Living with an implantable cardioverter defibrillator: The patients' experience.
Heart Lung
; 45(1): 34-40, 2016.
Article
em En
| MEDLINE
| ID: mdl-26581117
ABSTRACT
OBJECTIVES:
To explore the lived experiences of implantable cardioverter defibrillator (ICD) recipients.BACKGROUND:
Previous research suggests ICD recipients experience significant psychological distress with a focus on shock anxiety. In response, avoidant behaviors are often used which can lead to reduced quality of life, cardiac fitness and increased risk of arrhythmia.METHODS:
A qualitative study using semi-structured interviews with a purposive sample of 18 recipients who had either received or not received an ICD shock was conducted. Data were analyzed using a thematic approach.RESULTS:
Three themes with sub-themes were defined (i) physical consequences; (ii) emotional consequences (feeling vulnerable and uncertain; anxiety and depression); and (iii) coping with the ICD (avoidance/restrictive behaviors; acceptance; concealment).CONCLUSION:
ICD recipients might be helped by a psycho-social intervention that corrects false beliefs about exercise and offers some simple stress management techniques. Additional elements might include helping recipients to re-evaluate goals and find a valued sense of self which this study found aided ICD acceptance.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Qualidade de Vida
/
Desfibriladores Implantáveis
/
Depressão
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article