{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:59:07Z","timestamp":1781647147255,"version":"3.54.5"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T00:00:00Z","timestamp":1776297600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003252","name":"Lund University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      This is one of the few European studies of self-management and self-monitoring during the initial two weeks following discharge after open cardiac surgery. Typical outcomes are mortality, morbidity, surgical complications and additional medical treatment. Equally important for enabling person-centred care are the patients\u2019 perspective and main concerns. The aim was to explore feasibility, self-management experiences and consequences in everyday life when self-monitoring with the Coala Heart Monitor\n                      <jats:sup>\u00ae<\/jats:sup>\n                      after cardiac surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this mixed method pilot feasibility study, we included 20 patients. One drop-out resulted in 12 men and 7 women with a mean age 59 years (range 27\u201382 years) participating in the study. Information about the participants\u2019 heart rate was collected prospectively from discharge until two weeks post discharge. Retrospective interviews were performed after two weeks to explore their self-management experiences at home while performing self-monitoring. We used deductive content analysis in line with Hsieh and Shannon (2005), guided by Lorig &amp; Holman\u2019s (2003) self-management framework. Person centeredness was measured by the Being Taken Seriously Questionnaire. Approval was granted by the Swedish Ethical Review Authority (D.nr. 2020\u201305007).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The device was considered easy to use and administer regardless of the patient\u2019s age. Self-monitoring supports self-management after open cardiac surgery by providing a sense of safety despite distance from the hospital. It stimulates learning about one\u2019s body and symptoms in a highly useful way and can be adopted by both young and older patients, in addition to promoting relatives\u2019 constructive participation. Self-monitoring also acts as a bridge between the discharged patient and healthcare professionals, thus strengthening and extending the caring relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In conclusion, self-monitoring provides tangible signs of well-being and control.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-026-03985-2","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T10:46:33Z","timestamp":1775731593000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feeling safe by means of remote cardiac rhythm surveillance after open cardiac surgery: a mixed method pilot feasibility study"],"prefix":"10.1186","volume":"21","author":[{"given":"Anna","family":"Nilsson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"\u00c5kesson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marita","family":"Dalvindt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik","family":"Bjursten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Forsberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"issue":"SUPPL 7","key":"3985_CR1","doi-asserted-by":"publisher","first-page":"S976","DOI":"10.21037\/JTD.2019.04.08","volume":"11","author":"RL Medbery","year":"2019","unstructured":"Medbery RL, Fernandez FG, Khullar OV. ERAS and patient reported outcomes in thoracic surgery: A review of current data. J Thorac Dis. 2019;11(SUPPL 7):S976\u201386. https:\/\/doi.org\/10.21037\/JTD.2019.04.08.","journal-title":"J Thorac Dis"},{"issue":"1","key":"3985_CR2","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1093\/oxfordjournals.bja.a013383","volume":"84","author":"PS Myles","year":"2000","unstructured":"Myles PS, Williams DL, Hendrata M, Anderson H, Weeks AM. Patient satisfaction after anaesthesia and surgery: results of a prospective survey of 10,811 patients. Br J Anesth. 2000;84(1):6\u201310. https:\/\/doi.org\/10.1093\/oxfordjournals.bja.a013383.","journal-title":"Br J Anesth"},{"issue":"2","key":"3985_CR3","doi-asserted-by":"publisher","first-page":"e12178","DOI":"10.2196\/12178","volume":"1","author":"LL Lefler","year":"2018","unstructured":"Lefler LL, Rhoads SJ, Harris M, Funderburg AE, Lubin SA, Martel ID, et al. Evaluating the Use of Mobile Health Technology in Older Adults with Heart Failure: Mixed-Methods Study. JMIR Aging. 2018;1(2):e12178. https:\/\/doi.org\/10.2196\/12178.","journal-title":"JMIR Aging"},{"issue":"1","key":"3985_CR4","doi-asserted-by":"publisher","first-page":"e17142","DOI":"10.2196\/17142","volume":"3","author":"SP Heiney","year":"2020","unstructured":"Heiney SP, Donevant SB, Arp Adams S, Parker PD, Chen H, Levkoff S. A Smartphone App for Self-Management of Heart Failure in Older African Americans: Feasibility and Usability Study. JMIR aging. 2020;3(1):e17142. https:\/\/doi.org\/10.2196\/17142.","journal-title":"JMIR aging"},{"issue":"9","key":"3985_CR5","doi-asserted-by":"publisher","first-page":"e5634","DOI":"10.7759\/cureus.5634","volume":"11","author":"RN Janapala","year":"2019","unstructured":"Janapala RN, Jayaraj JS, Fathima N, Kashif T, Usman N, Dasari A, Jahan N, Sachmechi I. Continuous Glucose Monitoring Versus Self-monitoring of Blood Glucose in Type 2 Diabetes Mellitus: A Systematic Review with Meta-analysis. Cureus. 2019;11(9):e5634. https:\/\/doi.org\/10.7759\/cureus.5634.","journal-title":"Cureus"},{"issue":"5","key":"3985_CR6","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1111\/dme.13899","volume":"36","author":"SN Parsons","year":"2019","unstructured":"Parsons SN, Luzio SD, Harvey JN, Bain SC, Cheung WY, Watkins A, Owens DR. Effect of structured self-monitoring of blood glucose, with and without additional TeleCare support, on overall glycaemic control in non-insulin treated Type 2 diabetes: the SMBG Study, a 12-month randomized controlled trial. Diab Med: J Br Diabet association. 2019;36(5):578\u2013690. https:\/\/doi.org\/10.1111\/dme.13899.","journal-title":"Diab Med: J Br Diabet association"},{"issue":"9736","key":"3985_CR7","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/S0140-6736(10)60964-6","volume":"376","author":"RJ McManus","year":"2010","unstructured":"McManus RJ, Mant J, Bray EP, Holder R, Jones MI, Greenfield S, et al. Telemonitoring and self-management in the control of hypertension (TASMINH2): a randomised controlled trial. Lancet. 2010;376(9736):163\u201372. https:\/\/doi.org\/10.1016\/S0140-6736(10)60964-6.","journal-title":"Lancet"},{"issue":"8","key":"3985_CR8","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1001\/jama.2014.10057","volume":"312","author":"RJ McManus","year":"2014","unstructured":"McManus RJ, Mant J, Sayeed Haque M, Bray EP, Bryan S, Greenfield SM, et al. Effect of self-monitoring and medication self-titration on systolic blood pressure in hypertensive patients at high risk of cardiovascular disease: the TASMIN-SR randomized clinical trial. JAMA. 2014;312(8):799\u2013808. https:\/\/doi.org\/10.1001\/jama.2014.10057.","journal-title":"JAMA"},{"issue":"3","key":"3985_CR9","doi-asserted-by":"publisher","first-page":"185","DOI":"10.7326\/0003-4819-159-3-201308060-00008","volume":"159","author":"K Uhlig","year":"2013","unstructured":"Uhlig K, Patel K, Ip S, Kitsios GD, Balk EM. Self-measured blood pressure monitoring in the management of hypertension: a systematic review and meta-analysis. Ann Int Med. 2013;159(3):185\u201394. https:\/\/doi.org\/10.7326\/0003-4819-159-3-201308060-00008.","journal-title":"Ann Int Med"},{"issue":"1","key":"3985_CR10","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1093\/ejcts\/ezv486","volume":"50","author":"N Lowres","year":"2016","unstructured":"Lowres N, Mulcahy G, Gallagher R, Freedman SB, Marshman D, Kirkness A, et al. Self-monitoring for atrial fibrillation recurrence in the discharge period post-cardiac surgery using an iPhone electrocardiogram. Eur J Cardio-Thor Surg. 2016;50(1):44\u201351. https:\/\/doi.org\/10.1093\/ejcts\/ezv486.","journal-title":"Eur J Cardio-Thor Surg"},{"key":"3985_CR11","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1093\/ehjdh\/ztad005","volume":"4","author":"K Lee","year":"2023","unstructured":"Lee K, Breznan B, Ukhova A, Koehler F, Martin S. Virtual healthcare solutions for cardiac rehabilitation: a literature review. Eur Heart J- Dig Health. 2023;4:99\u2013111.","journal-title":"Eur Heart J- Dig Health"},{"issue":"3","key":"3985_CR12","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1177\/20597991231188121","volume":"16","author":"A Younas","year":"2023","unstructured":"Younas A, F\u00e0bregues S, Creswell JW. Generating Metainferences in Mixed Methods Research: A Worked Example in Convergent Mixed Methods Designs. Methodological Innovations. 2023;16(3):276\u201391. https:\/\/doi.org\/10.1177\/20597991231188121.","journal-title":"Methodological Innovations"},{"key":"3985_CR13","doi-asserted-by":"publisher","unstructured":"O\u2019Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9). https:\/\/doi.org\/10.1097\/ACM.0000000000000388).","DOI":"10.1097\/ACM.0000000000000388)"},{"issue":"3","key":"3985_CR14","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","volume":"12","author":"MF Folstein","year":"1975","unstructured":"Folstein MF, Folstein SE, McHugh PR. Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psych Res. 1975;12(3):189\u201398.","journal-title":"J Psych Res"},{"key":"3985_CR15","unstructured":"Coala\u00ae. Coala heart monitor. Retrieved 26. November, 2020, from https:\/\/www.coalalife.com\/se\/coala-heart-monitor\/"},{"issue":"13","key":"3985_CR16","doi-asserted-by":"publisher","first-page":"1753","DOI":"10.1177\/1049732315617444","volume":"26","author":"K Malterud","year":"2016","unstructured":"Malterud K, Siersma VD, Guassora AD. Sample Size in Qualitative Interview Studies: Guided by Information Power. Qual Health Res. 2016;26(13):1753\u201360. https:\/\/doi.org\/10.1177\/1049732315617444.","journal-title":"Qual Health Res"},{"key":"3985_CR17","doi-asserted-by":"publisher","first-page":"2660","DOI":"10.3390\/ijerph17082660","volume":"17","author":"A Forsberg","year":"2020","unstructured":"Forsberg A, Rantala A. The being taken seriously questionnaire-development and psychometric evaluation of a prem-measure for person-centredness in a high-tech hospital environment. Int J Environ Res Pub Health. 2020;17:2660. https:\/\/doi.org\/10.3390\/ijerph17082660.","journal-title":"Int J Environ Res Pub Health"},{"issue":"9","key":"3985_CR18","doi-asserted-by":"publisher","first-page":"1277","DOI":"10.1177\/1049732305276687","volume":"15","author":"HF Hsieh","year":"2005","unstructured":"Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277\u201388. https:\/\/doi.org\/10.1177\/1049732305276687.","journal-title":"Qual Health Res"},{"issue":"1","key":"3985_CR19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1207\/S15324796ABM2601_01","volume":"26","author":"KR Lorig","year":"2003","unstructured":"Lorig KR, Holman HR. Self-Management Education: History, Definition, Outcomes, and Mechanisms. Ann Behav Med. 2003;26(1):1\u20137. https:\/\/doi.org\/10.1207\/S15324796ABM2601_01.","journal-title":"Ann Behav Med"},{"key":"3985_CR20","doi-asserted-by":"publisher","unstructured":"Olmos-Vega FM, Stalmeijer RE, Varpio L, Kahlke R. A practical guide to reflexivity in qualitative research: AMEE Guide 149. Med Teach. 2022;1\u201311. https:\/\/doi.org\/10.1080\/0142159X.2022.2057287. Advance online publication.","DOI":"10.1080\/0142159X.2022.2057287"},{"key":"3985_CR21","unstructured":"Ric\u0153ur P. Homo capax: texts by Paul Ricoeur about ethics and philosophical antropology [In Swedish]. Gothenburg: Daidalos, 2011Original work published 1981, 1990,. (2004)."},{"issue":"17\u201318","key":"3985_CR22","doi-asserted-by":"publisher","first-page":"2357","DOI":"10.1111\/jocn.12827","volume":"24","author":"L Ambrosio","year":"2015","unstructured":"Ambrosio L, Senosiain Garc\u00eda JM, Riverol Fern\u00e1ndez M, Anaut Bravo S, D\u00edaz De Cerio Ayesa S, et al. Living with chronic illness in adults: a concept analysis. J Clin Nurs. 2015;24(17\u201318):2357\u201367. https:\/\/doi.org\/10.1111\/jocn.12827.","journal-title":"J Clin Nurs"},{"issue":"2","key":"3985_CR23","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1037\/0033-295x.84.2.191","volume":"84","author":"A Bandura","year":"1977","unstructured":"Bandura A. Self-efficacy: Toward a Unifying Theory of Behavioural Change. Psychol rev. 1977;84(2):191\u2013215. https:\/\/doi.org\/10.1037\/0033-295x.84.2.191.","journal-title":"Psychol rev"},{"key":"3985_CR24","unstructured":"Almgren M. Managing uncertainty and expectations after heart transplantation: Enabling adaptation, self-efficacy and self-management. [dissertation]. Lund university, 2020."}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-026-03985-2","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-03985-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-026-03985-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T21:40:20Z","timestamp":1781646020000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s13019-026-03985-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,9]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3985"],"URL":"https:\/\/doi.org\/10.1186\/s13019-026-03985-2","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,9]]},"assertion":[{"value":"16 August 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 March 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study was approved by the Swedish Ethical Review Authority (D.nr. 2020\u201305007).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All participants provided written informed consent.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"192"}}