Requirements for outpatient care after implantation of a ventricular assist device. Views of patients and their relatives

Berg T.; Tewarie L.; Moza A.; Zayat R.; Autschbach R.; Stoppe C.; Goetzenich A.; Benstoem C.

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Requirements for outpatient care after implantation of a ventricular assist device. Views of patients and their relatives

机译：植入心室辅助装置后门诊护理要求。患者及其亲属的观点

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Ventricular assist device (VAD) implantation has developed into awell-established option when conservative treatment of terminal heart failure has been exhausted. Figures from 2015 make this clear: only 283 heart transplantations were performed nationwide but 959 VAD systems were implanted. It is noteworthy that the survival times with aVAD are approaching the survival times after heart transplantation. Patients with VADs have alife-long dependency on their proximity to specialists. So far, the requirements for outpatient care have not been systematically recorded from the perspective of VAD patients and their relatives. In September 2016, VAD patients (n= 30) and their relatives (n= 25) were anonymously questioned about their views on postoperative outpatient care. For this purpose, the VAD Patient Satisfaction Survey was adapted to the needs of this study. Patients with VADs and their relatives were found to experience their daily life with aVAD in a positive manner. Information, training, accessibility and regular contacts with the implantation clinic and the VAD coordinator are important pillars of outpatient care after VAD implantation. Almost 95% of surveyed patients regarded good home support as an important factor that makes life with aVAD easier. These aspects should be taken into account in the care of patients living with aVAD.

机译：在保守终端心力衰竭的保守治疗已经耗尽时，心室辅助装置（VAD）植入植入已突出成立的选择。从2015年开始，这清楚：全国范围内进行283个心脏移植，但植入了959个VAD系统。值得注意的是，随着AVAD的存活时间正在接近心脏移植后的存活时间。 VAD患者依赖于对专家的邻近依赖。到目前为止，从VAD患者及其亲属的角度来看，尚未系统地记录门诊护理的要求。 2016年9月，VAD患者（N = 30）及其亲属（N = 25）匿名质疑他们对术后门诊护理的看法。为此目的，VAD患者满意度调查适应了本研究的需求。发现患有VAD和他们的亲属的患者，以积极的方式与Avad经历日常生活。与植入诊所和VAD协调员的信息，培训，可访问性和常规联系人是VAD植入后关注的重要支柱。近95％的受访患者认为良好的家庭支持是使Avad更容易实现生活的重要因素。应考虑到艾德的患者的照顾中考虑这些方面。

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来源
《Herz》 |2019年第3期|共8页
作者
Berg T.; Tewarie L.; Moza A.; Zayat R.; Autschbach R.; Stoppe C.; Goetzenich A.; Benstoem C.;
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作者单位

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Operat Intens Med &

Intermediate Care Fak Med Aachen Germany;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

Rhein Westfal TH Aachen Klin Thorax Herz &

Gefasschirurg Fak Med Pauwelsstr 30 D-52074 Aachen;

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正文语种 ger
中图分类心脏、血管（循环系）疾病;
关键词
Heart failure; Thoracic surgery; VAD system; Ambulatory care; Qualitative study;

机译：心力衰竭;胸外科;VAD系统;动物护理;定性研究;

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1. Requirements for outpatient care after implantation of a ventricular assist device. Views of patients and their relatives [J] . Berg T., Tewarie L., Moza A., Herz . 2019,第3期

机译：植入心室辅助装置后门诊护理要求。患者及其亲属的观点
2. Asymptomatic displacement of the inflow cannula of a patient 18 months after implantation of a DuraHeart left ventricular assist device. [J] . Paluszkiewicz L, Schulte Eistrup S, Gummert J, Journal of the American College of Cardiology . 2011,第14期

机译：植入DuraHeart左心室辅助装置后18个月，患者的流入套管无症状移位。
3. Use of inhaled epoprostenol in transition to extubation in a patient after implantation of a ventricular assist device. [J] . Shapiro M, Scurlock C, Raikhelkar J, Journal of cardiothoracic and vascular anesthesia . 2010,第6期

机译：植入心室辅助装置后，患者吸入吸入的依托泊汀可用于拔管。
4. Single Beat Estimation Of Right Ventricular End-systolic Elastance In Patients Undergoing Left Ventricular Assist Device Implantation [C] . Mandarino W.A., Morita S., Kormos R.L., Engineering in Medicine and Biology Society, 1991. Vol.13: 1991., Proceedings of the Annual International Conference of the IEEE . 1991

机译：左室辅助装置植入患者右室收缩末期弹性的单搏估计
5. Optimal Timing of Referral of Heart Failure Patients for Left Ventricular Assist Device Implantation. [D] . Chaplin, Lisa Thomas. 2011

机译：心力衰竭患者左心室辅助装置植入的最佳转诊时间。
6. Use of Post-Acute Care Services and Readmissions after Left Ventricular Assist Device Implantation in Privately Insured Patients [O] . Shannon M. Dunlay, Lindsey Haas, Jeph Herrin, -1

机译：私人保险患者左心室辅助装置植入后使用急性后护理服务和再入院
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8. Development of an Implantable Left Ventricular Assist Device. [R] . blackshear,perry l. dorman,frank d. 1975

机译：可植入左心室辅助装置的研制。

Requirements for outpatient care after implantation of a ventricular assist device. Views of patients and their relatives

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