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

Author:

Trenta Alessia Martina123,Luciani Michela2ORCID,Moro Massimo1,Patella Sara1,Di Mauro Stefania2,Vellone Ercole3,Ausili Davide2ORCID

Affiliation:

1. Cardiology Center Monzino IRCCS, Milan, MI, Italy

2. University of Milano-Bicocca, Monza, MB, Italy

3. University of Rome Tor Vergata, Rome, Italy

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.

Publisher

SAGE Publications

Subject

General Nursing

Reference32 articles.

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3. Ben Gal T., Ben Avraham B., Abu-Hazira M., Frigerio M., Crespo-Leiro M. G., Oppelaar A. M., Kato N. P., Stromberg A., Jaarsma T. (2020). The consequences of the COVID-19 pandemic for self-care in patients supported with a left ventricular assist device. European Journal of Heart Failure, 22(6), 933–936. https://doi.org/10.1002/ejhf.1868

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