Patient Experience after Mechanical Heart Valve Replacement Surgery at Central General Hospital Haji Adam Malik Medan

Teti Hariani Pane, Dudut Tanjung, Refli Hasan

Abstract


Overall postoperative quality of life improves in patients undergoing mechanical mitral valve replacement. Heart valve replacement surgery is the definitive treatment for heart valve abnormalities. Patients undergoing heart surgery will experience mental and physical difficulties after leaving the hospital.  Support is an important factor that a person needs when facing health problems. The aim of this study was to explore the experiences of patients undergoing mechanical heart valve replacement surgery to find better treatment plans. This type of research is qualitative research with a descriptive phenomenological approach. The participants in this study were 13 people who were patients who had undergone mechanical heart valve replacement surgery. This research was conducted in June-August 2023 at the Haji Adam Malik General Hospital. The data collection method uses in-depth interviews and research data is analyzed using the Colaizzi method. There are 5 themes identified, namely 1) Patients experience an improvement in their health condition after mechanical heart valve replacement surgery 2) Patients experience sleep disturbances 3) Patients experience anxiety regarding possible complications that occur after mechanical heart valve replacement surgery 4) Patients comply with the home care plan, and 5) Family support in efforts to maintain health after undergoing mechanical heart valve replacement surgery. The research results showed that the majority of participants reveal physical changes, namely complaints before surgery has reduced or disappeared completely but experiences sleep disturbances due to pain, anxiety.  Participants also expressed their willingness to follow the treatment plan at home with support from the family. It is especially recommended that cardiovascular nurses involve the family to provide support in efforts to optimize the patient's health status after mechanical heart surgery.

Keywords: Heart valve disease, Mechanical heart valve replacement surgery, Patient experience


Full Text:

PDF

References


Baldwin, T. G. J. (2019). Tissue Valve Degeneration and Mechanical Valve Failure. Curr Treat Options Cardiovasc Med., 14;21(7), 3. https://doi.org/10.1007/s11936-019-0735-2.

Das, A. P. and S. (2020). Valvular heart disease and anaesthesia. Indian J Anaesth, 61(9): 721. https://doi.org/10.4103/ija.IJA_378_17

Dewi, H., & Syarif, H. (2022). Asuhan Keperawatan Post Operasi Ventricular Septal Defect Closure Di Intensive Care Unit: Studi Kasus Nursing Care Postoperative Ventricular Septal Defect Closure in Intensive Care Unit: A Case Study. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, I(4), 1–7.

Dotson A, Covas T, Halstater B, R. J. (2024). Congenital Heart Disease. Prim Care, Prim Care, 125–142. https://doi.org/10.1016/j.pop.2023.07.007.

Eva Miranda Marwali, Yoel Purnama, & Poppy Surwianti Roebiono. (2021). Modalitas Deteksi Dini Penyakit Jantung Bawaan di Pelayanan Kesehatan Primer. Journal Of The Indonesian Medical Association, 71(2), 100–109. https://doi.org/10.47830/jinma-vol.71.2-2021-241

Hofferberth SC, Saeed MY, Tomholt L, Fernandes MC, Payne CJ, Price K, M., GR, Esch JJ, Brown DW, Brown J, Hammer PE, Bianco RW, Weaver JC, Edelman ER, D., & PJ., N. (2020). A geometrically adaptable heart valve replacement. Sci Transl Med, 19;12(531). https://doi.org/10.1126/scitranslmed.aay4006

Hu XM, Wei WT, Huang DY, Lin CD, Lu F, Li XM, Liao HS, Yu ZH, Weng XP, W., & SB, Hou CL, J. F. (2021). The Assessment of Sleep Quality in Patients Following Valve Repair and Valve Replacement for Infective Endocarditis: A Retrospective Study at a Single Center. Med Sci Monit, 26;27:e930. https://doi.org/10.12659/MSM.930596

Hu XM, Wei WT, Huang DY, Lin CD, Lu F, Li XM, Liao HS, Yu ZH, Weng XP, W., & SB, Hou CL, J. F. (2022). Sleep patterns and potential risk factors for disturbed sleep quality in patients after surgery for infective endocarditis. Cardiothorac Surg, 17;17(1):1. https://doi.org/10.1186/s13019-022-01828-4

Huang, J. S., Sun, K. P., Xu, N., Chen, Q., Chen, L. W., & Kuo, Y. R. (2020). Effects of the sounds of different mechanical mitral valves on quality of life at different follow-up times: A single-center study. Annals of Thoracic and Cardiovascular Surgery, 26(4), 209–215. https://doi.org/10.5761/atcs.oa.19-00281

Jobson, M. C., & Rajendran, A. J. (2020). Review Article: Depression, Anxiety and Cardiac Surgery in the Indian scenario: a review. Indian Journal of Mental Health, 7(3), 174. https://doi.org/10.30877/ijmh.7.3.2020.174-179

John Sukumar Aluru, Adam Barsouk, Kalyan Saginala, Prashanth Rawla, and A. B. (2022). Valvular Heart Disease Epidemiology. Med Sci, 10(2): 32. https://doi.org/10.3390/medsci10020032

Joshi, D., Shrestha, A., Gurung, M., Gautam, N. C., Singh, Y. M., Thakur, A., Basnet, N., & Timala, R. B. (2021). Spectrum of Quality of Life after Valve Surgery in Patients with Rheumatic Heart Disease. Nepalese Heart Journal, 18(1), 53–56. https://doi.org/10.3126/njh.v18i1.36786

Kosasih, E. R., & Rahmawati, K. D. (2022). Dukungan Keluarga Dan Psychological Well Being Ibu Work From Home Saat Pandemi Covid-19 Di Denpasar. Journal of Psychological Science and Profession, 6(1), 66. https://doi.org/10.24198/jpsp.v6i1.35939

Lancellotti P, Aqil A, Musumeci L, Jacques N, Ditkowski B, Debuisson M, T., M, Dupont J, Gougnard A, Sandersen C, Cheramy-Bien JP, Sakalihasan N, N. A., & Detrembleur C, Jérôme C, O. C. (2023). Bioactive surface coating for preventing mechanical heart valve thrombosis. J Thromb Haemost, 21(9), 2485–2498. https://doi.org/10.1016/j.jtha.2023.05.004

Leila Shahmoradi, Nafiseh Rezaei, Sorayya Rezayi, Mitra Zolfaghari, B. M. (2022). Educational approaches for patients with heart surgery: a systematic review of main features and effects. BMC Cardiovasc Disord, 22: 292. https://doi.org/10.1186/s12872-022-02728-0

Li D, Liu P, Zhang H, W. L. (2021). The effect of phased written health education combined with healthy diet on the quality of life of patients after heart valve replacement. J Cardiothorac Surg., 25;16(1):1. https://doi.org/10.1186/s13019-021-01437-7

Lydia Lestari, D. (2023). Penyakit Jantung Bawaan pada Anak. Scientific Journal, 2(4), 134–142. https://doi.org/10.56260/sciena.v2i4.100

McLean , Gaul D, P. R. (2022). erceived Social Support and Stress: a Study of 1st Year Students in Ireland. Int J Ment Health Addict, 27:1-21. https://doi.org/10.1007/s11469-021-00710-z.

Muhamad Adam, Artati, Tuti Herawati, Prima Agustia Nova, I. M. (2022). Dukungan Keluarga dan Readmisi Pasien Pascaoperasi Katup Jantung. 1–10.

Nappi F, Singh SSA, Nappi P, Spadaccio C, Nenna A, Gentile F, C. M. (2020). Heart Valve Endocarditis. Surg Technol Int, 8;37, 203–215.

Putra, B. E., & Prakoso, R. (2022). Pentingnya Mendeteksi Penyakit Jantung Bawaan Lebih Dini: Skrining Fase Prenatal dan Postnatal. Journal Of The Indonesian Medical Association, 72(2), 56–58. https://doi.org/10.47830/jinma-vol.72.2-2022-822

Senst B, Kumar A, D. R. (2022). ardiac Surgery. In: StatPearls [Internet]. Treasure Island (FL.

Turnquest, S. D. A. E. (2024). Physiology, Heart Sounds. StatPearls Publishing.

Wahyuningsih, I. S. (2021). Potret Dukungan Keluarga Selama Pengobatan Pasien Dengan Penyakit Jantung Koroner. Jurnal Perawat Indonesia, 5(3), 833–838.

William D. McCann, Xiang-Yu Hou, Snezana Stolic, M. J. I. (2023). Predictors of Psychological Distress among Post-Operative Cardiac Patients: A Narrative Review. Healthcare, 11(20): 27. https://doi.org/10.3390/healthcare11202721

Xiang-Ming Hu,Wen-Ting Wei, De-Yi Huang, Cai-Di Lin, Fen Lu, Xiao-Ming Li, Huo-Sheng Liao, Zhi-Hong Yu, Xiao-Ping Weng, Shi-Bin Wang, Cai-Lan Hou, F.-J. J. (2021). The Assessment of Sleep Quality in Patients Following Valve Repair and Valve Replacement for Infective Endocarditis: A Retrospective Study at a Single Center. Med Sci Monit., 27: e93059. https://doi.org/10.12659/MSM.930596




DOI: http://dx.doi.org/10.30829/contagion.v6i2.21229

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Teti Hariani Pane

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

 
Contagion: Scientific Periodical Journal of Public Health and Coastal Health by Program Studi Ilmu Kesehatan Masyarakat is licensed under Creative Commons Attribution-ShareAlike 4.0 International License.