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Living with cardiac resynchronization therapy: Challenges for people with heart failure.
- Source :
-
Nursing & Health Sciences . Mar2017, Vol. 19 Issue 1, p112-118. 7p. 1 Diagram, 1 Chart. - Publication Year :
- 2017
-
Abstract
- The number of people with heart failure requiring implantation of a cardiac resynchronization device is increasing in Iran. Although this intervention is an effective life-saving treatment, several challenges are associated with patients' lifestyle after insertion. This study identified the challenges and coping mechanisms of Iranians with heart failure living with cardiac resynchronization therapy. A qualitative approach using conventional content analysis was adopted. Seventeen people with heart failure and three nurses were recruited between December 2014 and November 2015 from a teaching hospital and a private clinic in Rasht, Iran. Participants were interviewed using semi-structured interviews lasting 30-60 min. Five themes emerged: (i) fear of implantation, (ii) the panic of receiving a shock from the device, (iii) lack of control over life, (iv) inadequacies of the healthcare system, and (v) psychosocial coping. A heightened understanding of these challenges and coping strategies could prepare healthcare professionals to provide better routine care, education, and support to the recipients of cardiac resynchronization therapy prior to implantation, during the recovery period, and for long-term management. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEART failure treatment
*ACADEMIC medical centers
*PSYCHOLOGICAL adaptation
*CARDIAC pacing
*CARDIOVASCULAR disease nursing
*CONTENT analysis
*EXPERIENCE
*HEALTH services accessibility
*CARDIAC patients
*HOLISTIC medicine
*OUTPATIENT services in hospitals
*IMPLANTABLE cardioverter-defibrillators
*INTERVIEWING
*ISLAM
*RESEARCH methodology
*MEDICAL practice
*PAIN
*PATIENT education
*PATIENT satisfaction
*RESEARCH funding
*HEALTH self-care
*SOCIAL networks
*SOCIAL participation
*PSYCHOLOGICAL stress
*STRESS management
*THERAPEUTICS
*CONSCIOUS sedation
*QUALITATIVE research
*JUDGMENT sampling
*SOCIAL support
*SOCIOECONOMIC factors
*THEMATIC analysis
*DISEASE duration
*ATTITUDES toward illness
Subjects
Details
- Language :
- English
- ISSN :
- 14410745
- Volume :
- 19
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Nursing & Health Sciences
- Publication Type :
- Academic Journal
- Accession number :
- 121517540
- Full Text :
- https://doi.org/10.1111/nhs.12325