Back to Search
Start Over
Family caregiver-reported outcomes regarding decision-making for left ventricular assist device implantation.
- Source :
-
Heart & lung : the journal of critical care [Heart Lung] 2019 Jul - Aug; Vol. 48 (4), pp. 308-312. Date of Electronic Publication: 2019 Apr 10. - Publication Year :
- 2019
-
Abstract
- Background: Family caregivers (FCGs) often participate in the decision for their loved one to receive a left ventricular assist device (LVAD). Little is known about the contribution of FCGs to this complex decision.<br />Objectives: To investigate family caregiver-reported outcomes related to decision-making for LVAD implantation and their experiences post-implantation.<br />Methods: Descriptive thematic analysis was used to analyze longitudinal data. Thematic saturation was achieved.<br />Results: Three key themes emerged from the data. The main theme in the pre-implantation period was: Not a decision. The two themes in the post-implantation period were: More satisfaction than regret and Unanticipated situational change.<br />Conclusions: Family caregiver-reported outcomes inform clinical practice and future research. FCGs of LVAD recipients did not see viable alternatives to LVAD implantation, were generally satisfied with post-implantation outcomes, and experienced unexpected life changes in the post-implantation period despite feeling prepared preoperatively. Education of both LVAD recipients and their FCGs must be optimized.<br /> (Copyright © 2019 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Aged
Female
Follow-Up Studies
Heart Failure physiopathology
Heart Failure psychology
Humans
Male
Middle Aged
Patient Reported Outcome Measures
Treatment Refusal
Young Adult
Adaptation, Psychological physiology
Caregivers psychology
Decision Making
Heart Failure surgery
Heart Failure therapy
Heart-Assist Devices
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3288
- Volume :
- 48
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Heart & lung : the journal of critical care
- Publication Type :
- Academic Journal
- Accession number :
- 30981423
- Full Text :
- https://doi.org/10.1016/j.hrtlng.2019.03.002