Issues In Cardiovascular NursingDomains of nursing intervention after sudden cardiac arrest and automatic internal cardioverter defibrillator implantation*,**
Section snippets
Design
This study was conducted as part of a larger study to describe individual and family experiences after SCA and ICD implantation during the first year of recovery. The grounded theory method was used to identify experiences of SCA survivors and their family members. SCA survivors and their intimate partners were prospectively followed from hospitalization through the first year. Data were collected from patients and 1 intimate partner at 5 times: hospital discharge, and then at 1 month, 3
DATA ANALYSIS
Although triangulation of methods was used to address the study purposes, this article will discuss only the findings from the qualitative analyses. Grounded theory16, 17 provided the basis for the qualitative data generation and analysis. Grounded theory methodology is derived from symbolic interactionism and is used to describe phenomena about which little is known. It is characterized by an inductive process approach conducted in a naturalistic setting, with an emphasis on dynamic realities.
Demographics
The mean age of the SCA survivors was 57 ± 11 years, and the mean age of family members was 53 ± 9 years. All SCA survivors experienced primary VF at the time of cardiac arrest and subsequently underwent ICD implantation during hospitalization. The average length of stay in the hospital was 22 days, with a range of 10 to 50 days. Four (27%) of 15 survivors had no prior history of cardiac disease before the occurrence of their cardiac arrest. Thirteen (87%) of 15 SCA survivors were men. Family
CONCLUSIONS
The goals of intervention programs for cardiac arrest survivors should focus on the provision of new information required to effectively manage illness at home, information regarding new behaviors that are required to live safely with the ICD, and methods to prevent complications. Although the technology surrounding implantation of the ICD has become simpler, the device itself has become more technologically complex. Anecdotal evidence suggests that standardized educational programs fall short
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Cited by (50)
Patient and Partner Sexual Concerns During the First Year After an Implantable Cardioverter Defibrillator: A Secondary Analysis of the P+P Randomized Clinical Trial
2020, Journal of Sexual MedicineCitation Excerpt :All participants received usual care from their health-care providers. Intervention elements were derived from Social Cognitive Theory20 and the earlier study, “Experiences of Recovery Following Sudden Cardiac Arrest.”21,22 Intervention goals were to assist patients and their partners to manage physical symptoms, resume activities of daily living and exercise, manage anxiety and depression, prepare for ICD shocks and management, and understand when to activate the emergency medical system.
Multisymptom Profile Predicts Increased Risk of Poor Outcomes After Initial Placement of Implantable Cardioverter Defibrillator
2020, Journal of Pain and Symptom ManagementCitation Excerpt :Stratification was used to ensure study groups balanced by ICD indication and to control for the possibility that comorbidity profiles may influence intervention effectiveness. Elements for each intervention were derived from Social Cognitive Theory17 and from the earlier study, “Experiences of Recovery Following Sudden Cardiac Arrest.”18,19 Intervention goals included management of physical symptoms, resumption of activities of daily living and exercise, management of anxiety and depression, preparation for ICD shocks and management, gathering of ICD care information, and understanding when to activate the emergency medical system.
European Resuscitation Council and European Society of Intensive Care Medicine Guidelines for Post-resuscitation Care 2015. Section 5 of the European Resuscitation Council Guidelines for Resuscitation 2015.
2015, ResuscitationCitation Excerpt :Give active information on the potential non-cardiac consequences of a cardiac arrest including cognitive impairment, emotional problems and fatigue. Other topics that can be addressed include heart disease, ICDs, regaining daily activities, partner relationships and sexuality, dealing with health care providers and caregiver strain.365 It is best to combine written information with the possibility for personal consultation.
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Supported by a National Research Service Award, National Institute for Nursing Research, #F32NRO6537, and Hester McLaws Scholarship Funds from University of Washington School of Nursing.
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Reprint requests: Cynthia M. Dougherty, PhD, ARNP, Research Assistant Professor, University of Washington School of Nursing, 1660 S Columbian Way, Mailstop (S-111-PC), Box 358280, Seattle, WA 98108-1597.