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Psychosocial Issues for Patients with Ventricular Assist Devices: A Qualitative Pilot Study

Psychosocial Issues for Patients with Ventricular Assist Devices: A Qualitative Pilot Study <jats:p>• Background Surgical implantation of a ventricular assist device is being used increasingly in patients in the United Kingdom, yet few studies have focused on patients’ experiences from a phenomenological (psychological) perspective.</jats:p> <jats:p>• Objective To explore, through a pilot study, the impact of implantation of a ventricular assist device on patients’ bodies and lives.</jats:p> <jats:p>• Methods This qualitative retrospective study included 6 patients (4 men and 2 women) and 3 of these patients’ relatives. Patients were from 17 to 50 years old and had used Thoratec, Heartmate, or VentrAssist devices.</jats:p> <jats:p>• Results The participants’ accounts clustered around a number of themes, 2 of which are reported here: (1) body and self and (2) trust. Each theme comprised several subthemes: body and self had sub-themes of shock, restrictions, scarring, and infection; trust had subthemes of keeping me alive, device failure, and confidence.</jats:p> <jats:p>• Conclusions The ventricular assist device has a considerable effect on a patient’s body and sense of self. This effect is often accommodated without much difficulty, but some patients and their families need additional psychological support during and after use of a ventricular assist device. Assessment before implantation of such a device can sometimes reveal this need, but such assessment may not be possible in emergency procedures. Trusting the new heart or the native recovered heart may be difficult for some patients. Further research is needed to understand this phenomenon.</jats:p> http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Critical Care CrossRef

Psychosocial Issues for Patients with Ventricular Assist Devices: A Qualitative Pilot Study

American Journal of Critical Care , Volume 16 (1): 72-81 – Jan 1, 2007

Psychosocial Issues for Patients with Ventricular Assist Devices: A Qualitative Pilot Study


Abstract

<jats:p>• Background Surgical implantation of a ventricular assist device is being used increasingly in patients in the United Kingdom, yet few studies have focused on patients’ experiences from a phenomenological (psychological) perspective.</jats:p>
<jats:p>• Objective To explore, through a pilot study, the impact of implantation of a ventricular assist device on patients’ bodies and lives.</jats:p>
<jats:p>• Methods This qualitative retrospective study included 6 patients (4 men and 2 women) and 3 of these patients’ relatives. Patients were from 17 to 50 years old and had used Thoratec, Heartmate, or VentrAssist devices.</jats:p>
<jats:p>• Results The participants’ accounts clustered around a number of themes, 2 of which are reported here: (1) body and self and (2) trust. Each theme comprised several subthemes: body and self had sub-themes of shock, restrictions, scarring, and infection; trust had subthemes of keeping me alive, device failure, and confidence.</jats:p>
<jats:p>• Conclusions The ventricular assist device has a considerable effect on a patient’s body and sense of self. This effect is often accommodated without much difficulty, but some patients and their families need additional psychological support during and after use of a ventricular assist device. Assessment before implantation of such a device can sometimes reveal this need, but such assessment may not be possible in emergency procedures. Trusting the new heart or the native recovered heart may be difficult for some patients. Further research is needed to understand this phenomenon.</jats:p>

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Publisher
CrossRef
ISSN
1062-3264
DOI
10.4037/ajcc2007.16.1.72
Publisher site
See Article on Publisher Site

Abstract

<jats:p>• Background Surgical implantation of a ventricular assist device is being used increasingly in patients in the United Kingdom, yet few studies have focused on patients’ experiences from a phenomenological (psychological) perspective.</jats:p> <jats:p>• Objective To explore, through a pilot study, the impact of implantation of a ventricular assist device on patients’ bodies and lives.</jats:p> <jats:p>• Methods This qualitative retrospective study included 6 patients (4 men and 2 women) and 3 of these patients’ relatives. Patients were from 17 to 50 years old and had used Thoratec, Heartmate, or VentrAssist devices.</jats:p> <jats:p>• Results The participants’ accounts clustered around a number of themes, 2 of which are reported here: (1) body and self and (2) trust. Each theme comprised several subthemes: body and self had sub-themes of shock, restrictions, scarring, and infection; trust had subthemes of keeping me alive, device failure, and confidence.</jats:p> <jats:p>• Conclusions The ventricular assist device has a considerable effect on a patient’s body and sense of self. This effect is often accommodated without much difficulty, but some patients and their families need additional psychological support during and after use of a ventricular assist device. Assessment before implantation of such a device can sometimes reveal this need, but such assessment may not be possible in emergency procedures. Trusting the new heart or the native recovered heart may be difficult for some patients. Further research is needed to understand this phenomenon.</jats:p>

Journal

American Journal of Critical CareCrossRef

Published: Jan 1, 2007

There are no references for this article.