Heart & Lung: The Journal of Acute and Critical Care
Volume 38, Issue 4 , Pages 284-291 , July 2009

Addressing spouses' unique needs after cardiac surgery when recovery is complicated by heart failure

  • Susanna Ågren, RN, MN

      Affiliations

    • Department of Cardiothoracic Surgery, Linköping University Hospital and Department of Medical and Health Sciences, Division of Nursing Sciences, Linköping University, Linköping; and Vårdal Institute, Lund, Sweden
    • Corresponding Author InformationCorresponding author: Susanna Ågren, RN, MN, Department of Medical and Health Sciences, Division of Nursing Sciences, Linköping University, S-58185 Linköping, Sweden
    • ,
  • Gunilla Hollman Frisman, RN, PhD

      Affiliations

    • Department of Medical and Health Sciences, Division of Nursing Sciences, Linköping University, Linköping, Sweden
    • ,
  • Sören Berg, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Linköping University Hospital, Linköping, Sweden
    • ,
  • Rolf Svedjeholm, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Linköping University Hospital and Department of Medical and Health Sciences, Division of Circulation, Linköping University, Linköping, Sweden
    • ,
  • Anna Strömberg, RN, PhD

      Affiliations

    • Department of Cardiology, Linköping University Hospital and Department of Medical and Health Sciences, Division of Nursing Sciences, Linköping University, Linköping, Sweden

References 

  1. The Society of Thoracic Surgeons. www.sts.orgAccessed: November 5, 2008
  2. Bruckenberger E. http://www.bruckenberger.de/frame.htm?=herzchi.htmAccessed: November 5, 2008
  3. Vánky F, Håkansson E, Svedjeholm R. Long-term consequences of postoperative heart failure after surgery for aortic stenosis compared with coronary surgery. Ann Thorac Surg. 2007;83:2036–2043
  4. Alla F, Zannad F, Fillippatos G. Epidemiology of acute heart failure syndromes. Heart Fail Rev. 2007;12:91–95
  5. Micik S, Borbasi S. Effect of support programme to reduce stress in spouses whose partners 'fall off' clinical pathways post cardiac surgery. Aust Crit Care. 2002;15:33–40
  6. Rantanen A, Kaunonen M, Astedt-Kurki P, Tarkka MT. Coronary artery bypass grafting: social support for patients and their significant others. J Clin Nurs. 2004;13:158–166
  7. Engelman R, Rousou JA, Flack JE. Fast track recovery of the coronary bypass patient. Ann Thorac Surg. 1994;58:1742–1746
  8. Lenz E, Perkins S. Coronary artery bypass graft surgery patients and their family member caregivers: outcomes of a family-focused staged psycho-educational intervention. Appl Nurs Res. 2000;13:142–150
  9. McGaughey J, Harrisson S. Understanding the preoperative information needs of patients and their relatives in intensive care units. Intensive Crit Care Nurs. 1994;10:186–194
  10. Theobald K, McMurray A. Issues and innovations in nursing practice (Coronary artery bypass graft surgery: discharge planning for successful recovery). J Adv Nurs. 2004;47:483–491
  11. Johansson I. Theoretical understanding of the coping approaches and social support experiences of relatives of critically ill patients during the intensive care unit stay and the recovery period at home. Dissertation. Linköping, Sweden: University; 2006;Report No. 944
  12. Lukkarinen H, Kyngas H. Experiences of the onset of coronary artery disease in a spouse. Eur J Cardiovasc Nurs. 2003;2:189–194
  13. Rees J, O'Boyle C, MacDonagh R. Quality of life: impact of chronic illness on the partner. J Royal Soc Med. 2001;94:563–566
  14. Bakas T, Pressler S, Johnson E, Nauser J, Shaneyfelt T. Family caregiving in heart failure. Nurs Res. 2006;55:180–188
  15. Bendetson J. The Well Spouse Foundation (Support for silent partners). Caring. 1994;13:43–446
  16. Stanley MJ, Frantz RA. Adjustment problems of spouses of patients undergoing coronary artery bypass graft surgery during early convalescence. Heart Lung. 1988;17:677–682
  17. Im K, Belle SH, Schulz R, Mendelsohn AB, Chelluri L. Prevalence and outcomes of caregiving after prolonged (>48 hours) mechanical ventilation in the ICU. Chest. 2004;125:597–606
  18. Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA. 1999;282:2215–2219
  19. Christakis N, Allison P. Mortality after the hospitalization of a spouse. New Engl J Med. 2006;354:719–730
  20. Davies N. Carers' opinions and emotional responses following cardiac surgery: cardiac rehabilitation implications for critical care nurses. Intensive Crit Care Nurs. 2000;16:66–75
  21. Blumer H. Symbolic interactionism: perspective and method. Berkeley: University of California Press; 1969;
  22. Glaser B, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine Publishing Company; 1967;
  23. Glaser B. Doing grounded theory: issues and discussions. Mill Valley, CA: Sociology Press; 1998;
  24. Glaser B. Advances in the methodology of grounded theory. Theoretical sensitivity. Mill Valley, CA: Sociology Press; 1978;
  25. Mead G. Mind, self and society from the standpoint of a social behaviorist. Chicago, IL: The University of Chicago Press; 1967;
  26. Glaser B. The grounded theory perspective III: Theoretical coding. Mill Valley, CA: Sociology Press; 2005;
  27. Lee LY, Lau YL. Immediate needs of adult family members of adult intensive care patients in Hong Kong. J Clin Nurs. 2003;12:490–500
  28. Azoulay E, Pochard F, Chevret S. Family participation in care to the critically ill: opinions of families and staff. Intensive Care Med. 2003;29:1498–1504
  29. Stayt LC. Nurses' experiences of caring for families with relatives in intensive care units. J Adv Nurs. 2007;57:623–630
  30. Engström Å. Close relatives of critically ill persons in intensive care: the experiences of close relatives and of critical care nurses. Licentiate thesis. Luleå, Sweden: Tekniska Universitet; 2006;Report No: 22
  31. Curry S. Identifying family needs and stresses in the intensive care unit. Br J Nurs. 1995;4:15–19
  32. Gustafsson B, Pörn I. A motivational approach to confirmation: an interpretation of dysphagic patients' experiences. Theor Med. 1994;15:409–430
  33. Eriksson U, Svedlund M. Struggling for confirmation–patients' experience of dissatisfaction with hospital care. J Clin Nurs. 2007;16:438–446
  34. Artinian N. Stress experience of spouses of patients having coronary artery bypass during hospitalization and 6 weeks after discharge. Heart Lung. 1991;20:52–59
  35. Wiegand DL. Withdrawal of life-sustaining therapy after sudden, unexpected life-threatening illness or injury: interactions between patients' families, healthcare providers, and the healthcare system. Am J Crit Care. 2006;15:178–187
  36. Artinian NT. Spouses' perceptions of readiness for discharge after cardiac surgery. Appl Nurs Res. 1993;6:80–88
  37. Jones C, Skirrow P, Griffiths RD, Humphris GH, Ingleby S, Eddleston J, et al. Rehabilitation after critical illness: a randomized, controlled trial. Crit Care Med. 2003;31:2456–2461
  38. Okkonen E, Vanhanen H. Family support, living alone and subjective health of a patient in connection with a coronary artery bypass surgery. Heart Lung. 2006;35:234–244
  39. Ruiz J, Matthews KA, Scheier MF, Schulz R. Does who you marry matter for your health? (Influence of patients' and spouses' personality on their partners' psychological well-being following coronary artery bypass surgery). J Pers Soc Psychol. 2006;91:255–267
  40. Glaser B. Basics of grounded theory analysis. Mill Valley, CA: Sociology Press; 1992;

 Financial support was obtained from Linköping University, the Vårdal Instititute, the Vårdal Foundation, and the Swedish Research Council.

PII: S0147-9563(08)00180-5

doi: 10.1016/j.hrtlng.2008.10.002

Heart & Lung: The Journal of Acute and Critical Care
Volume 38, Issue 4 , Pages 284-291 , July 2009

Article Tools

* Image Usage & Resolution