Domains of concern of intimate partners of sudden cardiac arrest survivors after ICD implantation.
Domains of concern of intimate partners of sudden cardiac arrest survivors after ICD implantation.
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ICD 植入后心脏骤停幸存者亲密伴侣的关注领域。
DOI：
10.1097/00005082-200401000-00006
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Benoliel,JeanneQ
中科院分区：
文献类型：
--
作者：
Dougherty,CynthiaM;Pyper,GailP;Benoliel,JeanneQ
目的：有有限的研究，描述了心脏骤停（SCA）幸存者的亲密伴侣的经验。这篇文章的目的是（1）描述在第一年内的心脏复律除颤器（ICD）implantation和（2）概述SCA幸存者的合作伙伴在处理的关注和需求的恢复在第一年后ICDimplantation.Methods：这是一个次要的分析采访数据收集的主要研究“心脏骤停后的家庭经验”的亲密合作伙伴的关注领域。一个扎根理论的方法被用来识别SCA幸存者和他们的家庭成员的经验，从住院到ICD植入后的第一年。数据收集SCA幸存者和一个亲密的合作伙伴在5倍：出院，并在1，3，6，和12个月postdischarge.Results：八个领域的关注确定为亲密的合作伙伴在第一年SCA和ICD植入。这些因素包括（1）照顾幸存者，（2）我（伴侣）的自我照顾，（3）关系，（4）ICD，（5）金钱，（6）不确定的未来，（7）卫生保健提供者，（8）家庭。五类策略，以处理域的关注被确定为（1）照顾幸存者，（2）我（伴侣）自我照顾，（3）关系，（4）不确定的未来，（5）Controlling environment.Implications：护理干预计划应包括亲密伴侣的SCA幸存者，并包含教育和支持在以下领域：（1）ICD功能的信息，（2）身体和情绪恢复经历的正常进展，（3）ICD的安全性和维护，（4）ICD后的日常生活活动，（5）协助幸存者护理的策略，以及（6）协助伴侣自我护理的策略。
Purpose:There is limited research that describes the experiences of intimate partners of sudden cardiac arrest (SCA) survivors. The purposes of this article are to (1) describe the domains of concern of intimate partners of SCA survivors during the first year after internal cardioverter defibrillator (ICD) implantation and (2) outline strategies used by partners of SCA survivors in dealing with the concerns and demands of recovery in the first year after ICD implantation.Methods:This is a secondary analysis of interview data collected for the primary study “Family Experiences Following Sudden Cardiac Arrest.” A grounded theory method was used to identify experiences of SCA survivors and their family members from hospitalization through the first year after ICD implantation. Data were collected from the SCA survivor and one intimate partner at 5 times: hospital discharge, and at 1, 3, 6, and 12 months postdischarge.Results:Eight Domains of Concern were identified for intimate partners following SCA and ICD implantation during the first year. These included (1) Care of the survivor,(2) My (partner) self-care,(3) Relationship,(4) ICD,(5) Money,(6) Uncertain future,(7) Health care providers, and (8) Family. Five categories of strategies to deal with the Domains of Concerns were identified (1) Care of the survivor,(2) My (partner) self-care,(3) Relationship,(4) Uncertain future, and (5) Controlling the environment.Implications:Nursing intervention programs should include the intimate partner of SCA survivors and contain education and support in the following areas:(1) information on the function of the ICD,(2) normal progression of physical and emotional recovery experiences,(3) safety and maintenance of the ICD,(4) activities of daily living after an ICD,(5) strategies to assist with the survivors care, and (6) strategies to assist with partner self care.