‘A pacemaker in my heart’– classification of questions asked by pacemaker patients as a basis for intervention

Rassin, Michal; Zilcha, Lia; Gross, D

doi:10.1111/j.1365-2702.2008.02432.x

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…Moreover, the patients’ biopsychosocial adjustment after PPM implantation plays an important role in determining their QoL. Rassin, Zilcha, and Gross (2009) found that patients ( n = 123) often felt stressed about daily activities such as swimming, lifting, and using a smartphone or electric razor after PPM implantation. Aqeel, Shafquat, and Salahuddin (2008) reported that most patients with PPMs ( n = 93) considered daily activities such as driving a car, passing through metal detectors, bending over, sleeping on the side with the PPM, or using electronic products unsafe.…”

Section: Background and Rationalementioning

confidence: 99%

Arrhythmia Perception and Quality of Life in Bradyarrhythmia Patients Following Permanent Pacemaker Implantation

2019

Clin Nurs Res

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Although studies have evaluated the quality of life (QoL) of patients undergoing permanent pacemaker (PPM) placement, their results are inconsistent. To assess arrhythmia perceptions and QoL in bradyarrhythmia patients following PPM implantation, 137 patients completed demographic, arrhythmia perception, and QoL questionnaires before and six months after implantation. Before implantation, they reported fatigue (74.1%), dizziness (72.9%), dyspnea (64.7%), chest pain (62.4%), and heart fluttering (54.1%). After implantation, arrhythmia perceptions and QoL showed significant improvement ( p < .05), except vitality ( p > .05). However, patients with arrhythmia for more than three years, three or more PPM implants, two or more comorbidities, or were 41-50 years showed no significant QoL improvement. Doctors and hospital educators, rather than nurses, provided the most PPM information to patients. Since nurses provide primary in-hospital care to PPM patients, they should impart more patient education while considering individual characteristics in caring situations to enhance patients’ QoL.

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Section: Background and Rationalementioning

confidence: 99%

Arrhythmia Perception and Quality of Life in Bradyarrhythmia Patients Following Permanent Pacemaker Implantation

2019

Clin Nurs Res

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“…It was observed that lack of information or misinformation may result in self-imposed restrictions that can adversely affect ordinary activities and create hesitancy about electrical items found in the house setting [ 20 , 21 ]. It was demonstrated that the most frequent question directed to healthcare providers was related to the motion and effort that was followed by environmental influences [ 9 – 11 , 22 ]. In fact, both PMs and ICDs have a risk of device malfunction related to external factors leading to morbidity, mortality, or device replacements; moreover ICDs have a risk of giving inappropriate shocks [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

How Do Patients Understand Safety for Cardiac Implantable Devices? Importance of Postintervention Education

Yıldız

Fındıkoğlu

Alihanoğlu

et al. 2018

Rehabilitation Research and Practice

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Aim This study was designed to assess the effect of patient education on the knowledge of safety and awareness about living with cardiac implantable electronic devices (CIEDs) within the context of phase I cardiac rehabilitation. Methods The study was conducted with 28 newly implanted CIED patients who were included in “education group (EG)”. Patients were questioned with a survey about living with CIEDs and electromagnetic interference (EMI) before and 1 month after an extensive constructed interview. Ninety-three patients who had been living with CIEDs were included in the “without education group (woEG)”. Results Patients in EG had improved awareness on topics related to physical and daily life activities including work, driving, sports and sexual activities, EMI of household items, harmful equipment, and some of the medical devices in the hospital setting (p<0.05). Patients in EG gave significantly different percent of correct answers for doing exercise or sports, using the arm on the side of CIEDs, EMI of some of the household appliances, medical devices, and all of the harmful equipment compared to woEG (p<0.05). Conclusion It was demonstrated that a constructed education interview on safety of CIEDs and living with these devices within the context of phase I cardiac rehabilitation is important for improving the awareness of patients significantly. Thus, patients might achieve a faster adaptation to daily life and decrease disinformation and misperceptions and thus promote the quality of life after the device implantation.

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“…Meaning-centered needs in conversation about CVD with doctors and nurses 4 Schaufel et al, 2009;Kohlmann et al, 2013;McClung, 2013;Strang et al, 2013;Barello et al, 2015 Meaning-centered changes and needs after CVD event 30 Mårtensson et al, 1998;Popogrebsky, 1998;Clarke et al, 1999;Nilsson et al, 1999;Ecochard et al, 2001;Davidson et al, 2003;Secrest and Zeller, 2003;Faircloth et al, 2004;Lobeck et al, 2005;Secrest and Zeller, 2006;Cortis and Williams, 2007;Leegaard and Fagermoen, 2008;Schou and Egerod, 2008;Wann-Hansson et al, 2008;Bremer et al, 2009;Hefferon et al, 2009;Rassin et al, 2009;Eilertsen et al, 2010;Kutner, 2010;Silva et al, 2011;Lawrence and Kinn, 2012;Andersson et al, 2013;Ross and Austin, 2013;Junehag et al, 2014;Leeming et al, 2014;Buck et al, 2015;DuBois et al, 2015;Hansen et al, 2016;Satink et al, 2016;Littooij et al, 2016.…”

Section: Joel Vosmentioning

confidence: 99%

Cardiovascular disease and meaning in life: A systematic literature review and conceptual model

Vos

2021

Pall Supp Care

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Objectives Previous studies have shown that psychological stress and mental health problems increase the risk for cardiovascular disease (CVD) events, such as heart attack or stroke. Furthermore, after CVD events, the majority of patients report large stress. However, psychological treatments have only modest effects in CVD patients. Therefore, it has been argued that new conceptual models are needed to understand the aetiology of stress and mental health problems in CVD patients. Therefore, this study included a systematic literature review and a conceptual model on the role of meaning in life for psychological stress, mental health, and CVD risks. Methods A systematic literature review was conducted on relationships between CVD and meaning in life. PRISMA/MOOSE review guidelines were followed. These findings were used to build a conceptual model. Results The literature review included 113 studies on meaning and CVD. The included studies described meaning as a predictor of cardiovascular risks and health, meaning-centered needs of patients in conversations with medical staff, meaning-centered changes after CVD events, meaning-centered coping with CVD, meaning as motivator of CVD-related lifestyle changes, and meaning as an element in psychological treatments of CVD patients. In sum, the literature showed that a central clinical concern for patients is their question how to live a meaningful life despite CVD. Meaning-centered concerns seem to lead to lower motivation to make lifestyle changes, more psychological stress, lower quality-of-life, worse physical well-being, and increased CVD risk. The ability to live a meaningful life after CVD events is related with lower stress, better mental health, and several biomarkers. Significance of results An evidence-based conceptual framework was developed for the relationship between meaning and CVD. It may be hypothesized CVD patients may benefit from psychological therapies focused on meaning.

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‘A pacemaker in my heart’– classification of questions asked by pacemaker patients as a basis for intervention

Abstract: Pacemaker implant guidance should be based upon experimental evidence, arranged according to each category's relative weight and take into account the patient's point of view.

Cited by 9 publications

References 11 publications

Arrhythmia Perception and Quality of Life in Bradyarrhythmia Patients Following Permanent Pacemaker Implantation

Arrhythmia Perception and Quality of Life in Bradyarrhythmia Patients Following Permanent Pacemaker Implantation

How Do Patients Understand Safety for Cardiac Implantable Devices? Importance of Postintervention Education

Cardiovascular disease and meaning in life: A systematic literature review and conceptual model

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