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Experiences of adult extracorporeal membrane oxygenation patients following discharge: A mixed methods study
Affiliation:1. Nursing Department, Faculty of Health Sciences, Lokman Hekim University, Ankara, Turkey;2. Surgical Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Turkey;3. Surgical Nursing Department, Faculty of Nursing, Koç University, Istanbul, Turkey;1. Gachon University, College of Nursing, Incheon, South Korea;2. Office of Hospital Information, Seoul National University Hospital, Seoul, South Korea;3. Division of Cardiology, Department of Internal Medicine, Gil Medical Center, Gachon University, College of Medicine, Incheon, South Korea;4. Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University Medical Center, Seoul, South Korea;5. Chonnam National University, College of Nursing, Gwangju, South Korea;6. Department of Nursing, Hanyang University Medical Center, Seoul, South Korea;7. Biostatistical Consulting and Research Lab, Medical Research Collaborating Center, Hanyang University, Seoul, Korea;8. Gachon University Gil Medical Center, Incheon, South Korea;9. Mercer University, Georgia Baptist College of Nursing, Atlanta, USA;1. Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts United States, 01608;2. Division of Pulmonary and Critical care, Mayo Clinic, Rochester, Minnesota, Massachusetts United States, 55902;3. Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, 492099, India;1. Department of Critical Care Medicine, The First Affiliated Hospital, China Medical University, North Nanjing Street 155, Shenyang 110001, Liaoning Province, China;2. Department of Critical Care Medicine, The Sixth People’ s Hospital of Shenyang, South Heping Street 85,Shenyang, Liaoning Province, China;3. Department of infection, The Sixth People’ s Hospital of Shenyang, South Heping Street 85,Shenyang, Liaoning Province, China;1. Department of Cardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States;2. Department of Cardiovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States;3. University College Cork School of Medicine, College Road, Cork T12 K8AF, Ireland
Abstract:BackgroundSurvival and discharge rates after extracorporeal membrane oxygenation are gradually increasing. More research is warranted to investigate extracorporeal membrane oxygenation patients’ post-discharge experiences, problems and quality of life.ObjectiveThe aim of this study was to determine adult extracorporeal membrane oxygenation patients’ experiences, problems and quality of life following discharge.MethodsA mixed methods research was used. Study sample consisted of 11 adult extracorporeal membrane oxygenation patients discharged at least one month prior to study entry. In-depth interviews were conducted. Participants' quality of life was assessed using the EuroQol 5 Dimension 5 Level questionnaire.ResultsTwo categories (pre- and post-discharge), 7 themes and 16 sub-themes were developed based on in-depth interviews. According to the EuroQol 5 Dimension 5 Level, participants had high perceptions of health.ConclusionExtracorporeal membrane oxygenation patients should be provided with comprehensive post-discharge education, exercise programs, social support and regular home visits for post-discharge assessment and follow-up care.
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