A nursing intervention to enhance acceptance of implantable cardioverter defibrillators : a randomized pilot study
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Is part of
Canadian journal of cardiovascular nursing ; vol. 27, no. 1, pp. 14-21.Publisher(s)
Canadian council of cardiovascular nursesAbstract(s)
Background: Patients may experience anxiety and reduced
quality of life after implantable cardioverter defibrillator (ICD)
device implantation.
Objective: To assess the feasibility, acceptability, and preliminary efficacy of the Approach Caring and Cognitive Behavioural
(PRO-CARE) intervention, aimed at improving ICD device
acceptance and psycho-functional outcomes one month after
implantation.
Methods: The pilot study involved 30 patients randomized to the
intervention (IG) or control (CG) groups. The three encounters
of the PRO-CARE intervention addressed patient-specific ICD
concerns by focusing on beliefs leading to lower device acceptance
and psycho-functional outcomes.
Results: Thirteen (87%) of the 15 IG patients received all three
encounters. The intervention was both feasible and acceptable.
Although not statistically significant, mean scores on ICD device
acceptance, shock, and general anxiety favoured the IG.
Conclusions: Further research is needed to replicate results from
this pilot study, but our observations suggest that nurses need
to assess ICD patient anxiety and to tailor their interventions
accordingly.
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