| Abstract [eng] |
A. Smagurienė. The demand of training patients with implanted electrical pacemakers on their quality of life. Nursing Master Studies Program‘s Paper. Supervisor: Assoc. Prof. V. Mockienė, Klaipeda University: Klaipeda, 2012. – 94 p. The electric cardiac pacemaker (ECP) is implanted for treatment of patients with complex heart pace and conductivity disorders. Due to this, patients have to adapt to physical and emotional changes in their body. It is crucial to teach them because reinforcing their knowledge on the ECP facilitates the adaptation to these changes. Also, teaching has a significant influence on the patients’ quality of life and self-care. Thesis objective: to analyze the idemand of teaching on the patients’ quality of life after the implantation of ECP. Research methods. Quantitative and qualitative studies have been conducted by applying the questionnaire method and the profound interview method respectively. The quantitative research (conducted according to the standard SF-36 questionnaire) sample with an applied target selection consisted of 177 patients. After target selection, the qualitative study consisted of 22 general practice nurses. The research was conveyed according to ethical principles. Results. Patients with implanted ECP negatively assessed their mental health including vitality/exuberance and the limitation of activity due to emotional disorders. The interaction between the symptoms of the disease significantly deteriorated all areas of life related to physical and mental health. The summarized physical health (R=-0.31) and mental health (R=-0.30) were also negatively influenced. The age and education level of patients did not have great influence on the emotional state related to communication and acquisition of information. However, the interaction between the symptoms significantly (p<0.001) deteriorated them. According to the respondents, their surgery and treatment doctors are the most efficient in training them (p<0.001). After the implantation of the ECP, the demand of nurses and training of patients greatly increases. Patients who discussed the self-care and the capabilities of family members with their nurses evaluated their physical activeness, vitality/exuberance, social function, emotional state more positively. Their activity was less limited by emotional problems, they had better evaluations of their overall health. Qualitative research shows that nurses lack knowledge, competency and time to train patients after the implantation of the ECP. Conclusion. The quality of life in patients with implanted ECP is influenced by their physical and mental health as well as the interaction between the symptoms. Meanwhile, the adaptation is facilitated by nurses training the patients. |
