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Life with Implantable cardioverter defibrillator (ICD): A Phenomenological study

Authors: Fatemeh Vismeh and Marzieh Ziaeirad

Int J Med Res Health Sci.539-546 | pdf PDF Full Text

Implantable cardioverter defibrillator (ICD) is a small device inserted in the chest or abdomen of cardiac patients
for the treatment of arrhythmia. Patients with ICD are faced with undesirable changes in daily life. This study aimed
to explore the experiences of patients with ICD. This descriptive phenomenological study was conducted on 10
patients with ICD referred to Amir Al Momenin Hospital of Arak city, Iran in 2015. Data were collected via indepth,
unstructured interviews with the patients until data saturation. Data analysis was performed using the
Colaizzi’s method of phenomenological inquiry. In total, 232 first-level conceptual codes were extracted in this
study, which yielded 22 second-level conceptual codes. Second-level conceptual codes formed six main themes, as
follows: living with an ICD, coping with tension, acceptance of ICD, course of treatment, therapeutic needs, and
resistance against physical and psychological vulnerabilities. According to the results of this study, insertion of ICD
device lead to the physical and emotional distress of cardiac patients. Therefore, these patients need supportive
interventions in order to cope with the physical and psychological vulnerabilities associated with ICD shocks.

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