...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of the American Academy of Nurse Practitioners. >Recipients' of implanted cardioverter-defibrillators actual and perceived adaptation: a review of the literature.
【24h】

Recipients' of implanted cardioverter-defibrillators actual and perceived adaptation: a review of the literature.

机译：植入心脏除颤器的收件人实际和感知适应：文献综述。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

PURPOSE: To identify qualitative studies that have examined actual and perceived adaptation of patients to an implanted cardioverter-defibrillator (ICD). The question explored was do recipients of ICDs experience real or perceived physical or psychological adaptation distress? Do themes expressed indicate a need for intervention that will facilitate postimplantation adjustment? DATA SOURCES: A systematic search of the scientific literature uncovered 153 studies of which 12 met the following inclusion criteria: qualitative English research of psychological adaptation to the implantable defibrillator or qualitative research literature reviews. Exclusion criteria included unpublished studies, studies involving cardiac pacemaker devices without defibrillator, and quantitative research studies. CONCLUSION: Multiple themes pertaining to adjustment to ICD therapy were identified, which warrants further study for potential therapeutic interventions. Themes identified by ICD recipients and their partners include perception of fear, anxiety, and dependence, and the desire for enhanced support and information. Increasing awareness of the complex adaptation issues related to ICD implantation should be a priority of primary care clinicians who provide follow-up care for these patients. IMPLICATIONS FOR PRACTICE: ICD recipients have reported multiple physical and psychological adjustment issues that require further study to determine gravity and duration. Clinicians must be familiar with adjustment difficulty expressed by ICD recipients in order to facilitate appropriate tailored interventions. The findings of this literature review emphasize a need for support groups for ICD recipients and their partners; behavioral and sexual counseling; continued education after discharge; and a supportive healthcare provider who is knowledgeable in device adjustment issues. The research indicates a need for a post-ICD implantation plan, and data are available for the design testing of tailored interventions.
机译：目的：鉴定对患者的实际和感知适应植入的心脏除颤器（ICD）进行了定性研究。探索的问题是ICDS的收件人体验真实或感知的身体或心理适应窘迫？表达主题表明需要促进后期调整的干预？数据来源：对科学文献的系统搜索揭示了153项研究，其中12次符合以下纳入标准：对植入除颤器或定性研究文献评论的质量英语对心理适应的研究。排除标准包括未发表的研究，涉及心脏起搏器器件没有除颤器的心脏起搏器装置，以及定量研究研究。结论：确定了与ICD疗法进行调整的多个主题，这是为了潜在的治疗干预措施进一步研究。 ICD收件人及其合作伙伴确定的主题包括对恐惧，焦虑和依赖的看法以及加强支持和信息的愿望。增加对与ICD植入有关的复杂适应问题的认识应该是为这些患者提供后续护理的初级保健临床医生的优先事项。对实践的影响：ICD接受者报告了多种身体和心理调整问题，需要进一步研究以确定重力和持续时间。临床医生必须熟悉ICD接受者表达的调整困难，以便于适当的定制干预措施。该文献综述的调查结果强调了ICD接收者及其合作伙伴的支持小组;行为和性咨询;排放后持续的教育;以及在设备调整问题中知识渊博的支持性医疗保健提供者。该研究表明需要对ICD后植入计划，数据可用于定制干预措施的设计测试。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号