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CC BY 4.0 · Aorta (Stamford) 2024; 12(01): 001-007
DOI: 10.1055/s-0044-1791668
Original Research Article

Lifestyle Recommendations for Patients Before and After Thoracic Aortic Surgery: A Framework Analysis

Niek Koenders 
1   Department of Rehabilitation, Radboud University Medical Center, Nijmegen, the Netherlands
,
Henrita van Zetten
2   Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
,
Michelle Smulders
2   Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
,
Hans Smeenk
3   Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, the Netherlands
,
Roland van Kimmenade
4   Department of Cardiology, Radboud University Medical Center, Nijmegen, the Netherlands
,
Tim Smith
2   Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
,
Guillaume Geuzebroek
2   Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
,
Thomas van Brakel
5   Department of Cardiothoracic Surgery, Catharina Hospital, Eindhoven, the Netherlands
,
Michel Verkroost
2   Department of Cardiothoracic Surgery, Radboud University Medical Center, Nijmegen, the Netherlands
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Abstract

Background Patients receive many different recommendations after thoracic aortic surgery. Unfortunately, there is much variation in recommendations between different surgical centers. This variation in recommendations creates uncertainty and anxiety in patients. Therefore, we aimed to provide an overview with clear lifestyle recommendations for patients before and after thoracic aortic surgery.

Methods Documentary research and a framework analysis were used to analyze brochures, website texts, and health care protocols. These documents consisted of lifestyle recommendations for patients before and after thoracic aortic surgery (direct information) or cardiac surgery (indirect information). An analytical framework was constructed and all lifestyle recommendations for patients before and after thoracic aortic surgery were coded through indexing, charting, and mapping by two researchers (N.K. and H.v.Z.). The first draft with lifestyle recommendations was prepared by two researchers (N.K. and H.v.Z.). Feedback from all authors involved patients and consulted health care professionals was processed in the final draft.

Results In total, 170 documents were analyzed. Indexing revealed 414 lifestyle recommendations, which were included in the first draft. Charting, mapping, removal of duplicates, and processing of feedback resulted in a final draft with 52 lifestyle recommendations about behavioral change, body weight, nutrition, cessation of alcohol and drug use, cessation of smoking, wound healing, sedentary behavior and physical activity, mental well-being, and family and close relatives.

Conclusion This study provides an overview of clear lifestyle recommendations for patients before and after thoracic aortic surgery. This overview is the first step because follow-up research is needed on which lifestyle recommendations are necessary and evidence-based. The overview of lifestyle recommendations serves as a foundation, after which individual customization can be provided.

Keywords

lifestyle - health behavior - thoracic aorta - thoracic aortic aneurysm - cardiac surgery

Authors' Contribution

N.K., H.v.Z., and M.V. conceptualized this study. N.K. and H.v.Z. performed the data collection. All authors contributed to the data analysis and interpretation of the results. N.K. drafted the first version of the manuscript. All authors commented on and contributed to subsequent drafts. The final version has been approved by all authors. All authors fulfill the ICMJE criteria for authorship.


Supplementary Material



Publication History

Received: 28 June 2023

Accepted: 01 September 2024

Article published online:
29 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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