HALİL KAYA, ORACHORN LUMPROM, PATRİCİA SCHOFİELD, MATTHEW C CAREY, JOS M LATOUR
Florence Nightingale Journal of Nursing - 2025;33(1):1-22
AIM: The aim of this systematic review was to synthesize findings from qualitative studies exploring patients’ experiences in hospital or at home following open heart surgery. METHODS: Systematic searches were conducted in CINAHL, MEDLINE, PsycINFO, ProQuest Dissertation and Theses, and Web of Science covering the period from 2006 to 2023. Studies were selected if they reported a qualitative inquiry into patients’ experiences after open heart surgery. The quality of eligible studies was assessed using the JBI Critical Appraisal tool. A meta-aggregation approach was used to synthesize the findings. RESULTS: Twenty-one studies were included, representing 266 patients across 10 countries. Findings were aggregated into five synthesized findings: (1) information and education needs; (2) adaptation to postsurgical life and financial considerations; (3) support mechanisms; (4) the paradox in lifestyle adjustments post surgery; and (5) recovery trajectory and patient perception of life. These findings highlight the complex nature of recovery, emphasizing educational and support needs. Patients maintained a positive stance toward their surgical outcomes, viewing the surgery as an opportunity for health revival. They viewed the surgery as an appreciation for their lives and those around them. CONCLUSION: While the findings offer valuable insights into the patient’s physical and social well-being following open heart surgery, they underscore the necessity of patient education, tailored support, and holistic care. Establishing a comprehensive support system by encompassing family members, healthcare professionals, and spiritual resources is imperative for effectively addressing the multifaceted challenges encountered during recovery.
