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Implantation of the Syncardia Total Artificial Heart
Published on: July 18, 2014
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了解护理合作伙伴在持久左心室辅助装置植入后的第一个月的经历
Bernice Coleman1, Bibiana Martinez2, Lianna Z Ansryan3
1Nursing Research and Quality Improvement; Heart Transplantation, Mechanical Circulatory Support Programs; Biomedical Sciences and Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
概括
护理伙伴 (CPs) 支持使用左心室辅助器件的患者,往往会感到不准备和孤立. 通过心理社会服务和教育优先考虑心脏病患者的福祉,对于心脏移植成功的结果至关重要.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 耐用左心室辅助装置 (LVAD) 对等待移植的晚期心力衰竭患者至关重要.
- 护理合作伙伴 (CP) 面临着重要的,往往被低估的需求,以支持LVAD接受者.
- 在植入后的康复中,CP的福祉经常被忽视.
研究的目的:
- 探索 LVAD 接受者的 CP 的斗争和支持需求.
- 确定CP在LVAD植入后恢复阶段面临的关键挑战.
主要方法:
- 定性,单一地点的研究.
- 音频录制了与13名CP的采访.
- 采访数据的诱导性内容分析.
主要成果:
- 六个主要主题出现了:感觉没有准备,过度警,感觉被压倒",消失的CP",缺乏自我照顾,以及需要同行联系.
- 临床医生报告说,他们觉得自己被医疗团队忽视了,这导致了痛苦和孤立.
- 不足够的教育和极少的同行支持加剧了CP的不准备.
结论:
- 脊椎病人的健康是成功管理LVAD和维持患者移植资格的重要组成部分.
- 心理社会服务,同行支持和结构化教育可以减轻CP压力并改善移植结果.
- 将CP需求整合到植入的移植途径中,对于预防倦怠和优化结果至关重要.
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