“Doubtful accepting”: A grounded theory study of living with cardiac resynchronization therapy

Heart failure is associated with low quality of life and a high mortality rate. There is limited information about patients' experiences of living with cardiac resynchronization therapy (CRT). In the present study, we sought to explore the process of living with CRT defibrillator. This qualitat...

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Bibliographic Details
Published in:Nursing & health sciences 2018-12, Vol.20 (4), p.516-522
Main Authors: Dehghanzadeh, Shadi, Dehghan Nayeri, Nahid, Varaei, Shokoh
Format: Article
Language:English
Subjects:
Acceptance
Adaptation, Psychological
Adult
Aged
Aged, 80 and over
cardiac resynchronization therapy
Cardiac Resynchronization Therapy - psychology
Cardiac Resynchronization Therapy - standards
Coping
Coping strategies
Defibrillators
Disease management
Empowerment
Female
Frustration
Grounded Theory
Health behavior
Heart failure
Heart Failure - complications
Heart Failure - psychology
Heart Failure - surgery
Humans
Interviews as Topic - methods
Iran
Male
Middle Aged
Mortality rates
Nursing
Patient satisfaction
Qualitative Research
qualitative study
Quality of care
Quality of life
Transplants & implants
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Summary:Heart failure is associated with low quality of life and a high mortality rate. There is limited information about patients' experiences of living with cardiac resynchronization therapy (CRT). In the present study, we sought to explore the process of living with CRT defibrillator. This qualitative study was completed from December 2014 to April 2016 using a grounded theory approach. Twenty semistructured interviews were held with 17 patients with heart failure. Data analysis was done via a previously‐published approach. The core category of the process of living with the device is “doubtful accepting”. This process includes three sequential phases: losing integrity, attempting to cope with the device, and coexisting. The process takes place in a context of barriers and facilitators, and results in a wide spectrum of outcomes, from frustration to empowerment. Nurses' awareness of this process can help them provide higher quality care, strengthen facilitators and reduce barriers to the process, and enable patients to effectively use coping strategies.
ISSN:1441-0745
1442-2018
DOI:10.1111/nhs.12547