Pasyar Nilofar, Sharif Farkhondeh, Rakhshan Mahnaz, Nikoo Mohammad Hossein, Navab Elham
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Cardiovascular Research Center, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
Int J Community Based Nurs Midwifery. 2017 Apr;5(2):134-143.
Although Implantable Cardioverter Defibrillator (ICD) saves the life of patients with life-threatening ventricular dysrhythmias, it causes various challenges in their life span. Considering the increase in the number of ICD users, more knowledge is required regarding changes in the patients' life after device implantation. The aim of this study was description of changes in daily life of patients after ICD implantation.
This qualitative study was conducted through content analysis method. The participants were selected through purposive sampling. They included 3 women and 9 men whose ages ranged from 24 to 74 years, with the mean age of 42.58+1.55 years. They had implanted ICDs in order to treat life-threatening dysrhythmias. The study data were collected through interview and field notes from November 2013 to October 2014. The data were simultaneously analyzed using constant comparative analysis.
Through analysis of the study data, 2 categories were emerged representing dimensions of changes in daily life of the patients with ICD. These categories were changes in the social role and familial challenges after implantation. included the following subcategories: , and . In addition, consisted of 2 subcategories, namely and .
The study findings can be of great importance in nurses' clinical practice for providing the patients with holistic care, education, support, and follow-up. They can also be used as a guide assisting clinical treatment of the patients with ICD.
尽管植入式心脏复律除颤器（ICD）挽救了有危及生命的室性心律失常患者的生命，但在其使用寿命方面引发了各种挑战。鉴于ICD使用者数量的增加，需要更多关于设备植入后患者生活变化的知识。本研究的目的是描述ICD植入后患者日常生活中的变化。
本定性研究通过内容分析法进行。参与者通过目的抽样选取。他们包括3名女性和9名男性，年龄在24至74岁之间，平均年龄为42.58±1.55岁。他们植入ICD以治疗危及生命的心律失常。研究数据于2013年11月至2014年10月通过访谈和实地记录收集。数据同时使用持续比较分析法进行分析。
通过对研究数据的分析，出现了2个类别，代表了ICD患者日常生活变化的维度。这些类别是植入后社会角色的变化和家庭挑战。包括以下子类别：，和。此外，由2个子类别组成，即和。
研究结果对于护士在临床实践中为患者提供整体护理、教育、支持和随访具有重要意义。它们还可作为协助ICD患者临床治疗的指南。
