Exploring the experiences of individuals with an insertable cardiac monitor: Making the decision for device insertion.
Heart Lung
; 49(1): 86-91, 2020.
Article
em En
| MEDLINE
| ID: mdl-31399224
ABSTRACT
BACKGROUND:
Little is known about the decision-making process for insertable cardiac monitors (ICM) in those with suspected arrhythmias.OBJECTIVE:
The purpose of this qualitative study was to describe how individuals make a decision to insert an ICM.METHODS:
A qualitative descriptive design was used. Data were analyzed using content analysis and constant comparison. NVivo 10 was used for data grouping and patterns.RESULTS:
Participants (Nâ¯=â¯12) ranged in age from 41to 95. Most (nâ¯=â¯7) had the device inserted because of syncope or atrial fibrillation (AF), and others (nâ¯=â¯5) for cryptogenic stroke. Three categories emerged pre-decision, definitive decision, and deliberated decision. Event symptoms, including physical, cognitive and emotional, and trust emerged as factors in decision-making.CONCLUSIONS:
Those who perceived their experience as life-threatening, trusted the healthcare provider and assented to the ICM insertion. Conversely, those who perceived symptoms as episodic, used other strategies to resolve symptoms prior to making the decision for insertion.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fibrilação Atrial
/
Eletrocardiografia Ambulatorial
/
Acidente Vascular Cerebral
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article