Dehghanzadeh Shadi, Dehghan Nayeri Nahid, Varaei Shokoh, Kheirkhah Jalal
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nurs Health Sci. 2017 Mar;19(1):112-118. doi: 10.1111/nhs.12325. Epub 2017 Jan 18.
The number of people with heart failure requiring implantation of a cardiac resynchronization device is increasing in Iran. Although this intervention is an effective life-saving treatment, several challenges are associated with patients' lifestyle after insertion. This study identified the challenges and coping mechanisms of Iranians with heart failure living with cardiac resynchronization therapy. A qualitative approach using conventional content analysis was adopted. Seventeen people with heart failure and three nurses were recruited between December 2014 and November 2015 from a teaching hospital and a private clinic in Rasht, Iran. Participants were interviewed using semi-structured interviews lasting 30-60 min. Five themes emerged: (i) fear of implantation, (ii) the panic of receiving a shock from the device, (iii) lack of control over life, (iv) inadequacies of the healthcare system, and (v) psychosocial coping. A heightened understanding of these challenges and coping strategies could prepare healthcare professionals to provide better routine care, education, and support to the recipients of cardiac resynchronization therapy prior to implantation, during the recovery period, and for long-term management.
在伊朗，需要植入心脏再同步化装置的心力衰竭患者人数正在增加。尽管这种干预措施是一种有效的挽救生命的治疗方法，但植入后患者的生活方式存在一些挑战。本研究确定了接受心脏再同步化治疗的伊朗心力衰竭患者所面临的挑战及应对机制。采用了常规内容分析法的定性研究方法。2014年12月至2015年11月期间，从伊朗拉什特的一家教学医院和一家私人诊所招募了17名心力衰竭患者和3名护士。采用半结构化访谈对参与者进行访谈，访谈持续30 - 60分钟。出现了五个主题：（i）对植入的恐惧，（ii）对设备电击的恐慌，（iii）对生活缺乏掌控，（iv）医疗保健系统的不足，以及（v）心理社会应对。对这些挑战和应对策略的深入了解可以使医疗保健专业人员在植入前、恢复期以及长期管理中，为心脏再同步化治疗的接受者提供更好的常规护理、教育和支持。
