Adaptation and Coping in Patients Living with an LVAD: A Metasynthesis

Overview

Journal Heart Lung

Specialty Cardiology & Vascular Diseases

Date 2016 Jun 26

PMID 27342261

Citations 21

Authors

Martha Abshire

Roslyn Prichard

Mia Cajita

Michelle DiGiacomo

Cheryl Dennison Himmelfarb

Affiliations

Soon will be listed here.

Abstract

Objective: To synthesize information supporting coping and adaptation of LVAD patients and to identify opportunities for future interventions.

Background: Left Ventricular Assist Device (LVAD) patients demonstrate improvements in quality of life and functional status, but qualitative research has not been meaningfully integrated.

Methods: Qualitative meta-synthesis using Lazarus and Folkmans' Transactional Model of stress and coping.

Results: Four distinct stages of adaptation were identified: Pre-LVAD, Implant Hospitalization, Early Home Adaptation and Late Home Adaptation. Each stage includes tasks in physical, psychological and social domains. Two themes emerged: 1) Primary Appraisal: Every stage is a new challenge and 2) Secondary Appraisal: Routines are achievable, emotions are more difficult.

Conclusions: Emotional challenges including fear and anxiety related to life-limiting illness and changed social roles need to be honestly addressed. Individuals living with LVAD achieve a sense of independence, enjoy social interactions and meaningful activities through addressing practical and emotional problems to facilitate coping.

Citing Articles

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