited Kingdom
CityBelfast
Period08/03/200511/03/2005

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