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Domínguez D JF, Truong J, Burnett J, Satyen L, Akhlaghi H, Stella J, Rushworth N, Caeyenberghs K. Effects of the Response to the COVID-19 Pandemic on Assault-Related Head Injury in Melbourne: A Retrospective Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:63. [PMID: 36612383 PMCID: PMC9819794 DOI: 10.3390/ijerph20010063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 12/13/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Assault is the leading preventable cause of death, traumatic brain injury (TBI), and associated mental health problems. The COVID-19 pandemic has had a profound impact on patterns of interpersonal violence across the world. In this retrospective cross-sectional study, we analysed medical records of 1232 assault victims (domestic violence: 111, random assault: 900, prison assault: 221) with head injuries who presented to the emergency department (ED) at St Vincent's Hospital in Melbourne, Australia, a city with one of the longest and most severe COVID-19 restrictions worldwide. We examined changes in prevalence in the assault group overall and in domestic violence, random assault, and prison assault victims, comparing data from 19.5 months before and after the first day of COVID-19 restrictions in Melbourne. Moreover, we investigated differences driven by demographic factors (Who: age group, sex, and nationality) and clinical variables (Where: assault location, and When: time of arrival to the ED and time from moment of injury until presentation at ED). Descriptive statistics and chi-square analyses were performed. We found the COVID-19 pandemic significantly affected the Where of assault-related TBI, with a shift in the location of assaults from the street to the home, and the increase at home being driven by random assaults on middle-aged adults. Overall, we observed that 86% of the random assault cases were males, whereas 74% of the domestic assault cases were females. Meanwhile, nearly half (44%) of the random assault victims reported alcohol consumption versus a fifth (20%) of domestic violence victims. These findings will have direct implications for developing screening tools and better preventive and ameliorative interventions to manage the sequelae of assault TBI, particularly in the context of future large-scale health crises or emergencies.
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Affiliation(s)
- Juan F Domínguez D
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC 3220, Australia
| | - Johnny Truong
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC 3220, Australia
| | - Jake Burnett
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC 3220, Australia
| | - Lata Satyen
- School of Psychology, Deakin University, Burwood, VIC 3125, Australia
| | - Hamed Akhlaghi
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC 3220, Australia
- Department of Emergency Medicine, St. Vincent’s Hospital, Melbourne, VIC 3065, Australia
| | - Julian Stella
- Department of Emergency Medicine, Geelong Hospital, Geelong, VIC 3220, Australia
| | | | - Karen Caeyenberghs
- Cognitive Neuroscience Unit, School of Psychology, Deakin University, Geelong, VIC 3220, Australia
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2
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Lunde CE, Fisher E, Donovan E, Serbic D, Sieberg CB. Cutting the cord? Parenting emerging adults with chronic pain. PAEDIATRIC & NEONATAL PAIN 2022; 4:136-147. [PMID: 36188158 PMCID: PMC9485821 DOI: 10.1002/pne2.12072] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 12/08/2021] [Accepted: 01/11/2022] [Indexed: 01/12/2023]
Abstract
The role of parent factors, such as distress and protective behaviors, on pain and functional outcomes of emerging adults living with chronic pain has been largely unexplored. The effects of helicopter parenting and developmental changes occurring during this transition period between adolescence and adulthood (commonly defined as the ages between 18 and 30 years) may exacerbate the pain experience and have the potential to influence chronic pain management. Clinical practice, with an additional focus on supporting the parent(s), may aid in meeting the needs of this population. In this paper, we review the available literature on (a) the socio-cultural shift in parenting over the past decade with a focus on helicopter parenting; (b) the impact of this parenting style on the pain experience and outcomes of emerging adults living with chronic pain; (c) provide recommendations for chronic pain management with a focus on the parent-emerging adult dyad; and (d) conclude with future research recommendations. This narrative review is the first to consider the impacts and outcomes of helicopter parenting on emerging adults with chronic pain.
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Affiliation(s)
- Claire E. Lunde
- Biobehavioral Pediatric Pain LabDepartment of Psychiatry and Behavioral SciencesBoston Children's HospitalBostonMassachusettsUSA,Pain and Affective Neuroscience CenterDepartment of Anesthesiology, Critical Care, & Pain MedicineBoston Children's HospitalBostonMassachusettsUSA,Nuffield Department of Women's & Reproductive HealthOxford UniversityOxfordUK
| | - Emma Fisher
- Centre for Pain ResearchUniversity of BathBathUK,Cochrane Pain, Palliative, and Supportive Care Review GroupsOxford University HospitalsOxfordUK
| | | | - Danijela Serbic
- Department of PsychologyRoyal HollowayUniversity of LondonEghamUK
| | - Christine B. Sieberg
- Biobehavioral Pediatric Pain LabDepartment of Psychiatry and Behavioral SciencesBoston Children's HospitalBostonMassachusettsUSA,Pain and Affective Neuroscience CenterDepartment of Anesthesiology, Critical Care, & Pain MedicineBoston Children's HospitalBostonMassachusettsUSA,Department of PsychiatryHarvard Medical SchoolBostonMassachusettsUSA
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3
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OUP accepted manuscript. Eur J Cardiovasc Nurs 2022; 21:677-686. [DOI: 10.1093/eurjcn/zvab135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Revised: 06/24/2021] [Accepted: 12/22/2021] [Indexed: 11/13/2022]
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4
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Christie M, Coyne E, Mitchell M. The educational experiences and needs of patients with an internal cardiac defibrillator: An interpretive phenomenological study. Collegian 2021. [DOI: 10.1016/j.colegn.2020.09.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Pike A, Dobbin-Williams K, Swab M. Experiences of adults living with an implantable cardioverter defibrillator for cardiovascular disease: a systematic review of qualitative evidence. JBI Evid Synth 2021; 18:2231-2301. [PMID: 32813405 DOI: 10.11124/jbisrir-d-19-00239] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
OBJECTIVE The objective of this review was to synthesize the best available qualitative evidence on the everyday life experiences of adults living with an implantable cardioverter defibrillator for cardiovascular disease. INTRODUCTION Cardiovascular disease is a rising concern worldwide. The efficacy of the implantable cardioverter defibrillator as a successful treatment for cardiovascular disease has been well documented. Research suggests that living with an implantable cardioverter defibrillator is complex and can cause substantial psychosocial distress that can manifest itself at various intervals over time. The first step to developing evidence-based recommendations related to the management of implantable cardioverter defibrillator-related distress is a critical appraisal and synthesis of relevant literature to gain a more comprehensive understanding of this phenomenon. INCLUSION CRITERIA The participants of interest were adults 18 years or older who had an implantable cardioverter defibrillator for the management of cardiovascular disease (e.g. ischemic heart disease, angina, cardiomyopathy, myocardial infarction, congenital defect, arrhythmias, heart failure). The phenomenon of interest was the everyday life experience of adults living with an implantable cardioverter defibrillator. The review considered all qualitative research related to the phenomenon of interest. METHODS Key databases searched were PubMed, CINAHL, PsycINFO, Embase, International Bibliography of the Social Sciences, Sociological Abstracts, OpenGrey, MedNar, ProQuest Dissertations and Theses Global, Google, and Google Scholar. Published and unpublished papers and articles from 1990 to July 2018 were included in the search. The JBI approach to critical appraisal, study selection, data extraction, and synthesis for qualitative research was used throughout the review. RESULTS Twenty-seven papers were included in the review that yielded 143 findings and 13 categories. The methodological quality of the 27 included studies was moderate to strong. Based on ConQual scores, confidence in the synthesized findings was moderate. From this, three synthesized findings were extracted: i) living under the shadow of uncertainty, ii) orchestrating a new normal, and iii) crafting a positive vision for the future. CONCLUSIONS Evidence suggests that while implantable cardioverter defibrillator recipients do experience psychosocial distress, they gradually positively embrace the device as part of their everyday norm. Recommendations for practice and education point to the further development of best practice guidelines for implantable cardioverter defibrillator management, continuing education programs for health care providers, and strategies to support implantable cardioverter defibrillator recipients and their families to cope with the device. Research that examines onset, level, and duration of implantable cardioverter defibrillator psychosocial distress is needed to target specific interventions reflective of this population's needs. While findings suggest the experiences of women living with an implantable cardioverter defibrillator are similar to men, the low number of women in included studies limits the strength of this conclusion.
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Affiliation(s)
- April Pike
- Memorial University of Newfoundland, Faculty of Nursing, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Karen Dobbin-Williams
- Memorial University of Newfoundland, Faculty of Nursing, St. John's, NL, Canada.,Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada
| | - Michelle Swab
- Memorial University Faculty of Nursing Collaboration for Evidence-Based Nursing and Primary Health Care: A JBI Affiliated Group, St. John's, NL, Canada.,Memorial University of Newfoundland, Health Sciences Library, St. John's, NL, Canada
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Nesselroth D, Klang E, Soffer S, Druskin E, Barash Y, Hoffmann C, Konen E, Zimlichman E. Yield of head CT for acute findings in patients presenting to the emergency department. Clin Imaging 2020; 73:1-5. [PMID: 33246274 DOI: 10.1016/j.clinimag.2020.11.025] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 10/14/2020] [Accepted: 11/11/2020] [Indexed: 01/31/2023]
Abstract
OBJECTIVES The aim of our study was to evaluate the yield of head CT in the ED in different age groups and different referral indications. PATIENTS AND METHODS Records of one large academic tertiary care ED were retrospectively reviewed for consecutive adult patients who underwent a head CT between January 1st 2017 and February 10th 2017. CT referral forms and interpretations were obtained and evaluated for demographics, referral indications, and findings. Scans were divided into three groups: acute findings, chronic findings, and normal. The cohort was divided into three age groups. Associations between referral indications and acute findings were calculated. RESULTS Overall, 1536 of adult patients with ED head CT were included. Acute findings were found in 239/1536 (15.5%) of the CTs. The frequency of acute findings increased with age (p = 0.027). The most common acute findings were brain hemorrhage (32.6%), infarct (27.6%), and mass (23%). The top three referral indications were focal neurologic deficit (28%), trauma (24.7%), and headache (17.5%). The rates of positive acute findings for different referral indications were seizure 27%, confusion 20%, syncope 19%, focal neurologic deficit 16%, head injury 15%, headache 12%, and dizziness 8%. CONCLUSION This study shows the yield of ED head CT for acute findings for different age groups and for different referral indications. The frequency of acute findings increased with age. Suspected seizure had the highest association with an acute finding, whereas dizziness had the lowest association.
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Affiliation(s)
- Dafna Nesselroth
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel
| | - Eyal Klang
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; Department of Diagnostic Imaging, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel; DeepVision Lab, The Chaim Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel
| | - Shelly Soffer
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; DeepVision Lab, The Chaim Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel.
| | - Evgeni Druskin
- Department of Diagnostic Imaging, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel
| | - Yiftah Barash
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; Department of Diagnostic Imaging, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel; DeepVision Lab, The Chaim Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel
| | - Chen Hoffmann
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; Department of Diagnostic Imaging, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel
| | - Eli Konen
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; Department of Diagnostic Imaging, Sheba Medical Center, Emek HaEla St 1, Ramat Gan, Israel
| | - Eyal Zimlichman
- Sackler School of Medicine, Tel Aviv University, Einstein St 68, Tel Aviv, Israel; The Chaim Sheba Medical Center, Tel Hashomer, Hospital Management, Ramat Gan, Israel
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Rosi IM, Bombardieri F, Steri D, Sternativo M, Rancati S. "Those Plates That Save Me": Experiences of Italian Patients With Implantable Cardioverter Defibrillator. Clin Nurs Res 2020; 30:616-624. [PMID: 33103473 DOI: 10.1177/1054773820968036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
This study aimed to investigate and understand the experiences and feelings lived by people with an ICD. Qualitative study, semi-structured interviews were conducted with a sample of 16 patients, during the annual follow-up. A hermeneutical analysis of the interviews was carried out to identify the themes. Four main themes were classified: "My heart falls asleep," highlighting a reduced awareness of the pathology and ICD installation; "But what is this thing. . .?" underlining the lack of information and fears related to the device and its functioning; "I cannot hug the microwave" which describes the changes brought about by the surgery; "And with this one I am alright for the rest of my life", involving hopes and life expectations. This study highlighted the patients' need for major support from health professionals while processing their new life conditions.
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Affiliation(s)
- Ivana Maria Rosi
- Healthcare Professionals Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,University of Milan, Italy
| | - Francesca Bombardieri
- Healthcare Professionals Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Daniele Steri
- Healthcare Professionals Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Mimma Sternativo
- Healthcare Professionals Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Stefania Rancati
- Healthcare Professionals Department, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.,University of Milan, Italy
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Journiac J, Vioulac C, Jacob A, Escarnot C, Untas A. What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review. Front Psychol 2020; 11:1119. [PMID: 32733301 PMCID: PMC7358619 DOI: 10.3389/fpsyg.2020.01119] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2019] [Accepted: 04/30/2020] [Indexed: 12/23/2022] Open
Abstract
Background: Studies interested in patients coping with a cardiac illness usually focus on children, teenagers, and adults above the age of 55. Apart from the field of congenital heart diseases, there is a general lack of literature regarding young adult cardiac patients (18-55 years old) who seem to cope with psychosocial issues. Therefore, the objective of this paper was to gather all the research carried out concerning the psychological experiences of young adult cardiac patients. Methods and Results: A comprehensive, systematic review was conducted on quantitative, qualitative, and mixed-method studies in PsycINFO, PubMed, ScienceDirect, and Cochrane Library databases. Out of the 10,747 articles found, 32 were included. While we aimed to include many cardiac diseases, coronary patients dominated the data. Five main themes emerged: emotional states (depression, anxiety, emotional distress, and stress), quality of life (health-related quality of life, physical functioning, and sexuality), adjusting to the medical environment (coping with the disease, health behavior change, financial barriers, and interactions with medical professionals), social life (social support and work), and identity (parenthood, new challenges, and new meanings). The results highlighted that their levels of depression, anxiety, stress, and quality of life were sometimes worse than in the general population and than in older and younger patients coping with a cardiac illness. Social isolation, identity changes, work, and parenthood were the specific challenges that this population had to face. Furthermore, young adult cardiac patients showed worse health behavior profiles than the general population and felt that they lacked information from professionals, especially regarding sexuality. Compared to men, women had worse psychosocial outcomes, especially regarding depression, stress, emotional distress, and quality of life. Conclusions: Young adult cardiac patients are to be considered with their own identity and challenges. They may be in need of specific interventions, some dedicated to women, and better communication is necessary with their families and professional caregivers so as to improve the patient's mental health, quality of life, coping skills, and adherence.
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Affiliation(s)
| | | | - Anne Jacob
- Université de Paris, LPPS, Boulogne-Billancourt, France
| | | | - Aurélie Untas
- Université de Paris, LPPS, Boulogne-Billancourt, France
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Scaratti C, Zorzi G, Guastafierro E, Leonardi M, Covelli V, Toppo C, Nardocci N. Long term perceptions of illness and self after Deep Brain Stimulation in pediatric dystonia: A narrative research. Eur J Paediatr Neurol 2020; 26:61-67. [PMID: 32147411 DOI: 10.1016/j.ejpn.2020.02.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 12/30/2019] [Accepted: 02/18/2020] [Indexed: 01/26/2023]
Abstract
BACKGROUND Deep Brain Stimulation (DBS) is increasingly used in pediatric patients affected by isolated dystonia, with excellent results. Despite well documented long-term effects on motor functioning, information on quality of life and social adaptation is almost lacking. OBJECTIVES The present study aims to explore the experience of illness and the relation with the device in adult patients suffering from dystonia who underwent DBS surgery in pediatric age. METHODS A narrative inquiry approach was used to collect patients' narratives of their experience with dystonia and DBS stimulator. A written interview was administered to 8 patients over 18 years old with generalized isolated dystonia who had undergone pallidal DBS implantation in childhood. A thematic analysis was realized to examine the narratives collected. RESULTS Five main themes emerged: "relationship with the disease", "experience related to DBS procedure", "relationship with one's own body", "fears", "thoughts about future". Despite a general satisfaction in relation to DBS intervention, some patients expressed difficulties, such as the acceptance of changes in one's own body, concerns and fears regarding the device and the future, also considering the critical phase of transition from childhood to adulthood. CONCLUSIONS These results suggest that further research is needed to understand the contribution of psychological, as much as medical, aspects to the overall outcome of the intervention. The present explorative study encourages a deeper investigations of psychological aspects of patients, in order to plan a tailored care path and to decide whether to suggest a psychological support, both before and after the intervention.
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Affiliation(s)
- Chiara Scaratti
- Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Giovanna Zorzi
- Department of Paediatric Neurology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Erika Guastafierro
- Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
| | - Matilde Leonardi
- Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | | | - Claudia Toppo
- Neurology, Public Health, Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
| | - Nardo Nardocci
- Department of Paediatric Neurology, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy
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Palese A, Cracina A, Purino M, Urli N, Fabris S, Danielis M. The experiences of patients electrically shocked by an implantable cardioverter defibrillator: Findings from a descriptive qualitative study. Nurs Crit Care 2019; 25:229-237. [DOI: 10.1111/nicc.12424] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 01/28/2019] [Accepted: 02/07/2019] [Indexed: 01/03/2023]
Affiliation(s)
- Alvisa Palese
- Department of Medical SciencesUdine University Udine Italy
| | | | - Michela Purino
- Neonatal Intensive Care UnitAzienda Sanitaria Universitaria Integrata di Udine Udine Italy
| | - Nadia Urli
- Pediatric UnitAzienda per l'Assistenza Sanitaria Udine Italy
| | - Stefano Fabris
- Department of Medical SciencesUdine University Udine Italy
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Frydensberg VS, Skovbakke SJ, Pedersen SS, Kok RN. Body image concerns in patients with an implantable cardioverter defibrillator: A scoping review. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2018; 41:1235-1260. [DOI: 10.1111/pace.13421] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2018] [Revised: 05/14/2018] [Accepted: 06/10/2018] [Indexed: 12/13/2022]
Affiliation(s)
| | - Søren J. Skovbakke
- Department of Psychology; University of Southern Denmark; Odense Denmark
| | - Susanne S. Pedersen
- Department of Cardiology; Odense University Hospital; Odense Denmark
- Department of Psychology; University of Southern Denmark; Odense Denmark
| | - Robin N. Kok
- Department of Psychology; University of Southern Denmark; Odense Denmark
- Centre for Innovative Medical Technology; Odense University Hospital; Odense Denmark
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12
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Forman J, Baumbusch J, Jackson H, Lindenberg J, Shook A, Bashir J. Exploring the patients’ experiences of living with a subcutaneous implantable cardioverter defibrillator. Eur J Cardiovasc Nurs 2018; 17:698-706. [DOI: 10.1177/1474515118777419] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: The implantable cardioverter defibrillator provides effective treatment for the prevention of sudden cardiac arrest but significant risks associated with transvenous implantation persist. The subcutaneous implantable cardioverter defibrillator has proven to be an alternative and innovative treatment option for select patients to mitigate these risks. Obtaining the patients’ perspectives can provide clinicians with essential information to guide implant selection, procedural decision-making, and support patient management. Conventional implantable cardioverter defibrillator patients have reported shock-related anxiety, fear, insufficient education, and challenges adapting to physical and psychological changes. Little evidence exists to determine whether differences between the subcutaneous implantable cardioverter defibrillator and conventional implantable cardioverter defibrillator allow for the transferability of our current knowledge to the care and management of this population. Aims: The purpose of this study was to explore patients’ experiences of living with a subcutaneous implantable cardioverter defibrillator including the decision-making process, implant, and follow-up care processes. Methods: Using an exploratory qualitative approach, semi-structured interviews were conducted by telephone with 15 participants who underwent subcutaneous implantable cardioverter defibrillator implant. Results: Analysis revealed five main themes: (a) influences on decision-making; (b) unmet education needs; (c) physical impact; (d) psychological impact; and (e) recommendations. Conclusion: As a new technology, little knowledge of the subcutaneous implantable cardioverter defibrillator exists outside of the tertiary implanting sites, therefore developing new strategies to increase learning and dissemination is essential. Although similarities exist in our findings to those of conventional implantable cardioverter defibrillators, there are significant differences in the decision-making process and physical impact which require individualized care planning and development of strategies to provide a patient-centered approach to care.
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13
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Garrino L, Borraccino A, Peraudo E, Bobbio M, Dimonte V. “Hosting” an implantable cardioverter defibrillator: A phenomenological inquiry. Res Nurs Health 2017; 41:57-68. [DOI: 10.1002/nur.21842] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2017] [Accepted: 10/27/2017] [Indexed: 11/08/2022]
Affiliation(s)
- Lorenza Garrino
- Department of Public Health and Paediatrics; University of Torino; Torino Italy
| | - Alberto Borraccino
- Department of Public Health and Paediatrics; University of Torino; Torino Italy
| | | | - Marco Bobbio
- Department of Public Health and Paediatrics; University of Torino; Torino Italy
| | - Valerio Dimonte
- Department of Public Health and Paediatrics; University of Torino; Torino Italy
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14
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Magnusson P, Jonsson J, Mörner S, Fredriksson L. Living with hypertrophic cardiomyopathy and an implantable defibrillator. BMC Cardiovasc Disord 2017; 17:121. [PMID: 28490380 PMCID: PMC5424404 DOI: 10.1186/s12872-017-0553-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2016] [Accepted: 05/04/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND ICDs efficiently terminate life-threatening arrhythmias, but complications occur during long-term follow-up. Patients' own perspective is largely unknown. The aim of the study was to describe experiences of hypertrophic cardiomyopathy (HCM) patients with implantable defibrillators (ICDs). METHODS We analyzed 26 Swedish patient interviews using hermeneutics and latent content analysis. RESULTS Patients (aged 27-76 years) were limited by HCM especially if it deteriorates into heart failure. The ICD implies safety, gratitude, and is accepted as a part of the body even when inappropriate ICD shocks are encountered. Nobody regretted the implant. Both the disease and the ICD affected professional life and leisure time activities, especially at younger ages. Family support was usually strong, but sometimes resulted in overprotection, whereas health care focused on medical issues. Despite limitations, patients adapted, accepted, and managed challenges. CONCLUSION HCM patients with ICDs reported good spirit and hope even though they had to adapt and accept limitations over time.
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Affiliation(s)
- Peter Magnusson
- Cardiology Research Unit, Department of Medicine, Karolinska Institutet, Karolinska University Hospital/Solna, SE-171 76, Stockholm, Sweden. .,Centre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden.
| | - Jessica Jonsson
- Centre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden
| | - Stellan Mörner
- Department of Public Health and Clinical Medicine, Umeå University, SE-90187, Umeå, Sweden
| | - Lennart Fredriksson
- Centre for Research and Development, Uppsala University/Region Gävleborg, SE-801 87, Gävle, Sweden
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15
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Gallagher R, Potter E, Thomson Mangnall L, Ladak L, Gallagher P, Neubeck L. The power in being together for young adults who have heart disease - the photoshoot experience. Heart Lung 2017; 46:199-204. [PMID: 28366291 DOI: 10.1016/j.hrtlng.2017.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 02/12/2017] [Accepted: 02/16/2017] [Indexed: 12/01/2022]
Abstract
OBJECTIVES The study aimed to determine perceived motivations and benefits of photoshoot participation for young adults who have heart disease. BACKGROUND Feeling isolated and different can have lifelong affects on quality of life in heart disease survivors. Photoshoots, where people create a photographic image of themselves, promote positive interpretation of their cardiac illness experience, but participant experiences remain under-investigated. METHODS Young adult heart disease support group members completing a photoshoot were interviewed and data were thematically analyzed. RESULTS Seven females and one male aged 20-47 years participated. The main theme, People Like Me, emphasized feelings of being different, isolated and uncertain due to the heart disease. Other themes related to support gained from people who were not like them, gaining and providing support to their peers. The photoshoot enabled a highly valued collective feeling. CONCLUSIONS For young adult heart disease survivors, the photoshoot provides a fun, social opportunity to reduce isolation and share experiences.
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Affiliation(s)
- Robyn Gallagher
- Sydney Nursing School and Charles Perkins Centre, University of Sydney, Rm 2210, Lvl 2, Bld 17, Camperdown, NSW 2007, Australia; Faculty of Health, University of Technology, Sydney, 15 Broadway, Ultimo, NSW 2007, Australia.
| | - Ellen Potter
- Sydney Nursing School and Charles Perkins Centre, University of Sydney, Rm 2210, Lvl 2, Bld 17, Camperdown, NSW 2007, Australia
| | - Linda Thomson Mangnall
- Sydney Nursing School and Charles Perkins Centre, University of Sydney, Rm 2210, Lvl 2, Bld 17, Camperdown, NSW 2007, Australia; Cardiac Telemetry Unit, Sydney Adventist Hospital, 185 Fox Valley Rd Wahroonga, NSW 2076, Australia
| | - Laila Ladak
- Sydney Nursing School and Charles Perkins Centre, University of Sydney, Rm 2210, Lvl 2, Bld 17, Camperdown, NSW 2007, Australia
| | | | - Lis Neubeck
- Sydney Nursing School and Charles Perkins Centre, University of Sydney, Rm 2210, Lvl 2, Bld 17, Camperdown, NSW 2007, Australia; The George Institute of Global Health, Lvl 3, 50 Bridge St, Sydney, NSW 2000, Australia
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Ooi SL, He HG, Dong Y, Wang W. Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis. Health Qual Life Outcomes 2016; 14:160. [PMID: 27855698 PMCID: PMC5114828 DOI: 10.1186/s12955-016-0561-0] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Accepted: 11/09/2016] [Indexed: 01/30/2024] Open
Abstract
Background Sudden cardiac deaths have become a growing major public health concern that affects the world. Despite the various etiologies, life-threatening cardiac arrhythmias attribute the main cause of sudden cardiac deaths. Therefore in certain groups of high-risk patients, the Implantable Cardioverter Defibrillator (ICD) has been recommended as either a secondary or primary prophylactic method of prevention. Objective To summarise the perceptions of ICD recipients and provide an overview of their experiences with regards to the quality of life, coping strategies, and learning needs. Methods A systematic search was conducted using CINAHL, MEDLINE, PsycINFO, Scopus, Cochrane Library, and Web of Science. Primary research articles published from January 2005 to January 2016 that met the inclusion criteria were selected and assessed for methodological quality. Results Thirty-nine articles consisting of 16 qualitative studies, 22 quantitative studies, and 1 mixed methods study were included for the meta-synthesis. Findings extracted from these studies were grouped into eight subthemes with ‘living the ICD experience: a constant process of redefining oneself’ emerging as an over-arching theme. Conclusion This review provides insight into the perspectives and experiences of ICD recipients. Current evidence highlights the need for healthcare professionals to improve future care standards and develop a patient-centric holistic program that meets the specific needs of ICD recipients. Moreover, future studies are required to address the research gaps identified and also explore the perceptions of patients living with ICD in the Asian context.
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Affiliation(s)
- Sim Leng Ooi
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD 11,10 Medical Drive, Singapore, Singapore
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD 11,10 Medical Drive, Singapore, Singapore
| | - Yanhong Dong
- Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Level 2, Clinical Research Centre, Block MD 11,10 Medical Drive, Singapore, Singapore.
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Abbasi M, Negarandeh R, Norouzadeh R, Shojae Mogadam AR. The Challenges of Living With an Implantable Cardioverter Defibrillator: A Qualitative Study. IRANIAN RED CRESCENT MEDICAL JOURNAL 2016; 18:e25158. [PMID: 28180011 PMCID: PMC5286446 DOI: 10.5812/ircmj.25158] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Revised: 06/15/2015] [Accepted: 07/20/2015] [Indexed: 01/09/2023]
Abstract
BACKGROUND Dysrhythmia is one of the most common causes of sudden cardiac death worldwide. An implantable cardioverter defibrillator is the most effective method of treatment for dysrhythmias causing cardiac arrest. However, living with an implantable cardioverter defibrillator is associated with challenges such as fear, anxiety, and depression. OBJECTIVES The purpose of this study was to identify the challenges of living with an implantable cardioverter defibrillator. PATIENTS AND METHODS In this qualitative study, an interpretive phenomenological approach was used, with thirteen participants (seven men and six women) between the ages of 21 and 70 years old (mean = 58.15, SD = 14.4). The duration of having an implantable cardioverter defibrillator was 1 - 120 months (mean = 23.15, SD = 33.31). Maximum variation sampling was used to purposefully select the participants from the governmental Imam Khomeini hospital in Tehran, Iran, between May and October of 2013. Semi-structured interviews were conducted for 30 to 45 minutes, and Van Manen's six-step method was used in this study. RESULTS The challenges of living with an implantable cardioverter defibrillator include: living with fear, concerns about the future, concerns about device malfunction, fearing death during the shock, pain due to the shock, loss of control, the cost of the device, and the lifestyle limitations. CONCLUSIONS Patients who live with implantable cardioverter defibrillators face many concerns and challenges. Therefore, the role of nurses in teaching patients before and after implementation is very important.
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Affiliation(s)
- Mohammad Abbasi
- School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, IR Iran
| | - Reza Negarandeh
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, IR Iran
- Corresponding Author: Reza Negarandeh, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St., Tohid Sq, P. O. Box: 1419733171, Tehran, IR Iran. Tel: +98-2166421685, Fax: +98-2166418580, E-mail:
| | - Reza Norouzadeh
- School of Nursing and Midwifery, Shahed University, Tehran, IR Iran
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Living with an implantable cardioverter defibrillator: The patients' experience. Heart Lung 2016; 45:34-40. [DOI: 10.1016/j.hrtlng.2015.10.001] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2015] [Revised: 10/09/2015] [Accepted: 10/11/2015] [Indexed: 11/24/2022]
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Sweeting J, Ingles J, Ball K, Semsarian C. Challenges of exercise recommendations and sports participation in genetic heart disease patients. ACTA ACUST UNITED AC 2015; 8:178-86. [PMID: 25691687 DOI: 10.1161/circgenetics.114.000784] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Affiliation(s)
- Joanna Sweeting
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Jodie Ingles
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Kylie Ball
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.)
| | - Christopher Semsarian
- From the Agnes Ginges Centre for Molecular Cardiology, Centenary Institute, Newtown, NSW, Australia (J.S., J.I., C.S.); Sydney Medical School, University of Sydney, Sydney, NSW, Australia (J.S., J.I., C.S.); Centre for Physical Activity and Nutrition Research, Deakin University, Melbourne, Australia (K.B.); and Department of Cardiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia (C.S.).
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Pasyar N, Sharif F, Rakhshan M, Nikoo M, Navab E. Iranian Patients' Experiences of the Internal Cardioverter Defibrillator Device Shocks: a Qualitative Study. J Caring Sci 2015; 4:277-86. [PMID: 26744727 PMCID: PMC4699505 DOI: 10.15171/jcs.2015.028] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2015] [Accepted: 06/25/2015] [Indexed: 11/09/2022] Open
Abstract
Introduction: Implantable Cardioverter Defibrillator (ICD)
is a valuable treatment for the patients at risk of sudden cardiac death. In this method,
after diagnosis of pathological cardiac rhythms, shock is automatically applied to
normalize the rhythms. Shock is discharged when the patients are conscious, but the
patients’ experiences of shock have remained unknown. Thus, this study aimed to identify
and describe the patients’ experiences of shocks received from ICD. Methods: The present qualitative study was conducted through
thematic analysis and semi-structured interviews on 9 patients mean age 41.55 (1.57) with
ICD from November 2013 to July 2014. Data analysis was also performed simultaneously using
constant comparative analysis. Results: In this study, two main themes, namely "with a
parachute for life" and "Faced with nuisance", were obtained representing the patients’
experiences regarding ICD shock. With a parachute for life included subthemes, such as
"Rebirth", "Comforter and healing", and "Life assurance". In addition, "Faced with
nuisance" consisted of 2 subthemes of "Discomfort in moments of shock" and "Displeasure
after shock". Conclusion: This study provided a basis for evaluation of
patients nursing after discharge. By identification of the patients’ experiences regarding
shock, the present study can help the professional health staff to efficiently play their
roles and provide patients with holistic care. It can also be effective in designing
behavioral and cognitive interventional programs to change the patients’ attitude and
promote their adaptation with their conditions.
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Affiliation(s)
- Nilofar Pasyar
- Department of Medical Surgical Nursing, Student Research Committee, School of Nursing and Midwifery , Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farkhondeh Sharif
- Department of Psychiatric Nursing, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahnaz Rakhshan
- Department of Medical Surgical Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Nikoo
- Department of Cardiology, Cardiovascular Research Center, School of Medicine , Shiraz University of Medical Sciences, Shiraz, Iran
| | - Elham Navab
- Department of Critical Care Nursing and Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Palacios-Ceña D, Losa-Iglesias ME, Salvadores-Fuentes P, Alonso-Blanco C, Fernández-de-las-Peñas C. Experience of elderly Spanish men with an implantable cardioverter-defibrillator. Geriatr Gerontol Int 2011; 11:320-7. [DOI: 10.1111/j.1447-0594.2010.00689.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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