What does this research mean for the field?

Trust in healthcare providers and strong social support facilitate acceptance of coronary artery bypass graft (CABG) surgery, while fear of surgical outcomes and preference for major city hospitals are key barriers. Novelty: ClaimNovelty.NOVEL_FINDING. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

The research aims to identify the facilitators and barriers influencing Iranian patients' acceptance or avoidance of CABG surgery.

January 10, 2026Journal of Cardiothoracic Surgery0 citationsOpen Access

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

SESajjad EbrahimiHamedan University of Medical Sciences ESEfat SadeghianHamedan University of Medical Sciences MKMasoud Khodaveisi

Key Result

Trust in healthcare providers and strong social support facilitate CABG acceptance, while fear of outcomes and preference for major city hospitals are key barriers.

Key Points

The research aims to identify the facilitators and barriers influencing Iranian patients' acceptance or avoidance of CABG surgery.
Conducted a qualitative study using conventional content analysis.
Utilized purposive sampling at Bushehr Heart Hospital, Iran.
Completed twenty-four semi-structured interviews with 18 participants, including patients, family members, nurses, and physicians.
Analyzed data inductively using MAXQDA20 software.
Identified facilitators such as trust in healthcare providers and social support.
Found barriers including fear of surgical outcomes and preference for major city hospitals.
Eight categories from 24 subcategories emerged from participant interviews.

Structured PICO

Population

18 participants (11 patients, 2 family members, 2 nurses, 3 physicians) at Bushehr Heart Hospital, Iran. Patients were CABG candidates or post-surgery patients within 3 months. Mean age 56.4 years, 10 men and 8 women.

Intervention

Qualitative semi-structured interviews

Outcome

Facilitators and barriers shaping decisions to accept or avoid CABG surgerypatient reported

Clear communication, social support, and culturally sensitive counseling are essential to overcome fears and cultural biases, thereby enhancing CABG acceptance among Iranian patients.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

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. 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. 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. 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.

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