title: Coronary artery bypass graft operation: Patients' experience of health and well-being over time.
abstract: BACKGROUND
  The aim of the coronary artery bypass graft operation is to relieve anginal symptoms and improve functional ability, quality of life and survival. However, having the surgery does not always have the desired outcomes. Although numerous studies have investigated the outcomes of coronary artery bypass graft operation, little attention has been given to patients' perceptions of the outcomes or effects of the operation on health and well-being over time.
  
  
  OBJECTIVE
  To explore patients' perspectives on the effects of coronary artery bypass surgery on health and well-being over time.
  
  
  METHODS
  As part of a larger mixed methods study, 62 in-depth audio-taped interviews with men and women who had undergone coronary artery bypass approximately 7 years earlier were conducted. Interviews were audio-taped and transcribed. Data were analysed thematically. This paper reports the findings from the qualitative component of the larger study.
  
  
  RESULTS
  The four main themes: 'Recovery and Rehabilitation', 'Seven Years On', 'Maintaining a Positive Approach', and 'Health Behaviour Change' reflect the main areas of focus emerging across the interviews and provide credible overarching descriptors of the sub-themes they encompass. The 11 sub-themes identified were recognised as central to the patients' experiences of their health and well-being over the longer-term.
  
  
  CONCLUSIONS
  Although most patients report improved health and well-being after coronary artery bypass operation, many have described their recovery and rehabilitation as a complex process with both short and long term effects. The insights provided by participants help improve our understanding of the impact of the operation on patients' health and well-being over time. We believe these insights will help us to anticipate the possible needs of future patients and enable us develop appropriate interventions that may facilitate self-management for optimal recovery and health maintenance.
authors.affiliation: Nursing, Midwifery and Community Health, Glasgow Caledonian University, 70 Cowcaddens Road, Glasgow G4 0BA, UK. Elizabeth.Tolmie@gcal.ac.uk
authors.forename: Elizabeth P
authors.initials: EP
authors.lastname: Tolmie
authors.forename: Grace M
authors.initials: GM
authors.lastname: Lindsay
authors.forename: Philip R
authors.initials: PR
authors.lastname: Belcher
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000523:psychology* / Q000534:rehabilitation; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006040:Goals; D006304:Health Status; D006801:Humans; D008019:Life Style; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D015404:Nursing Methodology Research; D010809:Physical Fitness; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology; D011795:Surveys and Questionnaires