| 1. |
- Karlsson, Ann-Kristin, 1953, et al.
(författare)
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Depressed mood over time after open heart surgery impacts patient well-being: A combined study
- 2008
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Ingår i: European Journal of Cardiovascular Nursing. - Amsterdam : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 7:4, s. 277-283
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Tidskriftsartikel (refereegranskat)abstract
- Background: Depression is a common cause of decreased well-being after open heart surgery (OHS) and a risk factor for new cardiac events. Little is known about the long-term prevalence of depressive symptoms after OHS or their effect on well-being. The aim of this study was to explore the presence of depressed mood in patients during the recovery phase after open heart surgery as well as depressed mood and well-being 3 years later. Method: Eighty consecutively included patients completed a questionnaire about depressed mood at 5 weeks, 5 months and 3 years after OHS. A telephone interview took place after receipt of the third questionnaire to explore their well-being. Quantitative and qualitative data were analysed separately and thereafter together. Result: Depressed mood occurred in 52% of the patients during recovery or 3 years after OHS. The qualitative content analysis produced the theme of transition, which was based on three categories. Conclusion: Depressed mood was reported by the majority of patients during recovery after OHS and had a long-term effect on their well-being. OHS constituted a transition for all patients, but those with depressed mood had difficulty finishing the transition process and reorientating life.
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| 2. |
- Karlsson, Ann-Kristin, et al.
(författare)
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Endurance - integration of strength and vulnerability in relatives' response to open heart surgery as a lived experience
- 2006
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Ingår i: International Journal of Qualitative Studies on Health and Well-Being. - Basingstoke : Informa Healthcare. - 1748-2631 .- 1748-2623. ; 1, s. 159-166
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Tidskriftsartikel (refereegranskat)abstract
- Open heart surgery is a threatening life event for patients and their relatives. The relatives' situation is especially complex since at the same time they both support the patient and suffer themselves. The purpose of the present study was to describe relatives' lived experiences of a family member's open-heart surgery in a lifeworld perspective. Nine relatives of patients who underwent coronary artery bypass and/or heart valve surgery were interviewed in depth using a phenomenological approach. Endurance was found to be the essential characteristic for this group and was derived from four constituents: unconditionality, uncertainty, mutuality and sadness. Unable to escape their changed lifeworld, they demonstrated endurance throughout the entire illness process, which implied a great sense of responsibility and the setting aside of their own needs and wishes. The endurance rendered them both strong and vulnerable, although the vulnerability was not immediately apparent. There is a risk that relatives in need for help to handle this threatening situation may be ignored by health care professionals because they seem so capable. A lifeworld perspective in health care including the entire family can prevent such a situation.
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| 3. |
- Karlsson, Ann-Kristin, et al.
(författare)
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Fragility - the price of renewed life : Patients experiences of open heart surgery
- 2005
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Ingår i: European Journal of Cardiovascular Nursing. - Amsterdam : Elsevier. - 1474-5151 .- 1873-1953. ; 4:4, s. 290-297
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Tidskriftsartikel (refereegranskat)abstract
- Background:Open heart surgery often implies a threat to life and is associated with fear and anxiety. It is also a strong encroachment on body and integrity and adjusting life afterwards could be difficult. Despite improvements in treatment the patients' reactions appear to be unchanged. Introducing a lifeworld perspective would supply a different kind of knowledge based upon the patients' own experiences coloured by their linguistic usage and bodily expressions.Aim:The aim of this study was to describe patients' experiences of open heart surgery in a lifeworld perspective.Method:Fourteen patients treated with coronary artery bypass surgery and/or heart valve operation were in-depth interviewed in 2003. The phenomenological method was used for the interviews as well as for the analysis. The informants reflected on their experiences of the illness, meetings with health care, family relations and wishes for the future.Findings:The essence of the phenomenon was fragility. Fragility was understood through the following categories: distance, uncertainty, vulnerability, reliance and gratitude.Conclusions:Patients want to be treated as unique individuals. They ask for more dialogues with the staff. Awareness of their supposed lifelong fragility implies that health care staff acquires an open and holistic approach.
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| 4. |
- Karlsson, Ann-Kristin, 1953, et al.
(författare)
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Well-being in patients and relatives after open-heart surgery from the perspective of health care professionals
- 2010
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Ingår i: Journal of Clinical Nursing. - Oxford : Wiley. - 1365-2702 .- 0962-1067. ; 19:5-6, s. 840-846
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of this study was to explore how health care professionals perceive the well-being of patients and relatives following open-heart surgery. BACKGROUND: Open-heart surgery is an extraordinary life event associated with hope and fear among both patients and relatives, thus they require attention from health care professionals. Patients' short stay in hospital after surgery and the workload of health care professionals increase the risk that reduced well-being will be overlooked. Health care professionals need to become familiar with the signs of reduced well-being. DESIGN: The study has an observational design and was performed using a qualitative method. METHOD: Health care professionals working with patients who have undergone open-heart surgery participated in focus group discussions. The data were analysed by means of content analysis. RESULTS: Two categories emerged: signs of vulnerability and signs of insecurity. The latent meaning of the study was interpreted as awareness of an exposed position. CONCLUSION: The health care professionals were aware of patients' and relatives' exposed position following open-heart surgery. Reduced well-being was communicated by bodily and emotional signs, which were captured using direct communication or intuition. RELEVANCE TO CLINICAL PRACTICE: Developing the ability to recognise signs of reduced well-being is important for minimising the negative influences associated with open-heart surgery for patients and relatives. Increased awareness that both anger and avoidance can mask depression is important. Patients and their relatives, particularly younger ones, should be observed to ensure early detection of a life crisis provoked by the heart disease. Furthermore, staff should invite patients and their partners to talk about sexuality. Changes aimed at increasing patients' and relatives' well-being would be facilitated by interdisciplinary teamwork, 'reflection groups' for a greater exchange of knowledge and the implementation of a patient/family perspective. The latter would lead to greater interest in the relatives' situation and position in cardiac care.
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