Exploring the Well-being Experiences of Patients Following Heart Valve Replacement Surgery through the Biopsychosocial-spiritual Model: A Qualitative Content Analysis

Authors

1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran;

2 Nursing and Midwifery Care Research Center, Medical Sciences Education Research Center, Mashhad University of Medical Sciences, Mashhad, Iran;

3 Nursing Care Research Center, Clinical Sciences institute, Baqiyatallah University of Medical Sciences, Tehran, Iran;

4 Department of Cardiology, school of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran;

5 Nursing and Midwifery Care Research Center, Clinical Research Development Unit of Akbar Hospital, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Heart valve replacement (HVR) surgery represents a significant life event that can potentially impact the well-being (WB) of patients; however, there is a shortage of research on the understanding of WB in HVR patients. This study aims to elucidate the WB experiences of patients who have undergone HVR surgery.
Methods: A qualitative directed content analysis approach was employed, focusing on patients who had undergone HVR surgery at hospitals affiliated with Mashhad University of Medical Sciences in Iran from March 2021 to June 2022. Data collection involved conducting 23 face-to-face, semi-structured, in-depth interviews with HVR patients until data saturation was reached. Data analysis was performed using the Elo and Kyngäs approach in MAXQDA software version 10.
Results: The analysis revealed 11 generic categories based on the Biopsychosocial-Spiritual (BPSS) model, encompassing the WB experiences of HVR patients. These categories included physical improvements, facilitated treatment compliance, personal and environmental mastery, optimism in life, resilience, healing therapeutic communication of medical staff, a positive supportive atmosphere, job and financial assurance, faith in a higher power, optimism regarding a purposeful future, and gratitude mixed with generosity.
Conclusion: The findings of the current study revealed that the experience of WB in HVR patients was influenced by various conditions. By recognizing these conditions, healthcare providers can develop targeted interventions to improve the WB experience in these patients. Also, the findings provide a foundation for future research on WB in medical contexts.

Highlights

Masoud Abdollahi (Google Scholar) (PubMed)

Tahereh Sadeghi (Google Scholar) (PubMed)

Keywords

References

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International Journal of Community Based Nursing & Midwifery
Volume 12, Issue 4 - Serial Number 48
October 2024
Pages 228-242

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