Öz
Aim: The experiences of patients who undergo open-heart surgery in the intensive care unit (ICU) have been insufficiently explored. This study aims to investigate the ICU experiences of open-heart surgery patients in Türkiye.
Materials and Methods: This qualitative research was conducted with 15 patients who underwent open-heart surgery. Data were collected through semi-structured in-depth interviews, recorded, transcribed, and analyzed using inductive content analysis.
Results: Participants identified four main themes: i) satisfaction, ii) physical problems, iii) emotional feelings, iv) physical environment. They expressed gratitude towards healthcare professionals and family, discussed postoperative challenges, and emphasized the need for improved privacy. Healthcare professionals played a key role in decision-making and alleviating psychological stress.
Conclusion: This study sheds light on the experiences of open-heart surgery patients in the ICU, highlighting the importance of addressing both physical and emotional needs. The findings suggest that incorporating patient feedback can improve patient-centered care and enhance outcomes.
Anahtar Kelimeler
Open-heart surgery Coronary artery bypass grafting Qualitative research Life experiences Intensive care unit
Etik Beyan
Approval was granted by the non-interventional clinical research ethics board (No: 33-33-08, dated 05.01.2023). The research adhered to the ethical standards outlined in the Helsinki Declaration throughout all stages. Participants were guaranteed the confidentiality of the collected data, and pseudonyms were employed in data submission.
Destekleyen Kurum
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Teşekkür
The authors sincerely thank all participants for their valuable time and willingness to share their experiences, which made this study possible.
Kaynakça
- WHO. Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1. Published 2023. Accessed November 27, 2023.
- Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40(2):87-165. doi:10.1093/eurheartj/ehy394
- Vaduganathan M, Mensah GA, Turco JV, Fuster V, Roth GA. The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. J Am Coll Cardiol. 2022;80(25):2361-2371. doi:10.1016/j.jacc.2022.11.005
- Albanesi B, Nania T, Barello S, et al. Lived experience of patients in ICU after cardiac surgery: A phenomenological study. Nurs Crit Care. 2022;27(2):204-213. doi:10.1111/nicc.12562
- Chen PK, Shih CC, Lin FC, et al. Prolonged use of noninvasive positive pressure ventilation after extubation among patients in the intensive care unit following cardiac surgery: The predictors and its impact on patient outcome. Sci Rep. 2019;9(1). doi:10.1038/s41598-019-45881-x
- Widyastuti Y, Stenseth R, Wahba A, Pleym H, Videm V. Length of intensive care unit stay following cardiac surgery: Is it impossible to find a universal prediction model? Interact Cardiovasc Thorac Surg. 2012;15(5):825-833. doi:10.1093/icvts/ivs302
- Lapp L, Bouamrane MM, Kavanagh K, Roper M, Young D, Schraag S. Evaluation of Random Forest and Ensemble Methods at Predicting Complications Following Cardiac Surgery. In: Riaño D, Wilk S, ten Teije A, eds. Artificial Intelligence in Medicine. Cham: Springer International Publishing; 2019:376-385.
- Welsby IJ, Bennett-Guerrero E, Atwell D, et al. The Association of Complication Type with Mortality and Prolonged Stay After Cardiac Surgery with Cardiopulmonary Bypass. Anesth Analg . 2002;94(1072-8).
- Holm A, Dreyer P. Intensive care unit patients’ experience of being conscious during endotracheal intubation and mechanical ventilation. Nurs Crit Care. 2017;22(2):81-88. doi:10.1111/nicc.12200
- Alasad JA, Abu Tabar N, Ahmad MM. Patients’ experience of being in intensive care units. J Crit Care. 2015;30(4):859.e7-859.e11. doi:10.1016/j.jcrc.2015.03.021
- Nielsen AH, Egerod I, Hansen TB, Angel S. Intensive care unit diaries: Developing a shared story strengthens relationships between critically ill patients and their relatives: A hermeneutic-phenomenological study. Int J Nurs Stud. 2019;92:90-96. doi:10.1016/j.ijnurstu.2019.01.009
- Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study. Intensive Crit Care Nurs. 2012;28(1):6-15. doi:10.1016/j.iccn.2011.11.002
- O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine. 2014;89(9):1245-1251. doi:10.1097/ACM.0000000000000388
- Creswell JW,, Poth CN. Qualitative Inquiry and Research Design Choosing among Five Approaches. 4th ed. Thousand Oaks: SAGE Publications; 2018.
- Adamson H, Murgo M, Boyle M, Kerr S, Crawford M, Elliott D. Memories of intensive care and experiences of survivors of a critical illness: An interview study. Intensive Crit Care Nurs. 2004;20(5):257-263. doi:10.1016/j.iccn.2004.06.005
- Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017;56:29-34. doi:10.1016/j.nedt.2017.06.002
- Kallio H, Pietilä AM, Johnson M, Kangasniemi M. Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. J Adv Nurs. 2016;72(12):2954-2965. doi:10.1111/jan.13031
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112. doi:10.1016/j.nedt.2003.10.001
- Speziale H.S., Streubert H.J., Carpenter D.R. Qualitative Research in Nursing. Lippincott Williams & Wilkins; 2011.
- Dağcan N, Özden D, Gürol Arslan G. Pain perception of patients in intensive care unit after cardiac surgery: A qualitative study using Roy’s Adaptation Model. Nurs Crit Care. 2023. doi:10.1111/nicc.12958
- Edeer AD, Bilik Ö, Kankaya EA. Thoracic and cardiovascular surgery patients: Intensive care unit experiences. Nurs Crit Care. 2020;25(4):206-213. doi:10.1111/nicc.12484
- Chang YL, Tsai YF. Early illness experiences related to unexpected heart surgery: A qualitative descriptive study. Australian Critical Care. 2017;30(5):279-285. doi:10.1016/j.aucc.2016.11.005
- Aslan Ö, Tosun B. Cardiovascular Surgery Patients: Intensive Care Experiences and Associated Factors. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):336-341. doi:10.1016/j.anr.2015.10.003
- Sadeghi M, Hashemi M, Sararoudi R, Merasi M, Molaeinezhad M, Shamsolketabi H. Demographic and psychological predictors of recovery from coronary artery bypass graft. J Educ Health Promot. 2017;6(1):92. doi:10.4103/jehp.jehp_154_16
- Shafipour V, Mohammadi E, Ahmadi F. Experiences of open heart surgery patients from admission to discharge: a qualitative study. Iran J Crit Care Nurs. 2013;6(1):1-10.
- Kurt, E., & Nazik, E. (2023). Kalp cerrahisi geçiren hastalarin yoğunbakimdaki ağri deneyimleri: nitel bir çalişma. Uluborlu Mesleki Bilimler Dergisi, 6(2), 1-11.
- Carpenito, LJ. (2025). Hemşirelik tanıları el kitabı (Çev: F.Erdemir, G. Türk). Nobel Tıp Kitabevleri. (Orijinal basım yılı 2023).
- Carey MG, Qualls BW, Burgoyne C. Patients’ perception of stressful events in the intensive care unit after cardiac surgery. American Journal of Critical Care. 2019;28(2):149-151. doi:10.4037/ajcc2019254
- Kakar E, Billar RJ, Van Rosmalen J, Klimek M, Takkenberg JJM, Jeekel J. Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: A systematic review and meta-Analysis. Open Heart. 2021;8(1). doi:10.1136/openhrt-2020-001474
- Ozdinc A, Aydin Z, Calim M, Ozkan AS, Bakir H, Akbas S. Privacy awareness among healthcare professionals in intensive care unit: A multicenter, cross-sectional study. Medicine. 2023;102(6):E32930. doi:10.1097/MD.0000000000032930
- Yilmaz SA, Celik SS. Patient privacy: a qualitative study on the views and experiences of nurses and patients. Australian Journal of Advanced Nursing. 2022;39(2):12-22. doi:10.37464/2020.392.447
Memnuniyet, mücadeleler ve öneriler: Türkiye'de açık kalp ameliyatı hastalarının yoğun bakım deneyimleri
Öz
Amaç: Açık kalp cerrahisi geçiren hastaların, yoğun bakım ünitesinde (YBÜ) geçirdiği süre zarfındaki deneyimleri sınırlı bir şekilde araştırılmıştır. Bu çalışma, Türkiye’deki açık kalp cerrahisi hastalarının YBÜ deneyimlerini keşfetmeyi amaçlamaktadır.
Gereç ve Yöntem: Bu nitel araştırma, açık kalp cerrahisi geçiren 15 hasta ile yapılmıştır. Veriler, yarı yapılandırılmış derinlemesine görüşmelerle toplanmış, ses kaydına alınmış ve içerik analizi yöntemiyle değerlendirilmiştir.
Bulgular: Katılımcılar, dört ana tema etrafında deneyimlerini paylaşmışlardır: i) memnuniyet, ii) fiziksel problemler, iii) duygusal hisler, iv) fiziksel çevre. Katılımcılar, sağlık profesyonelleri ve ailelerine teşekkür ederken, postoperatif zorlukları ve gizlilik ihtiyacını dile getirmişlerdir. Sağlık profesyonelleri, karar alma süreçlerinde önemli bir rol oynamış ve psikolojik stresi azaltmada destek sağlamıştır.
Sonuç: Bu çalışma, açık kalp cerrahisi hastalarının YBÜ’deki deneyimlerini aydınlatmakta ve hastaların fiziksel ve duygusal ihtiyaçlarının karşılanmasının önemini vurgulamaktadır. Bu bulgular, hasta odaklı bakımın iyileştirilmesine katkı sağlayacaktır.
Anahtar Kelimeler
Açık kalp ameliyatı Koroner arter baypas greft Nitel araştırma Yaşam deneyimleri Yoğun bakım ünitesi
Etik Beyan
Approval was granted by the non-interventional clinical research ethics board (No: 33-33-08, dated 05.01.2023). The research adhered to the ethical standards outlined in the Helsinki Declaration throughout all stages. Participants were guaranteed the confidentiality of the collected data, and pseudonyms were employed in data submission.
Destekleyen Kurum
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Teşekkür
The authors sincerely thank all participants for their valuable time and willingness to share their experiences, which made this study possible.
Kaynakça
- WHO. Cardiovascular diseases. https://www.who.int/health-topics/cardiovascular-diseases#tab=tab_1. Published 2023. Accessed November 27, 2023.
- Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40(2):87-165. doi:10.1093/eurheartj/ehy394
- Vaduganathan M, Mensah GA, Turco JV, Fuster V, Roth GA. The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. J Am Coll Cardiol. 2022;80(25):2361-2371. doi:10.1016/j.jacc.2022.11.005
- Albanesi B, Nania T, Barello S, et al. Lived experience of patients in ICU after cardiac surgery: A phenomenological study. Nurs Crit Care. 2022;27(2):204-213. doi:10.1111/nicc.12562
- Chen PK, Shih CC, Lin FC, et al. Prolonged use of noninvasive positive pressure ventilation after extubation among patients in the intensive care unit following cardiac surgery: The predictors and its impact on patient outcome. Sci Rep. 2019;9(1). doi:10.1038/s41598-019-45881-x
- Widyastuti Y, Stenseth R, Wahba A, Pleym H, Videm V. Length of intensive care unit stay following cardiac surgery: Is it impossible to find a universal prediction model? Interact Cardiovasc Thorac Surg. 2012;15(5):825-833. doi:10.1093/icvts/ivs302
- Lapp L, Bouamrane MM, Kavanagh K, Roper M, Young D, Schraag S. Evaluation of Random Forest and Ensemble Methods at Predicting Complications Following Cardiac Surgery. In: Riaño D, Wilk S, ten Teije A, eds. Artificial Intelligence in Medicine. Cham: Springer International Publishing; 2019:376-385.
- Welsby IJ, Bennett-Guerrero E, Atwell D, et al. The Association of Complication Type with Mortality and Prolonged Stay After Cardiac Surgery with Cardiopulmonary Bypass. Anesth Analg . 2002;94(1072-8).
- Holm A, Dreyer P. Intensive care unit patients’ experience of being conscious during endotracheal intubation and mechanical ventilation. Nurs Crit Care. 2017;22(2):81-88. doi:10.1111/nicc.12200
- Alasad JA, Abu Tabar N, Ahmad MM. Patients’ experience of being in intensive care units. J Crit Care. 2015;30(4):859.e7-859.e11. doi:10.1016/j.jcrc.2015.03.021
- Nielsen AH, Egerod I, Hansen TB, Angel S. Intensive care unit diaries: Developing a shared story strengthens relationships between critically ill patients and their relatives: A hermeneutic-phenomenological study. Int J Nurs Stud. 2019;92:90-96. doi:10.1016/j.ijnurstu.2019.01.009
- Karlsson V, Bergbom I, Forsberg A. The lived experiences of adult intensive care patients who were conscious during mechanical ventilation: A phenomenological-hermeneutic study. Intensive Crit Care Nurs. 2012;28(1):6-15. doi:10.1016/j.iccn.2011.11.002
- O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine. 2014;89(9):1245-1251. doi:10.1097/ACM.0000000000000388
- Creswell JW,, Poth CN. Qualitative Inquiry and Research Design Choosing among Five Approaches. 4th ed. Thousand Oaks: SAGE Publications; 2018.
- Adamson H, Murgo M, Boyle M, Kerr S, Crawford M, Elliott D. Memories of intensive care and experiences of survivors of a critical illness: An interview study. Intensive Crit Care Nurs. 2004;20(5):257-263. doi:10.1016/j.iccn.2004.06.005
- Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today. 2017;56:29-34. doi:10.1016/j.nedt.2017.06.002
- Kallio H, Pietilä AM, Johnson M, Kangasniemi M. Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. J Adv Nurs. 2016;72(12):2954-2965. doi:10.1111/jan.13031
- Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112. doi:10.1016/j.nedt.2003.10.001
- Speziale H.S., Streubert H.J., Carpenter D.R. Qualitative Research in Nursing. Lippincott Williams & Wilkins; 2011.
- Dağcan N, Özden D, Gürol Arslan G. Pain perception of patients in intensive care unit after cardiac surgery: A qualitative study using Roy’s Adaptation Model. Nurs Crit Care. 2023. doi:10.1111/nicc.12958
- Edeer AD, Bilik Ö, Kankaya EA. Thoracic and cardiovascular surgery patients: Intensive care unit experiences. Nurs Crit Care. 2020;25(4):206-213. doi:10.1111/nicc.12484
- Chang YL, Tsai YF. Early illness experiences related to unexpected heart surgery: A qualitative descriptive study. Australian Critical Care. 2017;30(5):279-285. doi:10.1016/j.aucc.2016.11.005
- Aslan Ö, Tosun B. Cardiovascular Surgery Patients: Intensive Care Experiences and Associated Factors. Asian Nurs Res (Korean Soc Nurs Sci). 2015;9(4):336-341. doi:10.1016/j.anr.2015.10.003
- Sadeghi M, Hashemi M, Sararoudi R, Merasi M, Molaeinezhad M, Shamsolketabi H. Demographic and psychological predictors of recovery from coronary artery bypass graft. J Educ Health Promot. 2017;6(1):92. doi:10.4103/jehp.jehp_154_16
- Shafipour V, Mohammadi E, Ahmadi F. Experiences of open heart surgery patients from admission to discharge: a qualitative study. Iran J Crit Care Nurs. 2013;6(1):1-10.
- Kurt, E., & Nazik, E. (2023). Kalp cerrahisi geçiren hastalarin yoğunbakimdaki ağri deneyimleri: nitel bir çalişma. Uluborlu Mesleki Bilimler Dergisi, 6(2), 1-11.
- Carpenito, LJ. (2025). Hemşirelik tanıları el kitabı (Çev: F.Erdemir, G. Türk). Nobel Tıp Kitabevleri. (Orijinal basım yılı 2023).
- Carey MG, Qualls BW, Burgoyne C. Patients’ perception of stressful events in the intensive care unit after cardiac surgery. American Journal of Critical Care. 2019;28(2):149-151. doi:10.4037/ajcc2019254
- Kakar E, Billar RJ, Van Rosmalen J, Klimek M, Takkenberg JJM, Jeekel J. Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: A systematic review and meta-Analysis. Open Heart. 2021;8(1). doi:10.1136/openhrt-2020-001474
- Ozdinc A, Aydin Z, Calim M, Ozkan AS, Bakir H, Akbas S. Privacy awareness among healthcare professionals in intensive care unit: A multicenter, cross-sectional study. Medicine. 2023;102(6):E32930. doi:10.1097/MD.0000000000032930
- Yilmaz SA, Celik SS. Patient privacy: a qualitative study on the views and experiences of nurses and patients. Australian Journal of Advanced Nursing. 2022;39(2):12-22. doi:10.37464/2020.392.447
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Cerrahi Hastalıklar Hemşireliği |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 23 Nisan 2025 |
| Gönderilme Tarihi | 14 Şubat 2025 |
| Kabul Tarihi | 22 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 11 Sayı: 1 |
