IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i7-8p1233-1241.html
   My bibliography  Save this article

Transforming the experience of aortic valve disease in older patients: A qualitative study

Author

Listed:
  • Bettina Højberg Kirk
  • Ole De Backer
  • Malene Missel

Abstract

Aim and objectives To explore patients’ lived experiences of daily life and coping with recovery after transcatheter aortic valve implantation (TAVI). Background Transcatheter aortic valve implantation is increasingly used to treat older patients with severe aortic stenosis with high surgical risk. This novel treatment has been shown to be effective in relieving symptoms, improving survival and prognosis, but its impact on patients’ daily life has been sparsely explored. Design Qualitative design. Methods Qualitative interviews were conducted in a purposeful sample of ten patients three‐four months after TAVI. A phenomenological hermeneutical approach comprised an epistemological stance and Ricoeur's work inspired the qualitative methodological foundation. The study adhered to the COREQ guidelines. Results This study is illuminating patients’ perception of recovery after TAVI. The patients experienced a transformation of bodily sensations, a changed bodily attention and enhanced physical possibilities to cope with life. Undergoing TAVI changed the pre‐treatment symptoms that limited daily activities, allowing the patients to resume or participate in activities that were previously impossible. TAVI gives patients the feeling that they can do more than before, which strengthens their faith in the body's possibilities and means that they can live a more self‐reliant and independent life. Conclusion For older patients, TAVI can serve to bolster a sense of trusting their own body again. A clear distinction between pre‐ and post‐TAVI is recognised. Patients may be able to resume everyday activities following TAVI. The recovery process, however, must take into account the individual patient's own resources. Relevance to clinical practice The impact of TAVI on daily life activities should be communicated to the patient in decision‐making. Recovery depends on the patient's own effort, why identification of the patients who need support for recovery after TAVI as well as differentiated rehabilitation is required. Walking as a parameter should be integrated in the recovery trajectory.

Suggested Citation

  • Bettina Højberg Kirk & Ole De Backer & Malene Missel, 2019. "Transforming the experience of aortic valve disease in older patients: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1233-1241, April.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:7-8:p:1233-1241
    DOI: 10.1111/jocn.14732
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14732
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.14732?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Tone M Norekvål & Bengt Fridlund & Philip Moons & Jan E Nordrehaug & Hans I Sævareid & Tore Wentzel‐Larsen & Berit R Hanestad, 2010. "Sense of coherence—a determinant of quality of life over time in older female acute myocardial infarction survivors," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(5‐6), pages 820-831, March.
    2. Tonje Sibbern & Vibeke Bull Sellevold & Simen A Steindal & Craig Dale & Judy Watt‐Watson & Alfhild Dihle, 2017. "Patients’ experiences of enhanced recovery after surgery: a systematic review of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(9-10), pages 1172-1188, May.
    3. Stefan Köberich & Christa Lohrmann & Oskar Mittag & Theo Dassen, 2015. "Effects of a hospital‐based education programme on self‐care behaviour, care dependency and quality of life in patients with heart failure – a randomised controlled trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(11-12), pages 1643-1655, June.
    4. Martha Abshire & Jiayun Xu & Cheryl Dennison Himmelfarb & Patricia Davidson & Daniel Sulmasy & Joan Kub & Mark Hughes & Marie Nolan, 2015. "Symptoms and fear in heart failure patients approaching end of life: a mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(21-22), pages 3215-3223, November.
    5. Mona Løvlien & Liv Mundal & Marie‐Louise Hall‐Lord, 2017. "Health‐related quality of life, sense of coherence and leisure‐time physical activity in women after an acute myocardial infarction," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(7-8), pages 975-982, April.
    6. Mari Kangasniemi & Marina Hirjaba & Katja Kohonen & Ercole Vellone & Tanja Moilanen & Anna‐Maija Pietilä, 2017. "The cardiac patients’ perceptions of their responsibilities in adherence to care: a qualitative interview study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(17-18), pages 2583-2592, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kirsten Kaptain & Marie‐Louise Ulsøe & Pia Dreyer, 2019. "Surgical perioperative pathways—Patient experiences of unmet needs show that a person‐centred approach is needed," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2214-2224, June.
    2. Parvin Mangolian Shahrbabaki & Esmat Nouhi & Majid Kazemi & Fazlollah Ahmadi, 2017. "The sliding context of health: the challenges faced by patients with heart failure from the perspective of patients, healthcare providers and family members," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(21-22), pages 3597-3609, November.
    3. Seyede Fatemeh Gheiasi & Mohammad Ali Cheraghi & Mahdieh Dastjerdi & Hossein Navid & Meysam Khoshavi & Hamid Peyrovi & Alice Khachian & Khatereh Seylani & Maryam Esmaeili & Elham Navab, 2023. "Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure," Clinical Nursing Research, , vol. 32(3), pages 648-659, March.
    4. Shangping Zhao & Hong Chen, 2019. "Effectiveness of health education by telephone follow‐up on self‐efficacy among discharged patients with rheumatoid arthritis: A randomised control trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3840-3847, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:7-8:p:1233-1241. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.