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Bakom varje patient med implanterbar defibrillator finns en person som lever med risk för arytmi: en litteraturöversikt om faktorer som påverkar livskvaliteten hos personer med ICD
Sophiahemmet University.
Sophiahemmet University.
2021 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Behind every patient with an implantable cardioverter defibrillator is a person living with risk of arrythmia : a literature review about factors that affect quality of life in persons with an ICD (English)
Abstract [sv]

En del kardiovaskulära händelser kan leda till plötsligt hjärtstopp orsakat av en livshotande arytmi. Idag erbjuds dessa patienter en ICD som visat sig öka överlevnaden och ger patienten en möjlighet till ett fortsatt aktivt liv. Trots att ICD:n ger patienten goda förutsättningar att leva som vanligt finns en överhängande oro och rädsla som kan ge en negativ påverkan på livskvaliteten.

Syftet var att undersöka vilka faktorer som påverkar livskvaliteten hos personer med ICD.

En litteraturöversikt med systematisk metod användes där 17 artiklar inkluderades och analyserades med integrerad metod. Artiklarna hämtades från databaserna CINAHL och PubMed med hjälp av sökorden Implantable Cardioverter Defibrillator och Quality of Life. Endast kvantitativa artiklar publicerad mellan 2010-2020 inkluderades.

I resultatet identifierades fem kategorier av faktorer som påverkar livskvalitet hos personer med en implanterbar defibrillator. Dessa var personrelaterade faktorer, terapirelaterade faktorer, vårdrelaterade faktorer, tidsrelaterade faktorer och devicerelaterade faktorer.

Slutsatsen blev att livskvaliteten hos personer med en implanterbar defibrillator påverkas av många olika faktorer och att denna patientgrupp därför har mycket att vinna på att få personcentrerad vård. Exempelvis visade det sig att män och kvinnor kan gynnas olika mycket av interventioner såsom fysisk träning eller mentalt stöd där mäns livskvalitet verkar gynnas mer av fysisk träning medan kvinnors livskvalitet gynnas mer av mentalt stöd. Även ålder påverkade livskvaliteten hos denna patientgrupp där äldre ofta uppgav bättre livskvalitet än yngre personer. Dessa faktorer och dess påverkan på livskvaliteten hos personer med ICD bör studeras vidare i syfte att bättre förstå hur vården av denna patientgrupp kan personcentreras för att främja en god livskvalitet.

Abstract [en]

Some cardiovascular events can lead to sudden cardiac arrest caused by a life-threatening arrhythmia. Today these patients are offered an ICD that has been shown to increase survival and give the patient the opportunity for a continued active life. Despite the fact that the ICD gives the patient good conditions to live as usual, there is an imminent worry and fear that has a negative impact on the quality of life.

The aim was to examine which factors affect quality of life in persons living with an ICD.

A literature review with a systematic method was used where 17 articles were included and analyzed with an integrated method. The articles were retrieved from databases CINAHL and PubMed with the keywords Implantable Cardioverter Defibrillator and Quality of Life. Only quantitative articles published between 2010-2020 were included. Five categories of factors that affect quality of life in persons with an implantable cardioverter defibrillator were identified in the result. These were person related factors, therapy related factors, care related factors, time related factors and device related factors.

In conclusion, quality of life in persons with an implantable cardioverter defibrillator is affected by several different factors, thus this patient group has a lot to gain from person centered care. For example, the results show that men and women can benefit in different amounts from interventions such as physical training or psychological support where quality of life in men seem to benefit more from physical training whereas quality of life in women seem to benefit more from psychological support. Age was another factor that affected quality of life in this patient group where older persons more often stated having a better quality of life than younger persons. These factors and their impact on quality of life in persons with an ICD should be studied further to better understand how care of this patient group can become more person centered in order to promote a good quality of life.

Place, publisher, year, edition, pages
2021. , p. 28
Keywords [en]
Implantable cardioverter defibrillator, Quality of life, Person centered care
Keywords [sv]
Implanterbar defibrillator, Livskvalitet, Personcentrerad vård
National Category
Nursing
Identifiers
URN: urn:nbn:se:shh:diva-4057OAI: oai:DiVA.org:shh-4057DiVA, id: diva2:1549615
Educational program
Specialistsjuksköterskeprogrammet : inriktning hjärtsjukvård
Uppsok
Medicine
Supervisors
Examiners
Available from: 2021-05-05 Created: 2021-05-05 Last updated: 2021-08-20Bibliographically approved

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