Objective <p>To 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.</p> Methods <p>This 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.</p> Results <p>Eight 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.</p> Conclusion <p>Clear 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.</p>

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Facilitators and barriers to acceptance of coronary artery bypass graft surgery: a qualitative study

  • Sajjad Ebrahimi,
  • Efat Sadeghian,
  • Masoud Khodaveisi,
  • Arash Khalili,
  • Tayebeh Hasan Tehrani

摘要

Objective

To 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.

Methods

This 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.

Results

Eight 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.

Conclusion

Clear 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.