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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
16:40

A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation

Published on: February 28, 2012

Nurse- and peer-led self-management programme for patients with an implantable cardioverter defibrillator; a

Esther S T F Smeulders1, Jolanda C M van Haastregt, Barbara K Dijkman-Domanska

  • 1Maastricht University, Faculty of Health, Medicine and Life sciences, School for Public Health and Primary Care, PO Box 616, 6200 MD Maastricht, The Netherlands. e.smeulders@zw.unimaas.nl

BMC Nursing
|September 21, 2007
PubMed

Insights

A nurse- and peer-led self-management program for implantable cardioverter defibrillator (ICD) patients appears feasible and beneficial. The program improved self-efficacy, reduced anxiety, and enhanced quality of life for participants.

Area of Science:

  • Cardiology
  • Health Psychology
  • Nursing

Background:

  • Increasing prevalence of cardiovascular disease leads to more patients requiring devices like implantable cardioverter defibrillators (ICDs).
  • ICD patients frequently experience challenges in daily life adjustment, including physical and psychological issues.
  • There is a need for interventions to improve perceived control and device acceptance in ICD patients.

Purpose of the Study:

  • To explore the feasibility of a structured, nurse- and peer-led self-management program for ICD patients.
  • To assess the potential benefits of the program on patients' perceived control, anxiety, depression, and quality of life.

Main Methods:

  • A six-session group program was delivered to ten male ICD patients (mean age 65.5 years) by a nurse specialist and a cardiovascular patient.
  • Feasibility was evaluated through adherence, attendance, and patient/leader feedback.
  • Programme benefits were assessed using pre- and post-intervention measures of self-efficacy, anxiety, depression, and quality of life.

Main Results:

  • The program was largely conducted as planned, with high patient attendance and adherence.
  • Patients reported significant benefits, rating the program highly (8.4/10).
  • Improvements were observed in general self-efficacy, anxiety symptoms, physical and social functioning, role limitations, and pain.

Conclusions:

  • A nurse- and patient-led self-management program is feasible for ICD patients, according to both participants and leaders.
  • The program shows potential for improving self-efficacy, reducing anxiety, and enhancing various aspects of quality of life.
  • Further research with larger samples is recommended to confirm effectiveness in ICD patients and other cardiovascular disease groups.
Abstract

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