| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 98 === Implantable cardioverter defibrillator (ICD) has been used to reduce mortality in patients at risk of sudden cardiac death for decades. Although that, the experiences of physical activity are unknown. The purpose of this study was to describe the experiences of physical activities in patient with implantable cardioverter defibrillator (ICD). The qualitative study design was used to explore the experiences of physical activity of 14 adults with ICD using face-to-face, semi-structured interviews. Transcripts were analyzed using the method of constant comparison.
Fourteen patients with ICD (5 women, 9 men) between the ages of 28 to 65 years(mean 46.6 year s). Four themes and 12 categories were identified: (1)the experiences before ICD implantation, included: feeling of lives threatening, the background of taking action for receiving treatment; (2)the experiences and feeling of ICD shock, included: physiological signs and symptoms before ICD shock, bodily feelings during ICD shock and psychological impacts post ICD shock; (3)the impacts of physical activity after ICD implantation, include: Daily active barriers, self concern induces limitation of leisure activities; (4)living with ICD., include: feel the meaning of ICD, adjust the intensity and project of activities, self-care of reducing the ICD shock, seeking independent, accepting the limitations and restructuring.
Implantable cardioverter defibrillator recipients face a complex situation in many ways, the impacts of physical activities are rare proposed, these finding provide the clinical practices are able to explain to future patients what they can expect after ICD implantation. The predictors of ICD shock need to be researched further and the exercise prescription of patient with ICD should be established.
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