East Carolina University, College of Nursing, 4210-C Health Sciences Building, Mailstop 162, Greenville, NC 27858-4353, USA.
East Carolina University, College of Nursing, 3118 Health Science Building, Mailstop 162, Greenville, NC 27858, USA.
Heart Lung. 2020 Jan-Feb;49(1):86-91. doi: 10.1016/j.hrtlng.2019.07.004. Epub 2019 Aug 7.
Little is known about the decision-making process for insertable cardiac monitors (ICM) in those with suspected arrhythmias.
The purpose of this qualitative study was to describe how individuals make a decision to insert an ICM.
A qualitative descriptive design was used. Data were analyzed using content analysis and constant comparison. NVivo 10 was used for data grouping and patterns.
Participants (N = 12) ranged in age from 41to 95. Most (n = 7) had the device inserted because of syncope or atrial fibrillation (AF), and others (n = 5) for cryptogenic stroke. Three categories emerged: pre-decision, definitive decision, and deliberated decision. Event symptoms, including physical, cognitive and emotional, and trust emerged as factors in decision-making.
Those who perceived their experience as life-threatening, trusted the healthcare provider and assented to the ICM insertion. Conversely, those who perceived symptoms as episodic, used other strategies to resolve symptoms prior to making the decision for insertion.
对于疑似心律失常患者，人们对插入式心脏监测器（ICM）的决策过程知之甚少。
本定性研究的目的是描述个体如何做出插入 ICM 的决定。
采用定性描述设计。使用内容分析和恒比法对数据进行分析。使用 NVivo 10 对数据进行分组和模式分析。
参与者（N=12）年龄在 41 至 95 岁之间。大多数人（n=7）因晕厥或心房颤动（AF）而插入该设备，其他人（n=5）因隐匿性卒中而插入。出现了三个类别：决策前、明确决策和深思熟虑的决策。事件症状，包括身体、认知和情绪，以及信任，都是决策的因素。
那些认为自己的经历有生命危险、信任医疗保健提供者并同意插入 ICM 的人。相反，那些认为症状是偶发的人，会在决定插入之前使用其他策略来解决症状。
