Abstract

ARIZA OLARTE, CLAUDIA. Situations that require nursing care for the patient in an early post-operative stage following a myocardial revascularization. av.enferm. [online]. 2010, vol.28, n.1, pp.129-142. ISSN 0121-4500.

Situations that require nursing care (SRCE) take place and are typical of a patient in an early post-operative stage (POPT) of myocardial revascularization (48 to 96 hours). Said situations constitute the qualitative data of the doctoral thesis titled "Nursing care to the patient in early post-operative stage following a myocardial revascularization", whose general objective was to design the nursing care proposal for the patient in early post-operative stage following a myocardial revascularization based on problems identified from the interpretation of the clinical events and the situations that require nursing care. Interviews (semi-structured) were taken of 40 patients during their early post-operative stage; questions were asked about their feelings, emotions and concerns. The collected information was refined. Literal phrases of the patients were used and descriptive codes were established, which were interpreted in order to determine the nominal and substantive codes to then be grouped under one same term forming the categories, which are the situations that require nursing care: wellbeing, achievements, reasoning, benefit, satisfaction, beliefs and values, suffering, anxiety and affliction. The proposal states that dialogue, gathering and the call-answer scenario will have better effects on the wellbeing of the patient, if the cold and impersonal atmosphere of the hospital is changed into a caring surrounding where conditions such as presence of family and affective availability of nurses are strengthened, providing information on the process the patient goes through, using a language that allows his/hers being understood and that contributes to reducing the distress and the anxiety that the surrounding context may generate.

Keywords : nursing care; myocardial revascularization; patient care; research.

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