Perioperative medicine & outcomes

Experiences of patients enrolled and staff involved in the prehabilitation of elective patients undergoing cardiac surgery trial: a nested qualitative study

AnaesthesiaPublished Nested qualitative study

Authors' conclusion

To conclude, functional exercise capacity may not have improved following prehabilitation in people before elective cardiac surgery due to concerns regarding the safety of exercise that may have hindered delivery and receipt of the intervention. Instead, numerous non-physical benefits were elicited.

Study context

Population
Patients enrolled and staff involved in the prehabilitation of elective patients undergoing cardiac surgery trial5 focus groups
Participants
24 patients
Comparison
Prehabilitation vs Control vs Staff
  • Prehabilitationn = nine
  • Controln = sevenreference
  • Staffn = eight
Outcome
Views and experiences of patients and staff of the trial
Methodological detailsfocus groups, reflexive thematic analysis, normalisation process theory, consecutive sampling
  • Focus groups
  • Reflexive thematic analysis
  • Normalisation process theory
  • Consecutive sampling

Main finding

As reported in the abstract

Themes identified
  • Preparedness for surgery reduced fear
  • Staff were concerned but trusted in a safe environment
  • Rushing for recovery and the curious carer
  • To survive and thrive postoperatively
  • Benefits are diluted by lengthy waiting periods
  • Five themes identified

Original publication

Experiences of patients enrolled and staff involved in the prehabilitation of elective patients undergoing cardiac surgery trial: a nested qualitative study. Anaesthesia. Published 4 July 2023. doi:10.1111/anae.16082

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