Study on Recipients' Experience of Adapting to Permanent Pacemakers

영구적 인공심박동기 이식자의 적응 경험

  • Han, Sun Hee (Presbyterian Medical Center) ;
  • Kang, Jeong Hee (College of Nursing, Research Institute of Nursing Science, Chonbuk National University)
  • 한순희 (예수병원) ;
  • 강정희 (전북대학교 간호대학, 간호과학연구소)
  • Received : 2018.05.23
  • Accepted : 2018.08.13
  • Published : 2018.10.31

Abstract

Purpose : This study develops a substantive theory on the recipients' experience of adapting to a permanent pacemaker. Method : The study used the grounded theory method developed by Strauss and Corbin (1998). The participants of the study were 13 adults who had received a permanent pacemaker during the previous year. The study addressed the research question "what is the experience of adaptation in people who had received permanent pacemakers?" From October 2016 to March 2017, data were collected from the participants through in-depth interviews. Results : The core category indicating the essence of the adaptation experience was shown to be "accepting the pacemaker as part of my body and living in line with it." Conclusions : In nursing practice, the results of this study will assist nurses in improving their communications with and developing guidelines or interventions for their clients who have received permanent pacemakers. In the field of nursing education, this study is expected to provide a framework to understand the experiences of future nurses and other healthcare workers working with permanent pacemaker recipients.

Keywords

References

  1. Aileen, M. F. (2015). Cardiac implantable electronic device: What you to know in critical care nursing practice. AACN Advanced Critical Care, 26 (4), 309-311. https://doi.org/10.1097/NCI.0000000000000115
  2. Ali, N. S., Youssef, W., Mohamed, A., & Hussein, A. (2015). Nurse's knowledge and practice regarding implantable cardiac devices in Egypt. British Journal of Cardiac Nursing, 10 (1), 34-40. https://doi.org/10.12968/bjca.2015.10.1.34
  3. Baddour, L. M., Epstein, A. E., Erickson, C. C., Knight, B. P., Levison, M. E., Lockhart, P. B., . . . The Interdisciplinary Council on Quality of Care and Outcomes Research. (2010). Update on cardiovascular implantable electronic device infections and their management: A scientific statement from the American Heart Association. Circulation, 121 (3), 458-477. https://doi.org/10.1161/CIRCULATIONAHA.109.192665
  4. Boyle, J., & Rost, M. K. (2000). Present status of cardiac pacing: A nursing perspective. Critical Care Nursing Quarterly, 23 (1), 1-19. https://doi.org/10.1097/00002727-200005000-00002
  5. Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory (3rd ed.). Los Angeles, CA: Sage Publications Inc.
  6. Davis, L. L., Vitale, K. A., Irmiere, C. A., Hackney, T. A., Belew, K. M., Chikowski, A. M., . . . Lamas, G. A. (2004). Body image changes associated with dual-chamber pacemaker insertion in women. Heart & Lung, 33 (5), 273-280. https://doi.org/10.1016/j.hrtlng.2004.04.005
  7. Duru, F., Buchi, S., Klaghofer, R., Mattmann, H., Senscy, T., Buddeberg, C., & Candinas, R. (2001). How different from pacemaker patients are recipients of implantable cardioverter-defibrillators with respect to psychosocial adaptation, affective disorders, and quality of life? Heart, 85 (4), 375-379. https://doi.org/10.1136/heart.85.4.375
  8. Dyrda, K., & Khairy, P. (2008). Implantable rhythm devices and electromagnetic interference: Math or reality? Expert Review of Cardiovascular Therapy, 6 (6), 823-832. https://doi.org/10.1586/14779072.6.6.823
  9. Earley, A., Persson, R., Garlitski, A. C., Balk, E. M., & Uhlig, K. (2014). Effectiveness of implantable cardioverter defibrillators for primary prevention of sudden cardiac death in subgroups: A systematic review. Annals of Internal Medicine, 160 (2), 111-121. https://doi.org/10.7326/M13-1787
  10. Greenspon, A. J., Patel, J. D., Lau, E., Ochoa, J. A., Frisch, D. R., Ho, R. T., . . . Kurtz, S. M. (2011). 16-year trends in the infection burden for pacemakers and implantable cardioverter-defibrillators in the United States 1993 to 2008. Journal of the American College of Cardiology, 58(10), 1001-1006. https://doi.org/10.1016/j.jacc.2011.04.033
  11. Ha, J. H. (2017). Knowledge and educational needs related to permanent pacemaker in hospital nurses (Unpublished master's thesis). Ewha Womans University, Seoul, Korea.
  12. Hwang, Y. Y. (2001). The lived experience of Korean recipient with permanent cardiac pacemaker (Unpublished doctoral dissertation). Chung-Ang University, Seoul, Korea.
  13. Jun, J. M. (2003). A case study on the concept of family (Unpublished master's thesis). Sungshin Women's University, Seoul, Korea.
  14. Kang, D., & Yang, J. (2016). Adaptation experience of living kidney donors after donation. Journal of Korean Academy of Nursing, 46 (2), 271-282. https://doi.org/10.4040/jkan.2016.46.2.271
  15. Kim, J. B. (2011). Diagnosis and treatment of cardiac arrhythmias. The Journal of Kyung Hee University, 27 (1), 9-16.
  16. Kimberly, S. (2010). Systemic assessment of basic pacemaker. AACN Advanced Critical Care, 21 (3), 322-328. https://doi.org/10.1097/NCI.0b013e3181e6e104
  17. Lee, E. H., Song, Y. S., Chun, J. S., Oh, K. S., Lee, W. H., & Lee, Y. H. (2004). Quality of life in cancer patients: Grounded theory. Asian Oncology Nursing, 4 (1), 71-81.
  18. Lee, S. M. (2015). Adaptation experiences of implantable cardioverter defibrillator (ICD) recipients (Unpublished master's thesis). Seoul National University, Seoul, Korea.
  19. Malm, D., & Hallberg, L, R. (2006). Patients' experiences of daily living with a pacemaker: A grounded theory study. Journal of Health Psychology, 11 (5), 787-798. https://doi.org/10.1177/1359105306066642
  20. Malm, D., & Sandgren, A. (2014). Regaining normalcy in relatives of patients with a pacemaker. Open Journal of Nursing, 4, 139-149. https://doi.org/10.4236/ojn.2014.43018
  21. Park, E. J., Kim, Y. H., & Son, H. M. (2015). Adaptation experience among hemodialysis of women with end-stage renal disease. Korean Journal of Adult Nursing, 27 (5), 493-504. https://doi.org/10.7475/kjan.2015.27.5.493
  22. Park, M. J. (2006). The elements of happy families and it's meaning. Family and Culture, 18 (4), 183-205.
  23. Ross, R. A., & Kenny, R. A. (2000). Pacemaker syndrome in older people. Age and Aging, 29 (1), 13-15. https://doi.org/10.1093/ageing/29.1.13
  24. Statistics Korea. (2017). Cause of death in 2016. Retrieved January 19, 2018, from http://www.kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?pageNo=1
  25. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory (2nd ed.). Thousand Oaks, CA: Sage Publications Inc.
  26. The Korea Heart Foundation. (2017). Current state of heart surgery in 2016. Retrieved January 19, 2018, from https://www.heart.or.kr/korean/board/board_renew.php?sa=view&bid=23&sno=13108
  27. Yoon, S. Y. (2005). Symptom experience and quality of life in patients with implantable pacemaker (Unpublished master's thesis). Yonsei University, Seoul, Korea.
  28. Wadas, T. (2005). The implantable hemodynamic monitoring system. Critical Care Nursing, 25 (5), 14-16.