کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2650390 1139380 2015 6 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Perspectives from mechanical circulatory support coordinators on the pre-implantation decision process for destination therapy left ventricular assist devices
ترجمه فارسی عنوان
دیدگاه هایی از هماهنگ کننده پشتیبانی گردش خون مکانیکی در پروسه تصمیم گیری قبل از پیوند برای دستگاه های کمکی بطن چپ درمان انتزاعی
کلمات کلیدی
دستگاه کمک قلب؛ نارسایی قلبی؛ کیفیت زندگی مرتبط با سلامت؛ مراقبت از بیمار؛ درمان درمانی مقصد، حمایت از مکانیسم گردش خون؛ DT، مقصد درمان؛ LVAD، دستگاه کمکی بطن چپ
Heart-assist device; Heart failure; Health-related quality of life; Patient-centered care; Destination therapyMCS, mechanical circulatory support; DT, destination therapy; LVAD, left ventricular assist device
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی


• There is high programmatic variability in how DT LVAD decisions are approached.
• DT LVAD is a major patient-centered decision.
• The DT LVAD decision benefits from an iterative and multidisciplinary process.
• There is a central tension between conveying detail yet not overwhelming patients.

ObjectiveTo understand mechanical circulatory support (MCS) coordinators' perspectives related to destination therapy left ventricular assist devices (DT LVAD) decision making.BackgroundMCS coordinators are central to the team that interacts with patients considering DT LVAD, and are well positioned to comment upon the pre-implantation process.MethodsFrom August 2012 to January 2013, MCS coordinators were recruited to participate in semi-structured, in-depth interviews. Established qualitative approaches were used to analyze and interpret data.ResultsEighteen MCS coordinators from 18 programs were interviewed. We found diversity in coordinators' roles and high programmatic variability in how DT LVAD decisions are approached. Despite these differences, three themes were consistently recommended: 1) DT LVAD is a major patient-centered decision: “you're your best advocate… this may not be the best choice for you”; 2) this decision benefits from an iterative, multidisciplinary process: “It is not a one-time conversation”; and 3) this process involves a tension between conveying enough detail about the process yet not overwhelming patients: “It's sometimes hard to walk that line to not scare them but not paint a rainbow and butterflies picture.”ConclusionsMCS coordinators endorsed a shared decision-making process that starts early, uses non-biased educational materials, and involves a multidisciplinary team sensitive to the tension between conveying enough detail about the therapy yet not overwhelming patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 44, Issue 3, May–June 2015, Pages 219–224
نویسندگان
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