The incidence of coronary heart disease (CHD) remains significant in such developing countries as Thailand. Coronary artery bypass graft surgery (CABG) is one of the most frequently used surgical procedures for CHD. Although CABG may relieve the symptoms of CHD, postoperative sequelae such as pulmonary complications, prolonged weakness, and volume overload still occur. Postoperative sequelae may be prevented by effective self-care behavior. Following discharge, CABG patients are expected to perform normal activities of daily living and live a healthy lifestyle. How Thai CABG patients take care of themselves and factors that influence the performance of self-care following CABG has not yet been studied.
The purpose of the ethnographic study, which was guided by Orem's (1995) Self-Care Deficit Theory of Nursing, was to describe self-care and dependent-care associated with the experience of recovering from CABG in Thai patients and to describe the influences of gender, family, and sociocultural factors on self-care and dependent-care actions. A series of ethnographic interviews and focused participant-observations were the primary data collection methods and Leininger's (1991) Phase of Analysis for qualitative data guided the data analysis. Four themes emerged from the data: (1) Getting Back to "Normal"; (2) Life Changing Event; (3) Living a Healthier Life; and (4) Significance of Family as Protection and Support were identified. In addition, the influences of gender, family, and sociocultural factors on self-care and dependent-care actions were presented. Results from this study provide the basis from which culturally responsive and effective nursing care for Thai patients and their families recovering from CABG surgery can be developed. Future research for nursing theory and practices related to CABG recovery process is discussed.
The incidence of coronary heart disease (CHD) remains significant in such developing countries as Thailand. Coronary artery bypass graft surgery (CABG) is one of the most frequently used surgical procedures for CHD. Although CABG may relieve the symptoms of CHD, postoperative sequelae such as pulmonary complications, prolonged weakness, and volume overload still occur. Postoperative sequelae may be prevented by effective self-care behavior. Following discharge, CABG patients are expected to perform normal activities of daily living and live a healthy lifestyle. How Thai CABG patients take care of themselves and factors that influence the performance of self-care following CABG has not yet been studied.
The purpose of the ethnographic study, which was guided by Orem's (1995) Self-Care Deficit Theory of Nursing, was to describe self-care and dependent-care associated with the experience of recovering from CABG in Thai patients and to describe the influences of gender, family, and sociocultural factors on self-care and dependent-care actions. A series of ethnographic interviews and focused participant-observations were the primary data collection methods and Leininger's (1991) Phase of Analysis for qualitative data guided the data analysis. Four themes emerged from the data: (1) Getting Back to "Normal"; (2) Life Changing Event; (3) Living a Healthier Life; and (4) Significance of Family as Protection and Support were identified. In addition, the influences of gender, family, and sociocultural factors on self-care and dependent-care actions were presented. Results from this study provide the basis from which culturally responsive and effective nursing care for Thai patients and their families recovering from CABG surgery can be developed. Future research for nursing theory and practices related to CABG recovery process is discussed.
การแปล กรุณารอสักครู่..
