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Self-care in Adults With a Retro-auricular Left Ventricular Assist Device: An Interpretive Description

Author

Listed:
  • Alessia Martina Trenta
  • Michela Luciani
  • Massimo Moro
  • Sara Patella
  • Stefania Di Mauro
  • Ercole Vellone
  • Davide Ausili

Abstract

Having a retro-auricular left ventricular assist device (LVAD) requires patients to learn specific self-care behaviors, with a considerable burden; the present study aimed at exploring and describing the experience of self-care in this population. An Interpretive Description was conducted, informing the analysis with the Middle-Range Theory of Self-care of Chronic Illness. A purposeful sample of ten people with a retro-auricular LVAD participated in in-depth, semi-structured interviews. Four themes were identified: Innovations and Limitations in Daily Life, Problems Detection, Response to Problems, and Learning Process. All of these were deeply influenced by a cross-cutting theme: Support System. People with a retro-auricular LVAD have self-care needs different from those of people with heart failure or with the abdominal version of the device, and there is a great need for targeted intervention that could be developed in consideration of our findings.

Suggested Citation

  • Alessia Martina Trenta & Michela Luciani & Massimo Moro & Sara Patella & Stefania Di Mauro & Ercole Vellone & Davide Ausili, 2022. "Self-care in Adults With a Retro-auricular Left Ventricular Assist Device: An Interpretive Description," Clinical Nursing Research, , vol. 31(3), pages 553-562, March.
    • Handle: RePEc:sae:clnure:v:31:y:2022:i:3:p:553-562
    DOI: 10.1177/10547738211063538
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    References listed on IDEAS

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    1. Linda Marcuccilli & Jesus Casida & Rosalind M Peters, 2013. "Modification of self‐concept in patients with a left‐ventricular assist device: an initial exploration," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(17-18), pages 2456-2464, September.
    2. Ewa Delmaczynska & Roger Newham, 2019. "To explore the prevalence and outcomes of advance care planning for patients with left ventricular assist devices: A review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1365-1379, May.
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