Patients with Newly Implanted Cardiac Defibrillators Circulatory System
Conditions
Interventions
Experimental intervention (three encounters):
At the start of each encounter, the nurse encouraged the patient to express their major concerns/worries about the ICD. Then the research nurse proposed
2. By telephone 7 ± 2 days following discharge, and
3. By telephone 14 ± 2 days following discharge.
Control group:
The control group continued to benefit from usual hospital care and follow-up.
Sponsors
Montreal Heart Institute Research Center (Canada)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 years or older, no upper age limit and either sex 2. Patients with first-time implantable cardiac defibrillators (ICD) 3. Speak, read and understand French 4. Physical and cognitive capabilities to participate 5. Hospital length of stay of two weeks or less after ICD implantation 6. Returning home after hospital discharge (not to long-term care, rehabilitation or other health care facilities)
Exclusion criteria
Exclusion criteria: 1. Having a regular and specialized follow-up (e.g., every week or every month) in a Heart Failure Clinic or an Adult Congenital Heart Center 2. Participate in another clinical research project, or regular follow-up by a specialist such as a psychiatrist or nurse practitioner, to avoid doubling the interventions by different professionals 3. Being referred or followed in palliative care or similar, or being in end-stage heart failure [New York Heart Association (NYHA) class IV]
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptability and feasibility of the intervention and the methodological aspects of the study | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Device acceptance - Florida Patient Acceptance Survey (FPAS), Burns, Serber, Keim, & Sears, 2005. 2. Performance in everyday activities - Functional Performance Inventory (FPI)- Short Form, Leidy, 1999; Leidy & Knebel, 2010. 3. Defibrillator shock anxiety - Florida Shock Anxiety Survey (FSAS), Kuhl, Dixit, Walker, Conti, & Sears, 2006. 4. General anxiety - Hospital Anxiety and Depression (HAD) Scale (anxiety sub-scale only), Zigmond & Snaith, 1983. Data were collected at baseline and 1 month after hospital discharge. | — |
Countries
Canada
Outcome results
None listed