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Living with cardiac resynchronization therapy: Challenges for people with heart failure

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  • Shadi Dehghanzadeh
  • Nahid Dehghan Nayeri
  • Shokoh Varaei
  • Jalal Kheirkhah

Abstract

The number of people with heart failure requiring implantation of a cardiac resynchronization device is increasing in Iran. Although this intervention is an effective life‐saving treatment, several challenges are associated with patients’ lifestyle after insertion. This study identified the challenges and coping mechanisms of Iranians with heart failure living with cardiac resynchronization therapy. A qualitative approach using conventional content analysis was adopted. Seventeen people with heart failure and three nurses were recruited between December 2014 and November 2015 from a teaching hospital and a private clinic in Rasht, Iran. Participants were interviewed using semi‐structured interviews lasting 30–60 min. Five themes emerged: (i) fear of implantation, (ii) the panic of receiving a shock from the device, (iii) lack of control over life, (iv) inadequacies of the healthcare system, and (v) psychosocial coping. A heightened understanding of these challenges and coping strategies could prepare healthcare professionals to provide better routine care, education, and support to the recipients of cardiac resynchronization therapy prior to implantation, during the recovery period, and for long‐term management.

Suggested Citation

  • Shadi Dehghanzadeh & Nahid Dehghan Nayeri & Shokoh Varaei & Jalal Kheirkhah, 2017. "Living with cardiac resynchronization therapy: Challenges for people with heart failure," Nursing & Health Sciences, John Wiley & Sons, vol. 19(1), pages 112-118, March.
    • Handle: RePEc:wly:nuhsci:v:19:y:2017:i:1:p:112-118
    DOI: 10.1111/nhs.12325
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    1. Folkman, Susan, 1997. "Positive psychological states and coping with severe stress," Social Science & Medicine, Elsevier, vol. 45(8), pages 1207-1221, October.
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    1. Shadi Dehghanzadeh & Nahid Dehghan Nayeri & Shokoh Varaei, 2018. "“Doubtful accepting”: A grounded theory study of living with cardiac resynchronization therapy," Nursing & Health Sciences, John Wiley & Sons, vol. 20(4), pages 516-522, December.

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