Home-Based Self-Management After Permanent Pacemaker Implantation: What Should Patients Know

Area of Science:

• Cardiology
• Evidence-Based Practice
• Health Management

Background:

• Permanent pacemaker implantation requires effective home-based self-management strategies.
• Patients need comprehensive guidance to improve their ability to manage their condition post-implantation.

Purpose of the Study:

• To systematically explore and summarize the best evidence for home-based self-management in patients with permanent pacemakers.
• To provide references and guidance for enhancing self-management skills in this patient population.

Main Methods:

• A systematic literature search was conducted using the "6S" model.
• Included literature types: best practice, clinical decision-making, guidelines, expert consensus, systematic review, and evidence summary.
• Data were screened, quality evaluated, extracted, and synthesized by two researchers.

Main Results:

• Twenty-one articles were included, encompassing various evidence types.
• Thirty-five pieces of best evidence were synthesized across seven key areas.
• Key areas include complication, electromagnetic interference, sports rehabilitation, operative limb, postoperative follow-up, role, and emotional management.

Conclusions:

• This review synthesizes best evidence for home-based self-management in permanent pacemaker patients.
• Findings offer scientific and referential support for nursing and management during home rehabilitation.
• Provides evidence-based guidance to improve patient self-care and outcomes.