Experience of elderly Spanish men with an implantable cardioverter‐defibrillator

Palacios‐Ceña, Domingo; Iglesias, Marta Elena Losa; Salvadores-Fuentes, Paloma; Alonso‐Blanco, Cristina; Fernández‐de‐las‐Peñas, César

doi:10.1111/j.1447-0594.2010.00689.x

Cited by 9 publications

(19 citation statements)

References 48 publications

(138 reference statements)

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“…There was also apprehension over resuming sexual activity as the majority feared of shocks hurting their partners [18, 20, 23, 43]. Few studies reported on the sexual concerns associated with ICD, possibly because the participants were uncomfortable in bringing up such sensitive topics with the researchers.…”

Section: Resultsmentioning

confidence: 99%

“…Anger with one’s limitations and resentment towards ICD [15, 20, 38] were also observed. Many still harboured insecurities over the device failing or battery depleting [20, 38, 44] as well as the uncertainties that accompany arrhythmias [14] or awaiting ICD discharges [43]. …”

Section: Resultsmentioning

confidence: 99%

“…Besides being reminded of their deteriorating cardiac conditions [43], participants with shock encounters ruminate of recurrences [14]. Nevertheless, they were relieved that the device functioned and had no qualms over its necessity [18, 30].…”

Section: Resultsmentioning

confidence: 99%

“…Participants with adequate support, help, and empathy from their family and social networks had better recovery and adjustments [12, 15, 20, 30, 38, 43, 47]. During the period of driving restrictions, they were transported around [30] and prevented from engaging in certain activities that were deemed risky [38].…”

Section: Resultsmentioning

confidence: 99%

“…Concerns were raised regarding overprotection [15, 23, 26, 38, 43] as it made them feel dependent or being a burden [15, 18]. While some had attempted to stop their family from constantly checking on them [47], others tolerated this positively [43, 47]. By comparison, most participants felt isolated as they had lost the most important person around the time of their diagnosis and were resistant to establish new connections for fear of loss [18].…”

Section: Resultsmentioning

confidence: 99%

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Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

Ooi

Dong

et al. 2016

Health Qual Life Outcomes

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BackgroundSudden cardiac deaths have become a growing major public health concern that affects the world. Despite the various etiologies, life-threatening cardiac arrhythmias attribute the main cause of sudden cardiac deaths. Therefore in certain groups of high-risk patients, the Implantable Cardioverter Defibrillator (ICD) has been recommended as either a secondary or primary prophylactic method of prevention.ObjectiveTo summarise the perceptions of ICD recipients and provide an overview of their experiences with regards to the quality of life, coping strategies, and learning needs.MethodsA systematic search was conducted using CINAHL, MEDLINE, PsycINFO, Scopus, Cochrane Library, and Web of Science. Primary research articles published from January 2005 to January 2016 that met the inclusion criteria were selected and assessed for methodological quality.ResultsThirty-nine articles consisting of 16 qualitative studies, 22 quantitative studies, and 1 mixed methods study were included for the meta-synthesis. Findings extracted from these studies were grouped into eight subthemes with ‘living the ICD experience: a constant process of redefining oneself’ emerging as an over-arching theme.ConclusionThis review provides insight into the perspectives and experiences of ICD recipients. Current evidence highlights the need for healthcare professionals to improve future care standards and develop a patient-centric holistic program that meets the specific needs of ICD recipients. Moreover, future studies are required to address the research gaps identified and also explore the perceptions of patients living with ICD in the Asian context.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

Ooi

Dong

et al. 2016

Health Qual Life Outcomes

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The experience of patients with an implantable cardioverter-defibrillator: a systematic review and meta-synthesis of qualitative studies

Barisone

Hayter

Ghirotto

et al. 2022

European Journal of Cardiovascular Nursing

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Background The indication for implantable cardioverter-defibrillators (ICDs) to prevent sudden death is now consolidated. However, there is no unanimous agreement on how patients experience certain aspects of their lives after an ICD implant. Various clinical studies have evaluated the impact of ICDs on patient mortality, survival, and their beneficial effects. Given the growing number of qualitative studies, a synthesis of qualitative evidence became desirable. Aims To explore and synthesize the results of qualitative studies addressing the experiences of patients with an ICD. Methods We employed a systematic review and meta-synthesis. PubMed, CINAHL, and PsycINFO were systematically searched to identify qualitative studies published between January 2005 and October 2020, which investigate the experience of patients living with an ICD. Selected studies were assessed for quality by two reviewers independently. Results A total of 24 papers were selected. Six themes emerged: fear and insecurity, the need for information, new impacts on life, living with ICD shocks, gender differences, and the role of the family. These results could help clinicians and researchers to develop new strategies and interventions to improve the quality of life in these patients. Conclusion This meta-synthesis underlines the difficulties experienced by patients with ICD implants. Despite the advanced therapeutic management programmes for this type of intervention, it is necessary to adopt and implement the current post-discharge care plans, where the family’s involvement is essential to help patients adapt to their new lifestyle.

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Sudden cardiac death: the perspectives of Spanish survivors

Palacios‐Ceña¹,

Iglesias²,

Salvadores-Fuentes³

et al. 2011

Nursing & Health Sciences

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Sudden cardiac death is an episode of sudden death from cardiac causes in previously healthy patients. The aim of this study was to investigate the life experiences of patients who were resuscitated successfully following a sudden cardiac death. Purposeful sampling was used to recruit the nine participants through the snowball technique. Unstructured interviews were carried out until data saturation was reached. The Giorgi method of analysis, which seeks to reduce the participant's experience to minimal thematic units, common thematic groups, and essential themes in order to describe it, was used. Four essential themes were found: "facing fear"; "the search for meaning"; "feeling death up close and personal"; and "loneliness and estrangement". Nurses must integrate the lifestyle changes of patients who survive a cardiac death in order to provide adequate care following hospital discharge. Patients should undertake follow-up programs in order to receive counseling from health professionals. As a result, the creation of interdisciplinary support groups and the implementation of follow-up programs after hospital discharge are fundamental. Survivors' experiences can inform the development of nursing programs and hospital follow-up services that address the survival of cardiac death.

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Experience of elderly Spanish men with an implantable cardioverter‐defibrillator

Cited by 9 publications

References 48 publications

Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

The experience of patients with an implantable cardioverter-defibrillator: a systematic review and meta-synthesis of qualitative studies

Sudden cardiac death: the perspectives of Spanish survivors

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