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Experiences of undergoing cardiac surgery among older people diagnosed with postoperative delirium: one year follow-up

Overview of attention for article published in BMC Nursing, March 2015
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Title
Experiences of undergoing cardiac surgery among older people diagnosed with postoperative delirium: one year follow-up
Published in
BMC Nursing, March 2015
DOI 10.1186/s12912-015-0069-7
Pubmed ID
Authors

Helena Claesson Lingehall, Nina Smulter, Birgitta Olofsson, Elisabeth Lindahl

Abstract

Cardiovascular disease is common among old people and many undergo cardiac surgery. Scientific knowledge is available on cardiac surgery from several perspectives. However, we found few studies focusing on older patients' experiences of cardiac surgery. The aim of this study was to illuminate experiences of undergoing cardiac surgery among older people diagnosed with postoperative delirium, a one year follow-up. Qualitative interviews were conducted with 49 participants (aged ≥70 years) diagnosed with delirium after cardiac surgery. Data were collected in Sweden during 2010 through individual, semi-structured interviews in participants' homes one year after surgery. The interviews were analyzed using qualitative content analysis. Four themes with sub-themes were formulated: Feeling drained of viability includes having a body under attack, losing strength and being close to death. Feeling trapped in a weird world describes participants having hallucinations, being in a nightmare and being remorseful for their behavior. Being met with disrespect includes feeling disappointed, being forced, and feeling like cargo. On the other hand, Feeling safe, including being in supportive hands and feeling grateful, points to participants' experiences of good care and the gift of getting a second chance in life. Even one year after cardiac surgery, participants described in detail feelings of extreme vulnerability and frailty. They also had felt completely in the hands of the health care professionals. Participants described experiences of hallucinations and nightmares during hospitalization. Cardiac surgery was a unique, fearful, traumatic and unpleasant experience yet could also include pleasant or rewarding aspects. It seems that health care professionals need deeper knowledge on postoperative delirium in order to prevent, detect and treat delirium to avoid and relieve the suffering these experiences might cause.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Denmark 1 <1%
Unknown 107 99%

Demographic breakdown

Readers by professional status Count As %
Researcher 13 12%
Student > Bachelor 11 10%
Student > Master 11 10%
Other 9 8%
Lecturer 8 7%
Other 17 16%
Unknown 39 36%
Readers by discipline Count As %
Medicine and Dentistry 24 22%
Nursing and Health Professions 21 19%
Social Sciences 4 4%
Biochemistry, Genetics and Molecular Biology 3 3%
Engineering 3 3%
Other 9 8%
Unknown 44 41%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 April 2015.
All research outputs
#16,099,609
of 23,881,329 outputs
Outputs from BMC Nursing
#485
of 801 outputs
Outputs of similar age
#160,333
of 266,037 outputs
Outputs of similar age from BMC Nursing
#14
of 22 outputs
Altmetric has tracked 23,881,329 research outputs across all sources so far. This one is in the 22nd percentile – i.e., 22% of other outputs scored the same or lower than it.
So far Altmetric has tracked 801 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.5. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,037 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 31st percentile – i.e., 31% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 36th percentile – i.e., 36% of its contemporaries scored the same or lower than it.