Ali Pourhabib, Zahra Fotokian, Zahra Sabzi, Khadijeh Yazdi,
Volume 29, Issue 2 (7-2023)
Abstract
Background & Aim: The availability of information regarding people's experiences of returning to work after heart surgery, taking into account the socio-cultural context of Iranian society, is limited. The aim of this study is to discover the process of returning to work after heart surgery.
Methods & Materials: A qualitative study using the grounded theory approach was conducted between 2021 and 2022. Through purposive and theoretical sampling, 21 participants who had undergone heart surgery and were in the process of returning to work were selected. They were chosen from the cardiac surgery ward of Amiralmomenin Hospital in Kordkuy, as well as among patients seeking treatment from cardiac surgeons in Golestan province. Data were collected through conducting semi-structured interviews and taking field notes. Data analysis was conducted using the method proposed by Corbin and Strauss in 2015.
Results: "Feeling of doubt about return-to-work", "perceived psycho-social support", "personal and occupational factors", "unfavorable consequences of heart surgery" and "limited support from governmental/non-governmental institutions" were determined as contextual factors influencing the process of return-to-work. Moreover, "effort to adjust the job", "situation evaluation" and "self-management" were introduced as strategies, while "adaptability to the job" were identified as the consequence of returning to work. Finally, the core variable of the study was determined to be "the thoughtful effort to match the job".
Conclusion: Based on the results, it was determined that several individual and environmental factors influence the process of return-to-work for people who have undergone heart surgery. To facilitate a successful return to work, it is crucial to provide psycho-social support from both the family and work environment. It is recommended that policy makers in the health and social affairs sectors take active steps to empower people during the post-recovery period. Additionally, fostering collaboration between the Ministries of Labor and Health, as well as insurance organizations, can greatly facilitate the return to work of individuals after heart surgery.
Mobarakeh Abbasi Firoozjah, Zahra Foutokian, Abbas Shamsalinia,
Volume 30, Issue 4 (1-2025)
Abstract
Background & Aim: Anxiety is a significant psychological concern for patients undergoing coronary artery bypass graft (CABG) surgery. Orlando's nursing theory offers a framework for nursing interventions to mitigate this anxiety. This study aimed to evaluate the effect of a nursing intervention based on Orlando's theory on the level of situational anxiety in patients undergoing CABG.
Methods & Materials: This clinical trial was conducted in 2023 at Fatemeh-Zahra Hospital in Sari. A convenience sample of 70 patients scheduled for CABG was recruited and randomly assigned to either an intervention group (n=35) or a control group (n=35). The intervention group received nursing care based on Orlando's theory the evening before surgery, in addition to standard care. The control group received only standard care. Situational anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) (assessing situational anxiety) before the intervention and again on the morning of the surgery. Data were analyzed using Fisher's exact test, Chi-square test, independent t-tests, and paired t-tests in SPSS version 21.
Results: Before the intervention, there was no statistically significant difference in mean situational anxiety scores between the intervention and control groups (t=1.31, P=0.196). However, following the intervention, a statistically significant difference was observed between the two groups (49.29±5.29 vs 59.08±6.52; P<0.001). Specifically, the intervention group demonstrated a significant reduction in situational anxiety compared to the control group.
Conclusion: The results suggest that a nursing intervention based on Orlando's theory can effectively reduce situational anxiety in patients undergoing CABG. Therefore, it is suggested that nursing managers consider implementing educational programs based on this model to address situational anxiety in CABG patients.
Clinical trial registry: IRCT20230528058319N1
