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Patients' experiences of mediastinitis after coronary artery bypass graft procedure
Department of Cardiothoracic Surgery, Uppsala University Hospital, Uppsala, Sweden; Department of Public Health and Caring Sciences, Uppsala Science Park, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala Science Park, Uppsala, Sweden; Centre for Research & Development, Uppsala University/County Council Of Gävleborg, 801 88 Gävle, Sweden.ORCID iD: 0000-0002-1495-4943
Department of Surgical Sciences, Karolinska Institutet/Department Of Health Sciences, Kristianstad University, Kristianstad.
Department of Public Health and Caring Sciences, Uppsala Science Park, Uppsala, Sweden.
2007 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 41, no 4, p. 255-64Article in journal (Refereed) Published
Abstract [en]

Few studies have focussed on patients’ experiences of and suffering due to mediastinitis following Coronary Artery by-passGraft (CABG). Mediastinitis creates a complex and invasive experience for the patient with prolonged hospitalisation, and would be expected to be a significant stressor. The aim of the present study was to capture patients’ experiences of themedical and nursing care they received for mediastinitis following CABG. Content analysis revealed three themes withregard to how the patients coped with the stress and threats of mediastinitis and its treatment and how they thought it wouldinfluence their future life. A first theme centred on physical and psychological discomfort and impact on autonomy. Thestaff ’s medical knowledge and the quality of nursing care as well as the patients’ understanding of the situation influencedtheir experience. A second theme was how patients dealt with perceived danger and stress. Coping strategies such asproblem solving, information seeking, dissociation, distraction, minimisation and expression of emotion were used to handlethe situations. The third theme comprised the patients’ belief that the mediastinitis would not affect the outcome of theCABG procedure, even though their confidence in this was influenced by uncertainty about the rehabilitation process.

Place, publisher, year, edition, pages
2007. Vol. 41, no 4, p. 255-64
Keywords [en]
oronary artery by-pass, surgical wound infection, mediastinitis, vacuum assisted closure, psychology, quality of life
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-5330DOI: 10.1080/14017430701283856ISI: 000248577400008PubMedID: 17680514OAI: oai:DiVA.org:hig-5330DiVA, id: diva2:234309
Available from: 2009-09-07 Created: 2009-09-07 Last updated: 2020-01-23Bibliographically approved

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