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心血管疾病患者使用起搏器的生活体验:定性研究。

Cardiovascular patients' experiences of living with pacemaker: Qualitative study.

作者信息

Ghojazadeh Morteza, Azami-Aghdash Saber, Sohrab-Navi Zahra, Kolahdouzan Kasra

机构信息

Associate Professor, Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

PhD Candidate, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

ARYA Atheroscler. 2015 Sep;11(5):281-8.

Abstract

BACKGROUND

A pacemaker implantation is considered major life event for cardiovascular patients, so they will probably have very interesting experiences of living with this device. The aim of this study was to explore the experiences of cardiovascular patients living with the pacemaker.

METHODS

In this qualitative study, 27 patients were chosen through purposive sampling to achieve data saturation, and their experiences were examined using semi-structured interviews. The patients' statements were recorded with their consent and analyzed using content analysis method.

RESULTS

Participants' experiences included three main themes: "Problems and limitations," "feeling and dealing with pacemaker", and "sources of comfort" and 10 sub-themes including: physical problems, financial problems, social problems, the first encounter, the feeling of living with the pacemaker, how to cope with pacemaker, satisfaction with pacemaker, good family support, hospital and hospital staff performance, and role of religious beliefs.

CONCLUSION

Planning to solve social problems, identifying and changing feelings of patients using pacemakers, reinforcing the resources of comfort especially family support seem to be necessary steps for improving quality of life and impact of using pacemaker.

摘要

背景

起搏器植入对心血管疾病患者来说是一件重大的生活事件,因此他们在使用该设备的过程中可能会有非常有趣的经历。本研究旨在探讨心血管疾病患者使用起搏器的经历。

方法

在这项定性研究中,通过目的抽样选取了27名患者以达到数据饱和,并使用半结构化访谈来考察他们的经历。患者的陈述在征得同意后进行记录,并采用内容分析法进行分析。

结果

参与者的经历包括三个主要主题:“问题与局限”、“对起搏器的感受与应对”、“慰藉来源”以及10个子主题,包括:身体问题、经济问题、社会问题、初次接触、使用起搏器的感受、如何应对起搏器、对起搏器的满意度、良好的家庭支持、医院及医护人员表现、宗教信仰的作用。

结论

计划解决社会问题、识别并改变起搏器使用者的感受、强化慰藉资源尤其是家庭支持,似乎是提高生活质量以及使用起搏器效果的必要步骤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb75/4680076/4ae8ac9856fe/ARYA-11-281f1.jpg

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