ArticleJournal of cardiothoracic surgery2025
Facilitators and barriers to acceptance of coronary artery bypass graft surgery: a qualitative study.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
objectiveTo elucidate facilitators and barriers shaping Iranian patients’ decisions to accept or avoid coronary artery bypass graft (CABG) surgery, focusing on psychological, social, and cultural influences.
methodsThis 2024 qualitative study used conventional content analysis with purposive sampling at Bushehr Heart Hospital, Iran. Twenty-four semi-structured interviews were conducted with 18 participants (11 patients, 2 family members, 2 nurses, 3 physicians). Data were analyzed inductively using MAXQDA20 software.
resultsEight categories emerged from 24 subcategories. Facilitators of CABG acceptance included Trust in Healthcare Providers, Treatment Transparency, and Infrastructure; Social and Family Support; Access to Information and Specialist Medical Consultation; Learning from Others’ Experiences; and Psychological and Spiritual Coping. Barriers included Fear of Surgical Outcomes; Preference for Major City Hospitals; and Professional Challenges. Trust, strong social support, and positive peer experiences fostered acceptance, while fears, preference for major city hospitals, and professional challenges posed barriers.
conclusionClear communication, social support, and culturally sensitive counseling enhance CABG acceptance. These insights, grounded in Iran’s context, inform global strategies to optimize patient decision-making and postoperative outcomes.
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