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The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.

The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.

期刊: BMJ open 日期: 2026-07-15 PMID: 42457427 DOI: 10.1136/bmjopen-2025-110448 浏览: 32
作者: Liu SY, Li F, Chen YH, Liu SS, Zhang XM, Sun GZ
SY, L., F, L., YH, C., SS, L., XM, Z., & GZ, S. (2026). The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.. BMJ open. https://doi.org/10.1136/bmjopen-2025-110448
SY L, F L, YH C, SS L, XM Z, GZ S. The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.. BMJ open. 2026; doi: 10.1136/bmjopen-2025-110448
SY L, F L, YH C, et al. The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.[J]. BMJ open. 2026. DOI: 10.1136/bmjopen-2025-110448.
@article{sy2026,
  author = {Liu SY and Li F and Chen YH and Liu SS and Zhang XM and Sun GZ},
  title = {The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.},
  journal = {BMJ open},
  year = {2026},
  doi = {10.1136/bmjopen-2025-110448},
  note = {PMID: 42457427},
}
TY  - JOUR
AU  - Liu SY
AU  - Li F
AU  - Chen YH
AU  - Liu SS
AU  - Zhang XM
AU  - Sun GZ
TI  - The neglected second wound: a qualitative study of patients' experiences of lower limb vascular harvesting for coronary artery bypass grafting.
T2  - BMJ open
PY  - 2026
DO  - 10.1136/bmjopen-2025-110448
AN  - PMID:42457427
ER  - 

摘要

OBJECTIVE: This study aimed to understand the experiences and feelings of patients undergoing lower limb vein harvesting for coronary artery bypass grafting (CABG). DESIGN: Qualitative, phenomenological research methodology with purposive sampling. Semistructured interview data were analysed using Colaizzi's seven-step method with the NVivo 12 Plus software. SETTING: A single-centre study in a Grade A hospital in Nanjing, China. PARTICIPANTS: A total of 23 patients who underwent CABG with saphenous vein harvesting between October 2024 and March 2025. RESULTS: The participants' experiences were summarised into four themes: preoperative cognitive differences influencing decision-making, postoperative physiological changes triggering psychological distress, diverse coping strategies and support needs, and reconstruction of body image and identity. CONCLUSION: Medical staff should pay attention to the feelings of patients undergoing CABG with vein harvesting from the lower limbs. By actively implementing shared decision-making, promoting high-quality nursing services, improving multidimensional support systems, and enhancing patients' psychological and social adaptability, healthcare professionals can improve patients' perioperative experiences and promote their comprehensive recovery.

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