■心血管植入式电子设备(CIED)在心血管疾病的临床治疗中的应用越来越广泛。然而,CIED植入也可能导致各种物理,心理,以及患者中的社会问题。帮助患者适应CI植入后的生活,从患者的角度了解他们的需求是很重要的。从他们的角度探索CIED患者的需求,以指导医疗保健提供者提高他们的生活质量。
■PubMed,WebofScience,Embase,Cochrane图书馆,CNKI,VIP数据库,万方数据库,并在中国生物医学文献数据库中检索有关2000年1月至2022年8月CIED患者经历的定性研究。根据2016年版的JoannaBriggs研究所循证卫生保健中心定性研究质量评估标准评估每篇文章的质量,并进行了综合综合。
■共包括18个文件,并提取了111个类别。对数据的分析导致确定了3个主题和12个次主题。第一个主题,设备共生,包括“关于设备作为身体一部分的混合感觉”,“关于病人角色的复杂感受”,和“关于电刺激的混合感觉”。第二个主题,外部支持,包括\“夫妻关系受损\”,\"渴望参与,不愿意被过度保护\“,“想回去工作,但被迫离开”,和“信息供需不匹配”。第三个主题,自我应对,包括“如何面对医生”,\"如何处理活动限制\",“如何面对自己”,“如何面对未来”,和“如何面对死亡”。
■医疗保健提供者需要加快CIED的技术创新和临床采用。此外,医疗保健提供者需要建立由医务人员领导的多样化支持系统,和家人在一起,同行,和社会共同努力,并改进CIED远程监测,以帮助患者提高生活质量。
UNASSIGNED: Cardiovascular implantable electronic devices (CIED) are more and more widely used in the clinical treatment of cardiovascular diseases. However, CIED implantation may also result in a variety of physical, psychological, and social problems among patients. To help patients adapt to life after CIED implantation, it is important to know patients\' needs from their perspectives. Explore the needs of CIED patients from their perspectives to guide healthcare providers to improve their quality of life.
UNASSIGNED: PubMed, Web of Science, Embase, the Cochrane Library, CNKI, the VIP database, the Wanfang database, and the China Biomedical Literature database were searched for qualitative studies on the experience of patients with CIED dating from January 2000 to August 2022. The quality of each article was evaluated according to the 2016 edition of the Joanna Briggs Institute Evidence-Based Health Care Center Qualitative Research Quality Evaluation Criteria and an integrative meta-synthesis was undertaken.
UNASSIGNED: A total of 18 documents were included, and 111 categories were extracted. Analysis of the data resulted in the identification of 3 themes and 12 subthemes. The first theme, Equipment Symbiosis, included \"Mixed feelings about the device as part of the body\", \"Mixed feelings about the patient\'s role\", and \"Mixed feelings about an electrical stimulus\". The second theme, External Support, included \"Husband and wife relationship damaged\", \"Eager to participate, unwilling to be overprotected\", \"Want to return to work but are forced to leave\", and \"Information supply and demand mismatch\". The third theme, Self-coping, included \"How to face a doctor\", \"How to deal with activity restrictions\", \"How to face yourself\", \"How to face the future\", and \"How to face death\".
UNASSIGNED: Healthcare providers need to accelerate technological innovation and clinical adoption of CIED. Additionally, healthcare providers need to establish a diverse support system led by medical staff, with family members, peers, and society working together, and improve CIEDs remote monitoring to help patients improve their quality of life.