Department of Health Sciences II, Universidad Rey Juan Carlos, Alcorcon, Madrid 28922, Spain.
Geriatr Gerontol Int. 2011 Jul;11(3):320-7. doi: 10.1111/j.1447-0594.2010.00689.x. Epub 2011 Jan 28.
An implantable cardioverter-defibrillator is the treatment of choice for ventricular arrhythmias and sudden death. Clinical trials and qualitative studies normally exclude elderly patients. The aim of this study was to describe the experience of elderly Spanish men with an implantable cardioverter-defibrillator.
This was a qualitative phenomenological study. Sampling was purposeful and used the snowball technique. Unstructured interviews and recipients' personal accounts were collected. Data collection finished with information saturation. Analysis was performed using the Giorgi proposal with triangulation between research-team members. Data were audited by an external researcher.
The change and the need to adapt to the new situation can be perceived as a loss of independence by the elderly. The significance of the partner in the Spanish context is particularly relevant during the narration. Also, their view of the world is transformed, they experience an internal change. Additionally, the elderly patient may become confined to their home and shut off from their surroundings, accompanied by a sensation of being "stuck" and "imprisoned" by their own process.
Elderly recipients can end up "clinging on" to customs as they are felt to define the recipient's identity and utility within their social and personal context. Their partner is of huge significance for elderly recipients. The geriatric health personnel must contribute to promote and maintain activities of daily living in elderly. Future qualitative studies taking an in-depth look at the experience and readjustment process of elderly recipients and the relationship among older people and technological equipment should be further conducted.
植入式心脏复律除颤器是治疗室性心律失常和猝死的首选方法。临床试验和定性研究通常排除老年患者。本研究旨在描述西班牙老年男性植入式心脏复律除颤器的使用经验。
这是一项定性现象学研究。采用目的性抽样和滚雪球技术进行抽样。收集非结构化访谈和接受者的个人叙述。当信息达到饱和时，数据收集结束。使用 Giorgi 提案进行分析，并在研究小组成员之间进行三角测量。数据由外部研究人员审核。
变化和适应新情况的需要可被视为老年人独立性的丧失。在西班牙背景下，伴侣的重要性在叙述中尤为突出。此外，他们对世界的看法发生了转变，经历了内心的变化。此外，老年患者可能会被限制在家里，与周围环境隔绝，同时伴有“被困”和“被监禁”的感觉。
老年接受者最终可能会“坚持”传统，因为这些传统被认为定义了接受者在其社会和个人背景中的身份和实用性。他们的伴侣对老年接受者来说非常重要。老年保健人员必须促进和维持老年人的日常生活活动。应该进一步开展未来的定性研究，深入探讨老年接受者的体验和调整过程以及老年人与技术设备之间的关系。
