Document Type : Original Article

Authors

1 PhD Candidate in Nursing Education, Department of Nursing, Golestan University of Medical Sciences, Gorgan, Iran

2 Associated Professor, PhD of Nursing, Nursing Research Center, Golestan University of Medical Sciences, Gorgan, Iran

3 Assistant Professor, PhD of Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran

4 Department of Nursing, Ramsar School of Nursing, Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

5 Assistant Professor of Surgery Department of Surgery, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran

Abstract

BACKGROUND: Recognition of the factors influencing returning to work by people after heart
surgery is very significant in performing supportive interventions. Factors affecting return to work of
Iranian patients after surgery are unknown. Therefore, a qualitative study is in demand in order to
close this knowledge gap. This study was aimed to explore the facilitators and barriers of return to
work after heart surgery.
MATERIALS AND METHODS: This qualitative study was conducted during 2020–2021. People after
heart surgery were studied in this research. Nineteen interviews were performed with 17 participants.
The main participants were selected from the cardiac surgery ward of Golestan Province Hospital.
The sampling method was purposeful. Data were collected through semi‑structured interviews.
Questions were asked in an unguided and open‑ended manner. Data analysis was performed by
qualitative content analysis.
RESULTS: According to the results, “perceived psychosocial support,” “individual characteristics,”
and “occupational factors” were considered as facilitators and “effects of heart surgery” and “limited
support of public and private institutions” were introduced as barriers to return to work in patients
after heart surgery.
CONCLUSIONS: The effects caused by heart surgery and limited support of public and private
institutions were identified as barriers to return to work. Cardiac rehabilitation after surgery can
reduce the impact of heart surgery and can help people to return to work. It is recommended that
the planners of the Ministry of Labor and Social Welfare and Health, with the support of insurance
organizations, help solve the work problems of people after heart surgery.

Keywords

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