Palacios-Ceña Domingo, Alonso-Blanco Cristina, Cachón-Pérez José Miguel, Alvarez-López Cristina
Departamento de Ciencias de la Salud II, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Alcorcón, Madrid, España.
Enferm Clin. 2010 Mar-Apr;20(2):97-104. doi: 10.1016/j.enfcli.2009.09.002. Epub 2010 Mar 4.
To describe the daily experience of patients with an automatic defibrillator (AD) implant and the adaptive changes of the patient.
Qualitative and phenomenological research. Collection of data through; initially unstructured interview with half of the informants, semi-structured interviews through an open questions guide after the initial unstructured interviews and use of personal narratives of the informants. Analysis of the data using the Van Manen proposal.
We analysed the interviews of 10 participants. We collected socio-demographic variables and identified the following themes, which respond to the question "How is life with an AD": It is life "with the two sides of the coin," living in constant wait and uncertainty, accepting change, developing adaptation strategies, renegotiating relationships and sexuality and it is to live transformed.
The results of this study can be integrated into nurse clinical practice in areas such as valuation after discharge, changes in habits, control of treatment, notification of shocks, masking detection of symptoms and strategies that can jeopardise the bearer. Research needs to be developed that looks closer into the influence of other technological devices in people.
描述植入自动除颤器（AD）患者的日常经历以及患者的适应性变化。
定性和现象学研究。通过以下方式收集数据：最初对一半的受访者进行非结构化访谈，在最初的非结构化访谈之后通过开放式问题指南进行半结构化访谈，并使用受访者的个人叙述。使用范曼恩提议对数据进行分析。
我们分析了10名参与者的访谈。我们收集了社会人口统计学变量，并确定了以下主题，这些主题回答了“有AD的生活是怎样的”这个问题：生活是“硬币的两面”，生活在持续的等待和不确定性中，接受变化，制定适应策略，重新协商人际关系和性行为，并且生活发生了改变。
本研究结果可整合到护士临床实践中，如出院后评估、习惯改变、治疗控制、电击通知、症状掩盖检测以及可能危及携带者的策略等领域。需要开展更深入研究其他技术设备对人们影响的研究。
