{"title":"左心室辅助装置目的地治疗的患者决策。","authors":"Megan L Morrison","doi":"10.12968/ijpn.2024.30.3.108","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Heart failure is a common life-limiting disease. A destination therapy for people who will not have a heart transplant is a left ventricular assist device.</p><p><strong>Aims: </strong>To discover how patients who have a left ventricular assist device for destination therapy make decisions about their healthcare after implantation of the device.</p><p><strong>Methods: </strong>A descriptive qualitative design with semi-structured, in-depth interviews with 11 participants who are living with a left ventricular assist device for destination therapy.</p><p><strong>Findings: </strong>People with a left ventricular assist device felt they had 'no choice' when making decisions about their healthcare.</p><p><strong>Conclusion: </strong>Engaging with patients to contemplate present and future healthcare decisions is a complex process that includes cognitive processes within the patient. Clinicians need to be aware that a gap may occur between what is said and what is heard in communication.</p>","PeriodicalId":94055,"journal":{"name":"International journal of palliative nursing","volume":"30 3","pages":"108-117"},"PeriodicalIF":0.0000,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Patient decision-making in left ventricular assist devices for destination therapy.\",\"authors\":\"Megan L Morrison\",\"doi\":\"10.12968/ijpn.2024.30.3.108\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Heart failure is a common life-limiting disease. A destination therapy for people who will not have a heart transplant is a left ventricular assist device.</p><p><strong>Aims: </strong>To discover how patients who have a left ventricular assist device for destination therapy make decisions about their healthcare after implantation of the device.</p><p><strong>Methods: </strong>A descriptive qualitative design with semi-structured, in-depth interviews with 11 participants who are living with a left ventricular assist device for destination therapy.</p><p><strong>Findings: </strong>People with a left ventricular assist device felt they had 'no choice' when making decisions about their healthcare.</p><p><strong>Conclusion: </strong>Engaging with patients to contemplate present and future healthcare decisions is a complex process that includes cognitive processes within the patient. Clinicians need to be aware that a gap may occur between what is said and what is heard in communication.</p>\",\"PeriodicalId\":94055,\"journal\":{\"name\":\"International journal of palliative nursing\",\"volume\":\"30 3\",\"pages\":\"108-117\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-03-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of palliative nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.12968/ijpn.2024.30.3.108\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of palliative nursing","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.12968/ijpn.2024.30.3.108","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Patient decision-making in left ventricular assist devices for destination therapy.
Background: Heart failure is a common life-limiting disease. A destination therapy for people who will not have a heart transplant is a left ventricular assist device.
Aims: To discover how patients who have a left ventricular assist device for destination therapy make decisions about their healthcare after implantation of the device.
Methods: A descriptive qualitative design with semi-structured, in-depth interviews with 11 participants who are living with a left ventricular assist device for destination therapy.
Findings: People with a left ventricular assist device felt they had 'no choice' when making decisions about their healthcare.
Conclusion: Engaging with patients to contemplate present and future healthcare decisions is a complex process that includes cognitive processes within the patient. Clinicians need to be aware that a gap may occur between what is said and what is heard in communication.
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