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Submitted June 29, 2023
Published 2023-07-03

Research Articles

Vol. 33 No. 29 (2023): Enfoque

PAIN EXPERIENCE IN PATIENTS UNDERGOING MYOCARDIAL REVASCULARIZATION


DOI https://doi.org/10.48204/j.enfoque.v33n29.a3960

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References
DOI: 10.48204/j.enfoque.v33n29.a3960

Published: 2023-07-03

How to Cite

Pineda Serracín, M., & González Ortega, Y. (2023). PAIN EXPERIENCE IN PATIENTS UNDERGOING MYOCARDIAL REVASCULARIZATION. Enfoque, 33(29), 64–79. https://doi.org/10.48204/j.enfoque.v33n29.a3960

Abstract

The purpose of this study is to know and understand the meaning of pain in patients undergoing myocardial revascularization surgery. Methodology: Using Van Manen's interpretative phenomenological approach, qualitative research was conducted, involving the selection of seven patients between 55 and 72 years of age. The data collection technique involved an in-depth interview and field notes from patients in the semi-intensive unit of a third-level hospital in the metropolitan region of Panama. The analysis of the interviews was conducted using open coding and axial coding, and the interpretation of the results was based on Katherine Kolcaba's Comfort theory. Results: 15 categories were demonstrated: a feeling of suffering, the uncertainty facing the disease, perception of changes in their life, the comfort of the surgical patient, coping response to surgical stress, pain management, surgical complications, person-to-person relationship process, intentional will in recovery, care-oriented decisions, development of hope that gives a positive value to the situation, learning process for positive reinforcement, nurse's commitment in operative care, nurse's role as a facilitating agent, multidisciplinary professional role. In effect, the assumptions presented in Kolcaba's second theoretical statement were validated utilizing the taxonomic structure of comfort.  Conclusions: The study evidenced that nursing professionals have a fundamental role in the assessment and management of post-myocardial revascularization pain; patients described feeling affected from the physical, emotional, spiritual, and environmental contexts.

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