Nursing Intervention for the Acceptance of the Patient to the Cardioverter

The Nursing Intervention APECC “Acceptance In People With Cardiac Stimulation Cardioverter” is a direct attention treatment, based on the knowledge and clinical judgment, that the nurse performs independently in the pre-implantation period, to help the person to Accept the cardiac stimulation device Cardioverter, in response To the physical, psychological and social needs that can appear from the implantation to the performance of the daily functions. The intervention is proposed from the Social Learning Theory for behavior modeling, these are developed through three components, the first corresponds to an educational component provided by the nurse who is the person that has the knowledge to address the main issues of the implantation and that have been reported in the evidence, such as: 1 What is a cardio-defibrillator, how it acts, how the implantation is performed, what are the indications 2 Physical consequences of implantation to the device: wound care, physical activity, body image change, what can I expect and how can I act? 3 Social Consequences: Changes in the job, family and social role, sexual activity, driving limitations, activities of daily living, What can I expect and how can I act? 4 Psychological Consequences: primary emotions (fear, apprehensiveness, anger, sadness) and Anxiety and Depression. What is normal and how can I act? The second component refers to the modeling of behavior through the peers or people with similar conditions, so those two people who have a cardiodesfibrilador express their experience of living with the device, its advantages and disadvantages and how they settle their difficulties. Through 15 minutes video of two people who have had an implant talking about their experiences is watched in the session. Finally, the last component is an exercise in relaxation that will allow the implanted person to practice it in their moments of anxiety or stress. Are 15 minutes of video with images, music and instructions for the relaxation of body and mind, is watched in the session. The Nursing intervention will be delivered by the nurse face to face, in a single moment with a duration of approximately 60 minutes for the session, be supported using tools such as the educational flipchart designed for this study contains illustrative images to explain the educational content of physical, psychological, social changes and the use of a DVD designed for this study, which contains three small videos of 15 minutes duration, with the components educational, experiences and exercise in relaxation, the study participants can take home, for your consultation anytime you require it. note: The participants will be assigned one by one to each group 30 participants to intervention group 1, persons receiving intervention before to device implantation. 30 participants to intervention group 2, people receiving the intervention once the device is implanted and before clinical discharge. 30 participants to the control group, people receiving standar care.