Self-management with the therapeutic regimen in patients with ventricular assist device (VAD) support – a scoping review

Spielmann, Hannah; Seemann, M.; Friedrich, Nina; Tigges-Limmer, Katharina; Albert, Wolfgang; Semmig-Könze, Sandra; Spitz-Köberich, Christine; Kugler, Christiane

doi:10.1016/j.hrtlng.2021.01.019

Cited by 11 publications

(13 citation statements)

References 45 publications

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“…Ortiz y Cruz-Avelar (14) evidenciaron que contar con un instrumento adaptado en varios idiomas, favorece la construcción de procesos para la evaluación clínica y minimiza posibles sesgos que pueden presentarse dentro de la valoración clínica.…”

Section: Discussionunclassified

Adaptación cultural del Cuestionario de autocuidado en pacientes con asistencia ventricular definitiva

Saldaña

Kato

2023

Enf Global

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Introduction. In order to achieve an optimal life, patients with permanent implantable left ventricular assist devices face complex treatment regimens; they require acquiring knowledge and developing skills to guide their care. This makes it necessary for the nursing professional to have tools that allow them to identify the self-care level as a starting point to promote positive behaviors that allow adherence to their new lifestyle. Objective. To determine the equivalent version of the self-care questionnaire for patients with permanent ventricular assistance in Colombia. Material and methods. Methodological study. The process was carried out in six stages to guarantee the equivalence of the adapted instrument through a first translation, synthesis of translations, reverse translation, review by the expert committee, trial of the pre-final version and presentation of the instrument to the authors. Results. Translation and back-translation of the instrument were performed. 77% of the experts mentioned that all the items were understandable and clear, but 33% reported that items 3,5,6,7,8,10 and 11 required form adjustments. Conclusions. The cross-cultural adaptation of the self-care questionnaire in patients with permanent ventricular assistance for the Colombian environment was obtained, preserving the experiential, conceptual, idiomatic and semantic equivalence of the original instrument. Introducción. Con el fin de alcanzar una vida óptima, los pacientes con dispositivos de asistencia ventricular izquierda implantables de forma permanente se enfrentan a regímenes de tratamiento complejos; requieren adquirir conocimiento y desarrollar habilidades para orientar su cuidado. Esto hace necesario que el profesional de enfermería cuente con herramientas que permitan identificar el nivel de autocuidado como punto de partida para promover comportamientos positivos que permitan adherirse a su nuevo estilo de vida. Objetivo. Determinar la versión equivalente del cuestionario de autocuidado para pacientes con asistencia ventricular definitiva en Colombia. Material y métodos. Estudio de tipo metodológico. Se llevó a cabo en seis etapas, con el propósito de garantizar la equivalencia del instrumento adaptado por medio de traducción inicial, síntesis de las traducciones, traducción inversa, revisión por parte del comité de expertos, presentación del instrumento a los autores y prueba de la versión prefinal. Resultados. Se realizó la traducción y la retrotraducción del instrumento. El 77 % de los expertos mencionaron que todos los ítems eran comprensibles y claros, pero el 33 % refirieron que en los ítems 3,5,6,7,8,10 y 11 requerían ajustes de forma. Conclusión. Se obtuvo la adaptación transcultural del cuestionario de autocuidado en pacientes con asistencia ventricular definitiva para el medio colombiano, conservando la equivalencia experiencial, conceptual, idiomática y semántica del instrumento original.

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Section: Discussionunclassified

Adaptación cultural del Cuestionario de autocuidado en pacientes con asistencia ventricular definitiva

Saldaña

Kato

2023

Enf Global

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“…On the other hand, VK plays an important role in bone formation through activation of osteocalcin as well as maintenance of normal blood coagulation [10,11], and excessive restriction of VK intake may lead to decreased quality of life. At NCVC, an interdisciplinary NST, composed of physicians, dieticians, pharmacists, and nurses, participates in the routine assessment of the patient's energy, protein, fluid, mineral, and electrolyte requirements as well as vitamins, and pharmacists explain the importance of dietary management to obtain stable PT-INR to the patients receiving VAD and their families/relatives during hospitalization [12]. A certified dietician also controls every HTR's VK intake through the meals not only during hospitalization but also after release from the hospital.…”

Section: Warfarin (Wf)mentioning

confidence: 99%

“…Therefore, HTRs are free to eat vegetables, but all HTRs are prohibited from eating natto, and chlorella and green juice are also sometimes prohibited throughout the dosing schedule of WF. Pharmacists explain the importance of dietary management to obtain stable PT-INR to the patients receiving VAD and their families/relatives during hospitalization [12]. Meanwhile, medical staffs cannot frequently check PT-INR and laboratory test values after discharge.…”

Section: Patient Educationmentioning

confidence: 99%

Role of the Transplant Pharmacist

Ikura¹,

Nakagita²,

Uno³

et al. 2022

Heart Transplantation - New Insights in Therapeutic Strategies

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At the National Cerebral and Cardiovascular Center, Japan, pharmacists have been involved in drug treatment management and patient care as members of multidisciplinary heart transplant teams that include surgeons, physicians, recipient transplant coordinators, and nurses during the waiting period for heart transplantation (HTx), HTx surgery, and post-HTx. During the waiting period, pharmacists play an important role in adjusting the use of antibiotics, anticoagulants, and antiarrhythmics by patients receiving a ventricular assist device (VAD). During HTx surgery and post-HTx, pharmacists advise physicians regarding the individualized medication protocol for immunosuppression and infection prevention to be used for each patient based on the patient’s pre-HTx characteristics as well as gene polymorphisms. They thus contribute to reducing the burden on the physician through the sharing of tasks. Throughout all three phases of HTx, pharmacists repeatedly provide medication and adherence education to the patients and caregivers. It is hoped that an academic society-led training protocol as well as transplant pharmacists will be established in Japan and other developed countries, and that these specialized transplant pharmacists would then provide individualized pharmacotherapy for the use of various antibiotics, anticoagulants, and immunosuppressive agents that have a narrow range of treatment in VAD and HTx patients.

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“…Furthermore, a driveline to the outside of the body is used to maintain it. 3 Therefore, a balance between bleeding and infarction due to anticoagulation is required. In addition, effort is required to lower readmission and mortality due to wound and complication management and emergency situations.…”

mentioning

confidence: 99%

“…In addition, effort is required to lower readmission and mortality due to wound and complication management and emergency situations. 1,3 Left ventricular assist device implantation is seen as a process that goes beyond simply prolonging a patient's life, with the ultimate goal of improving quality of life. 2 Continuous monitoring and dynamic interaction with healthcare providers focusing on the device must be provided to effectively manage the patient's daily life.…”

mentioning

confidence: 99%

Mobile Health Intervention Contents and Their Effects on the Healthcare of Patients with Left Ventricular Assist Devices

Yoo,

Shin

2023

CIN: Computers, Informatics, Nursing

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Self-care in daily life is important for patients with a left ventricular assist device. Mobile health interventions that use an application, the cloud, or telemonitoring enable active health management. This study reviewed the literature on the contents of mobile health interventions for patients with left ventricular assist devices and their effects. We searched four electronic databases (CINAHL, Cochrane Library, EMBASE, and MEDLINE) and reference lists in May 2022. The search terms consisted of “heart-assist devices” and “residence characteristics,” combined with “mobile applications,” “telemonitoring,” “medical informatics applications,” “cell*,” “app*,” “smartphone,” and “cloud.” In total, seven studies were included in the review. Mobile health interventions included (1) self-management contents and (2) interactions between patient and healthcare providers. The mobile health device and patient's health management were evaluated as a measure of the effect. This review provides a unique understanding for leveraging mobile health interventions as an effective approach to improve healthcare among patients with left ventricular assist devices. Future mobile health intervention strategies targeting these patients should fully consider the patient's perspective. Furthermore, they should be designed and applied to help with long-term health management, accompanied by an evaluation of their effectiveness on self-care improvement.

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Self-management with the therapeutic regimen in patients with ventricular assist device (VAD) support – a scoping review

Cited by 11 publications

References 45 publications

Adaptación cultural del Cuestionario de autocuidado en pacientes con asistencia ventricular definitiva

Adaptación cultural del Cuestionario de autocuidado en pacientes con asistencia ventricular definitiva

Role of the Transplant Pharmacist

Mobile Health Intervention Contents and Their Effects on the Healthcare of Patients with Left Ventricular Assist Devices

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