Patients' experiences of information and support during the first six months after heart or lung transplantation

被引:24
作者
Ivarsson, Bodil [1 ,2 ]
Ekmehag, Bjorn
Sjoberg, Trygve [1 ,2 ]
机构
[1] Skane Univ Hosp, Dept Cardiothorac Surg, SE-22185 Lund, Sweden
[2] Lund Univ, S-22100 Lund, Sweden
关键词
Chronic disease; communication; healthcare team; rehabilitation; social networks; QUALITY-OF-LIFE;
D O I
10.1177/1474515112466155
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Heart or lung recipients are taught about a new lifestyle, risk factors, medication, food restrictions and exercise so they can take an active role and responsibility for disease management after transplantation. However, little is known about patients' experiences of information and support in these situations. Objective: The aim of the study was to illuminate how patients, six months after a heart or lung transplantation, experienced the information and support they received in connection with the transplantation. Methods: Sixteen patients were included in the study, and interviews were analysed using a qualitative content analysis method. Results: The findings are presented in three themes: Alternating between gratitude and satisfaction and resignation, Striving to follow treatment strategies and Returning to a relatively normal life. The patients expressed gratitude when their health improved markedly but resignation when complications or side effects occurred due to the lack of information and support they received. Conclusions: Healthcare professionals can make specific improvements in the information they provide to patients to increase their preparedness. Information and support should be provided regularly so as to avoid non-adherence to essential guidelines. To return to a normal life, patients need support from healthcare organizations, families, employers and society in general. These findings should be taken into account in the clinical management of transplant patients, particularly those with dependent children or failing social networks.
引用
收藏
页码:400 / 406
页数:7
相关论文
共 28 条
[1]   Postoperative recovery: a concept analysis [J].
Allvin, Renee ;
Berg, Katarina ;
Idvall, Ewa ;
Nilsson, Ulrica .
JOURNAL OF ADVANCED NURSING, 2007, 57 (05) :552-558
[2]   Heart transplantation experiences: a phenomenological approach [J].
Araujo Sadala, Maria Lucia ;
Groppo Stolf, Noedir Antonio .
JOURNAL OF CLINICAL NURSING, 2008, 17 (7B) :217-225
[3]   Which interventions are used by health care professionals to enhance medication adherence in cardiovascular patients? A survey of current clinical practice [J].
Berben, Lut ;
Bogert, Laura ;
Leventhal, Marcia E. ;
Fridlund, Bengt ;
Jaarsma, Tiny ;
Norekval, Tone M. ;
Smith, Karen ;
Stromberg, Anna ;
Thompson, David R. ;
De Geest, Sabina .
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING, 2011, 10 (01) :14-21
[4]  
Bunzel B, 1992, Qual Life Res, V1, P307, DOI 10.1007/BF00434944
[5]   Teaching the analysis of textual data: An experiential approach [J].
Burnard, P .
NURSE EDUCATION TODAY, 1996, 16 (04) :278-281
[6]  
Costanzo MR, J HEART LUNG TRANSPL, V29, P914
[7]  
Cupples Sandra A, 2005, J Cardiovasc Nurs, V20, pS74
[8]   Interventions to improve medication-adherence after transplantation: a systematic review [J].
De Bleser, Leentje ;
Matteson, Michelle ;
Dobbels, Fabienne ;
Russell, Cynthia ;
De Geest, Sabina .
TRANSPLANT INTERNATIONAL, 2009, 22 (08) :780-797
[9]  
Dew M., 2005, Journal of Cardiovascular Nursing, V20, P51
[10]   Pedagogical encounters between nurses and patients in a medical ward - A field study [J].
Friberg, F. ;
Andersson, E. Pilhammar ;
Bengtsson, J. .
INTERNATIONAL JOURNAL OF NURSING STUDIES, 2007, 44 (04) :534-544