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The Process of Living with Implantable Cardioverter Defibrillators among Middle-Aged Japanese Patients Keisuke Nakanishi 1,4 , Michiyo Oka 2 , Takeshi Tomita 3 1Faculty of Medicine, School of Health Sciences, Shinshu University 2Graduate School of Health Sciences, Gunma University 3Graduate School of Medicine, Shinshu University 4Doctoral Course, Department of Nursing, Nagoya University Graduate School of Medicine Keyword: 壮年期 , 植込み型除細動器 , 適応過程 , 体験 , 修正版グラウンデッド・セオリー・アプローチ , middle-aged , adaptation process , experiences , implantable cardioverter defibrillators , modified grounded theory approach pp.311-320
Published Date 2014/12/31
  • Abstract
  • Reference

 Purpose: Uncertain prospects of life with Implantable Cardioverter Defibrillators (ICD) are one of the major concerns in life among patients, but this has not been examined in Japan. This study aimed to identify cognitive and behavioral processes of how middle-aged patients receiving ICD manage to cope.

 Methods: Semi-structured interviews were conducted involving 8 subjects (6 males and 2 females), and the obtained verbatim transcriptions were analyzed using a modified grounded theory approach.

 Results: A total of 18 concepts were generated, and they were classified into 6 categories: 〈become aware of the necessity of forging relationships〉, 〈forge trusting relationships with others〉, 〈try to view constraints from different perspectives〉, 〈create personalized guidelines〉, 〈become used to the use of ICD〉, and 〈brace oneself again〉 and 1 core category: [forging relationships with others and ICD].

 Conclusion: The results suggest that middle-aged Japanese patients receiving ICD follow the process of forging and reforging relationships with others and ICD in order to manage their lives.


Copyright © 2014, Japan Academy of Nursing Science. All rights reserved.

基本情報

電子版ISSN 2185-8888 印刷版ISSN 0287-5330 日本看護科学学会

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