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Patients’ experiences regarding severe leg wound infection associated with coronary artery bypass grafting: A qualitative study
Örebro University, School of Health Sciences. Department of Vascular and Cardiothoracic Surgery, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-6122-9007
Örebro University, School of Health Sciences.ORCID iD: 0000-0003-0460-3864
Örebro University, School of Health Sciences.ORCID iD: 0000-0001-7862-3652
2023 (English)In: Journal of Vascular Nursing, ISSN 1062-0303, E-ISSN 1532-6578, Vol. 41, no 1, p. 12-18Article in journal (Refereed) Published
Abstract [en]

Introduction

Coronary artery bypass grafting (CABG) is the most common cardiac surgery throughout the world. The most commonly used graft is the saphenous vein. Wound healing complications related to saphenous vein harvesting are common, with reported surgical site infection rates ranging from 2% to 20%. Surgical site infection can be long-lasting, and the wound healing can be difficult and also presumably troublesome for the patient. CABG patients’ experiences of severe infection in the harvesting site have not been studied before.Aim: The aim of this study was to describe patients’ experiences associated with acquiring a severe infection in the harvesting site after CABG.

Method A qualitative study with descriptive design was conducted at the department of vascular and cardiothoracic surgery in a Swedish university hospital from May to December 2018. Patients diagnosed with a severe surgical site infection in the harvesting site following CABG were included. Data from 16 face-to-face interviews were analysed with inductive qualitative content analysis.

Result The main category, varying impact on body and mind, was the core of the patients’ experiences of severe wound infection in the harvesting site after CABG. Two generic categories were identified: physical impact and thoughts about the complication. The patients described experiencing different degrees of pain, anxiety, and limitation in daily life.

Conclusion These findings indicate that a severe infection in the harvesting site after CABG was experienced as an important issue with varying impact. Overall, the participants experienced pain, anxiety, and limitations in daily life. However, most of them were satisfied with the outcome after the wound had healed. Patients should be advised to seek care at an early stage if symptoms of infection occur. Improved individual pain management is needed for those with severe pain, and varied experiences imply a need for person-centred care.

Place, publisher, year, edition, pages
Elsevier, 2023. Vol. 41, no 1, p. 12-18
Keywords [en]
CABG, Content analysis, Experiences, Saphenous vein harvesting site, Surgical site infection, Wound healing
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-103009DOI: 10.1016/j.jvn.2022.12.002ISI: 000957785500001PubMedID: 36898799Scopus ID: 2-s2.0-85145982550OAI: oai:DiVA.org:oru-103009DiVA, id: diva2:1725045
Funder
Örebro UniversityRegion Örebro CountyAvailable from: 2023-01-10 Created: 2023-01-10 Last updated: 2023-04-17Bibliographically approved

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Larsson, HannaHälleberg Nyman, MariaFalk-Brynhildsen, Karin

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