BMC cardiovascular disorders · 2017
Living with hypertrophic cardiomyopathy and an implantable defibrillator.
СтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Magnusson Peter, Jonsson Jessica, Mörner Stellan, Fredriksson Lennart
Аннотация
BACKGROUND: ICDs efficiently terminate life-threatening arrhythmias, but complications occur during long-term follow-up. Patients' own perspective is largely unknown. The aim of the study was to describe experiences of hypertrophic cardiomyopathy (HCM) patients with implantable defibrillators (ICDs).
METHODS: We analyzed 26 Swedish patient interviews using hermeneutics and latent content analysis.
RESULTS: Patients (aged 27-76 years) were limited by HCM especially if it deteriorates into heart failure. The ICD implies safety, gratitude, and is accepted as a part of the body even when inappropriate ICD shocks are encountered. Nobody regretted the implant. Both the disease and the ICD affected professional life and leisure time activities, especially at younger ages. Family support was usually strong, but sometimes resulted in overprotection, whereas health care focused on medical issues. Despite limitations, patients adapted, accepted, and managed challenges.
CONCLUSION: HCM patients with ICDs reported good spirit and hope even though they had to adapt and accept limitations over time.
METHODS: We analyzed 26 Swedish patient interviews using hermeneutics and latent content analysis.
RESULTS: Patients (aged 27-76 years) were limited by HCM especially if it deteriorates into heart failure. The ICD implies safety, gratitude, and is accepted as a part of the body even when inappropriate ICD shocks are encountered. Nobody regretted the implant. Both the disease and the ICD affected professional life and leisure time activities, especially at younger ages. Family support was usually strong, but sometimes resulted in overprotection, whereas health care focused on medical issues. Despite limitations, patients adapted, accepted, and managed challenges.
CONCLUSION: HCM patients with ICDs reported good spirit and hope even though they had to adapt and accept limitations over time.
Предметные рубрики MeSH
Activities of Daily LivingAdaptation, PsychologicalAdultAgedArrhythmias, CardiacCardiomyopathy, HypertrophicCost of IllnessDeath, Sudden, CardiacDefibrillators, ImplantableElectric CountershockFemaleHealth Knowledge, Attitudes, PracticeHermeneuticsHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CarePatient SatisfactionProsthesis FailureQualitative ResearchQuality of LifeSwedenTime FactorsTreatment Outcome