کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2651136 1139441 2016 5 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Patients' decision making process and expectations of a left ventricular assist device pre and post implantation
ترجمه فارسی عنوان
فرآیند تصمیم گیری بیماران و انتظارات یک دستگاه کمک کننده بطن چپ قبل و بعد از لانه گزینی
کلمات کلیدی
نارسایی قلبی؛ تصمیم سازی؛ دستگاه کمک بطنی؛ مراقبت تسکین دهنده؛ کیفی طولی
Heart failure; Decision making; Ventricular assist device; Palliative care; Qualitative; Longitudinal
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

ObjectivesTo examine patients' pre-implantation decision-making and pre and post-implantation expectations of left ventricular assist devices (LVADs).BackgroundLVADs have been shown to improve both quantity and quality of life of patients living with Stage D heart failure (HF). However, they also pose significant risks.Methods15 LVAD participants followed in a longitudinal study of Stage D HF patients were included in this thematic analysis.ResultsThree themes were identified: no choice; I thought I would be doing better; I feel good, but now what. Evidence from pre-implantation to post-implantation suggested that patients' perceived expectations of quality of life improvement were not met.ConclusionsIn light of their declining health, most patients felt their only alternative to implantation was death. In the post-implantation period, patients expected greater improvements in their quality of life. Evidence based guidelines for discussions of goals of care, post-implant expectations, and palliative care are necessary.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Heart & Lung: The Journal of Acute and Critical Care - Volume 45, Issue 2, March–April 2016, Pages 95–99
نویسندگان
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