Postoperative self-management experiences among patients with aortic dissection: a phenomenological approach

BMC Cardiovasc Disord. 2025 Jan 6;25(1):4. doi: 10.1186/s12872-024-04435-4.

Abstract

Objective: The objective of this study is to examine the postoperative self-management experiences of patients with aortic dissection (AD) through qualitative interviews, providing a foundation for the standardized management of postoperative home care for these patients.

Methods: Semi-structured interviews were conducted with 18 patients with AD postoperatively, in the cardiac surgery department of a tertiary hospital in Fujian Province between March and May 2020. This qualitative study used phenomenological methods and purposive sampling, with data analyzed using Colaizzi's seven-step approach to extract themes.

Results: Based on the interviews, four primary themes related to postoperative self-management challenges were identified: limited disease-related knowledge, inadequate disease management behavior, insufficient communication with healthcare providers, and compromised psychological well-being.

Conclusion: Postoperative self-management among patients with AD presents several challenges. Healthcare professionals should provide targeted interventions tailored to the specific condition and individual differences of the patient in self-management. Such interventions are crucial for enhancing the postoperative self-management abilities of patients with AD, promoting rehabilitation, and enhancing the overall quality of life.

Keywords: Aortic dissection; Phenomenology; Qualitative study; Self-management; Semi-structured interviews.

MeSH terms

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aortic Aneurysm* / psychology
  • Aortic Aneurysm* / surgery
  • Aortic Dissection* / psychology
  • Aortic Dissection* / surgery
  • China
  • Communication
  • Female
  • Health Behavior
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interviews as Topic
  • Male
  • Mental Health
  • Middle Aged
  • Postoperative Care
  • Qualitative Research*
  • Quality of Life*
  • Self Care
  • Self-Management
  • Treatment Outcome