Open AccessPatients’ experiences of the transcatheter aortic valve implantation trajectory: A grounded theory study
Author(s) -
Olsson Karin,
Näslund Ulf,
Nilsson Johan,
Hörnsten Åsa
Publication year - 2018
Publication title -
nursing open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.55
H-Index - 12
ISSN - 2054-1058
DOI - 10.1002/nop2.124
Subject(s) - grounded theory , rehabilitation , medicine , aortic valve , qualitative research , psychology , cardiology , physical therapy , sociology , social science
Aim The aim of this study was to explore how patients experienced the recovery process from transcatheter aortic valve implantation. Design A qualitative approach where in‐depth interviews were used. Method Eleven men and eight women undergoing transcatheter aortic valve implantation were individually interviewed 6 months after transcatheter aortic valve implantation. Grounded theory was used for the analysis. Results The analysis generated the core concept “A journey of balancing between life‐struggle and hope” connected to descriptive, bipolar categories. Before transcatheter aortic valve implantation patients not only felt threatened but also experienced hope. The rehabilitation phase was described as demanding or surprisingly simple. At the 6 months follow‐up patients were pleased to return to life, however, still struggling with limitations. To feel hope is essential for transcatheter aortic valve implantation patients’ well‐being, both before and during the recovery process. It is important that healthcare professionals not only support hopeful thinking but also take time to discuss and prepare patients, talk about concerns and build confidence. Individual plans for rehabilitation should be designed.