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Experiences of undergoing cardiac surgery among older people diagnosed with postoperative delirium [Elektronisk resurs] : one year follow-up / Helena Claesson Lingehall

Claesson Lingehall, Helena, 1965- (författare)
Alternativt namn: Lingehall, Helena Claesson, 1965-
Smulter, Nina (författare)
Olofsson, Birgitta (författare)
Lindahl, Elisabeth (författare)
Umeå universitet. Institutionen för omvårdnad (utgivare)
Umeå universitet Institutionen för kirurgisk och perioperativ vetenskap (utgivare)
Umeå universitet. Institutionen för samhällsmedicin och rehabilitering (utgivare)
Alternativt namn: Umeå University. Department of Community Medicine and Rehabilitation
Umeå : Department of nursing, Umeå university, 2016
Engelska 79 s.
Serie: Umeå University medical dissertations, 0346-6612 ; N.S., 1783
Läs hela texten (Fritt tillgänglig via Umeå universitet)
Läs hela texten (Fritt tillgänglig via Umeå universitet)
  • E-artikel/E-kapitel
Sammanfattning Ämnesord
Stäng  
  • Cardiovascular disease is common among old people and many undergo cardiac surgery. Scientific knowledge is available on cardiac surgery from several perspectives. However, we found few studies focusing on older patients' experiences of cardiac surgery. The aim of this study was to illuminate experiences of undergoing cardiac surgery among older people diagnosed with postoperative delirium, a one year follow-up. METHODS: Qualitative interviews were conducted with 49 participants (aged ≥70 years) diagnosed with delirium after cardiac surgery. Data were collected in Sweden during 2010 through individual, semi-structured interviews in participants' homes one year after surgery. The interviews were analyzed using qualitative content analysis. RESULTS: Four themes with sub-themes were formulated: Feeling drained of viability includes having a body under attack, losing strength and being close to death. Feeling trapped in a weird world describes participants having hallucinations, being in a nightmare and being remorseful for their behavior. Being met with disrespect includes feeling disappointed, being forced, and feeling like cargo. On the other hand, Feeling safe, including being in supportive hands and feeling grateful, points to participants' experiences of good care and the gift of getting a second chance in life. CONCLUSIONS: Even one year after cardiac surgery, participants described in detail feelings of extreme vulnerability and frailty. They also had felt completely in the hands of the health care professionals. Participants described experiences of hallucinations and nightmares during hospitalization. Cardiac surgery was a unique, fearful, traumatic and unpleasant experience yet could also include pleasant or rewarding aspects. It seems that health care professionals need deeper knowledge on postoperative delirium in order to prevent, detect and treat delirium to avoid and relieve the suffering these experiences might cause. 

Ämnesord

Delirium  -- epidemiology (MeSH)
Delirium  -- diagnosis (MeSH)
Nursing assessment  (MeSH)
Thoracic surgery  (MeSH)
Cardiac surgical procedures  -- adverse effects (MeSH)

Indexterm och SAB-rubrik

Cardiac surgery
Delirium
Lived experience
Nursing
Older people
Patient’s experience
Perioperative period

Klassifikation

617.0421 (DDC)
Vf (kssb/8 (machine generated))
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