{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:04:03Z","timestamp":1784138643946,"version":"3.55.0"},"reference-count":49,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T00:00:00Z","timestamp":1783987200000},"content-version":"unspecified","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Nanjing Health Science and Technology Development Special Fund Project","award":["GBX22292"],"award-info":[{"award-number":["GBX22292"]}]},{"name":"Jiangsu Hospital Management Innovation Research Project","award":["JSYGY-3-2025-545"],"award-info":[{"award-number":["JSYGY-3-2025-545"]}]},{"name":"Project of \u201cNursing Science\u201dFunded by the 4th Priority Discipline Development Program of Jiangsu Higher Education Institutions","award":["Jiangsu Education Department\u30142023\u3015No.11"],"award-info":[{"award-number":["Jiangsu Education Department\u30142023\u3015No.11"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,6,29]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to understand the experiences and feelings of patients undergoing lower limb vein harvesting for coronary artery bypass grafting (CABG).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative, phenomenological research methodology with purposive sampling. Semistructured interview data were analysed using Colaizzi\u2019s seven-step method with the NVivo 12 Plus software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A single-centre study in a Grade A hospital in Nanjing, China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A total of 23 patients who underwent CABG with saphenous vein harvesting between October 2024 and March 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The participants\u2019 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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\u2019 psychological and social adaptability, healthcare professionals can improve patients\u2019 perioperative experiences and promote their comprehensive recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-110448","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T17:05:30Z","timestamp":1784135130000},"page":"e110448","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["The neglected second wound: a qualitative study of patients\u2019 experiences of lower limb vascular harvesting for coronary artery bypass grafting"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4492-0292","authenticated-orcid":false,"given":"Si-Yu","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, Nanjing Medical University, Nanjing, China"},{"name":"Department of Cardiothoracic Vascular Surgery, Nanjing First Hospital, Nanjing, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4622-5039","authenticated-orcid":false,"given":"Fei","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Vascular Surgery, Nanjing First Hospital, Nanjing, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Hong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Vascular Surgery, Nanjing First Hospital, Nanjing, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan-Shan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Vascular Surgery, Nanjing First Hospital, Nanjing, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Min","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing, Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guo-Zhen","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Nursing, Nanjing Medical University, Nanjing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"key":"2026071510051282000_16.7.e110448.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.11.021"},{"key":"2026071510051282000_16.7.e110448.2","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2025.1569179","article-title":"Trends and predictive research on the global burden of ischemic heart disease from 1990 to 2021: an analysis of the Global Burden of Disease study 2021","volume":"13","author":"Liang","year":"2025","journal-title":"Front Public Health"},{"key":"2026071510051282000_16.7.e110448.3","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001039"},{"key":"2026071510051282000_16.7.e110448.4","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.jacc.2021.04.099","article-title":"Myocardial revascularization surger: JACC Historical Breakthroughs in Perspective","volume":"78","author":"Mack","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"2026071510051282000_16.7.e110448.5","first-page":"790","article-title":"Research progress on the selection of graft vessels for coronary artery bypass grafting","volume":"33","author":"Shi","year":"2022","journal-title":"Hainan Medical Journal"},{"key":"2026071510051282000_16.7.e110448.6","doi-asserted-by":"crossref","DOI":"10.3390\/jcm13123405","article-title":"A Comprehensive Clinical Outcome Analysis of Endoscopic Vessel Harvesting for Coronary Artery Bypass Surgery","volume":"13","author":"Sampath","year":"2024","journal-title":"J Clin Med"},{"key":"2026071510051282000_16.7.e110448.7","doi-asserted-by":"crossref","first-page":"1991","DOI":"10.21037\/jtd-20-250","article-title":"The effect of endoscopic vein harvesting in coronary artery bypass surgery","volume":"12","author":"Ran","year":"2020","journal-title":"J Thorac Dis"},{"key":"2026071510051282000_16.7.e110448.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2012.11.013"},{"key":"2026071510051282000_16.7.e110448.9","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00116-7"},{"key":"2026071510051282000_16.7.e110448.10","first-page":"1875","article-title":"Application of early resistance training in patients after coronary artery bypass grafting","volume":"37","author":"L\u00fc","year":"2023","journal-title":"Chinese Nursing Research"},{"key":"2026071510051282000_16.7.e110448.11","doi-asserted-by":"crossref","unstructured":"Lee Y , Sung S . 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