用左心室辅助装置管理生活的一个维度概念分析
Mireille Chehade1, Margaret M McCarthy1, Milla Arabadjian2
1Rory Meyers College of Nursing, New York University, 433 First Avenue, New York, NY 10010, United States.
European journal of cardiovascular nursing
|January 17, 2026
概括
使用左心室辅助装置 (LVAD) 管理生活涉及患者和护理人员,自我和家庭管理框架为LVAD研究提供了宝贵的见解,并改善了患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 护理研究 护理研究
- 健康管理健康管理
背景情况:
- 左心室辅助器件 (LVAD) 对于末期心力衰竭管理至关重要.
- 了解患者和护理人员的经验对于优化LVAD治疗至关重要.
- 自我和家庭管理概念在慢性疾病护理中越来越重要.
研究的目的:
- 描述患者和护理人员如何使用LVAD来管理生活.
- 评估自我和家庭管理作为LVAD研究中的指导概念的适用性.
主要方法:
- 从2010年到2025年,对28篇文章进行了维度概念分析.
- 在PubMed,CINAHL,Embase,PsycINFO和科学网上进行文献搜索.
- 两位独立审稿人的分析.
主要成果:
- 确定了LVAD管理的五个关键方面:患者/护理人员促进者和障碍,自我和家庭管理流程,临床医生的角色和结果.
- 这些维度与已建立的自我和家庭管理理论保持一致.
- 定性,定量和混合方法研究为这些发现做出了贡献.
结论:
- 自我和家庭管理是LVAD研究的一个合适的指导概念.
- 慢性疾病自我和家庭管理的中程理论适用于LVAD治疗.
- 这些发现支持改善LVAD患者和护理人员的临床实践,教育和未来研究.
相关概念视频
Cardiomyopathy V: Interprofessional Care
343
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
343
Cardiomyopathy II: Dilated Cardiomyopathy
480
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
480
Heart Failure VI: Adjunct Therapies
263
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
263
Heart Failure V: Medical Management
223
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
223
Mitral Stenosis IV: Nursing Management
248
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
248
Cardiomyopathy III: Hypertrophic Cardiomyopathy
416
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
416


