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The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.
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Liu Si-Yu, Li Fei, Chen Yu-Hong, Liu Shan-Shan, Zhang Xiao-Min, Sun Guo-Zhen
Аннотация
OBJECTIVE: This study aimed to understand the experiences and feelings of patients undergoing lower limb vein harvesting for coronary artery bypass grafting (CABG).
DESIGN: Qualitative, phenomenological research methodology with purposive sampling. Semistructured interview data were analysed using Colaizzi's seven-step method with the NVivo 12 Plus software.
SETTING: A single-centre study in a Grade A hospital in Nanjing, China.
PARTICIPANTS: A total of 23 patients who underwent CABG with saphenous vein harvesting between October 2024 and March 2025.
RESULTS: The participants' experiences were summarised into four themes: preoperative cognitive differences influencing decision-making, postoperative physiological changes triggering psychological distress, diverse coping strategies and support needs, and reconstruction of body image and identity.
CONCLUSION: Medical staff should pay attention to the feelings of patients undergoing CABG with vein harvesting from the lower limbs. By actively implementing shared decision-making, promoting high-quality nursing services, improving multidimensional support systems, and enhancing patients' psychological and social adaptability, healthcare professionals can improve patients' perioperative experiences and promote their comprehensive recovery.
DESIGN: Qualitative, phenomenological research methodology with purposive sampling. Semistructured interview data were analysed using Colaizzi's seven-step method with the NVivo 12 Plus software.
SETTING: A single-centre study in a Grade A hospital in Nanjing, China.
PARTICIPANTS: A total of 23 patients who underwent CABG with saphenous vein harvesting between October 2024 and March 2025.
RESULTS: The participants' experiences were summarised into four themes: preoperative cognitive differences influencing decision-making, postoperative physiological changes triggering psychological distress, diverse coping strategies and support needs, and reconstruction of body image and identity.
CONCLUSION: Medical staff should pay attention to the feelings of patients undergoing CABG with vein harvesting from the lower limbs. By actively implementing shared decision-making, promoting high-quality nursing services, improving multidimensional support systems, and enhancing patients' psychological and social adaptability, healthcare professionals can improve patients' perioperative experiences and promote their comprehensive recovery.