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Experiences of Driving and Driving Restrictions in Recipients with an Implantable Cardioverter Defibrillator - The Patient Perspective
Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping. Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-7097-392X
Linköping University, Department of Medical and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Cardiology in Linköping.ORCID iD: 0000-0002-4259-3671
2010 (English)In: Journal of Cardiovascular Nursing, ISSN 0889-4655, E-ISSN 1550-5049, Vol. 26, no 5, E1-E10 p.Article in journal (Refereed) Published
Abstract [en]

Background and Objectives: The implantable cardioverter defibrillator (ICD) is a lifesaving device for treating patients who have experienced (secondary prevention), or are likely to experience (primary prevention), sudden cardiac death due to ventricular arrhythmias. Individuals with an ICD are prohibited from driving for a restricted period after the implantation and after recurrence of a ventricular arrhythmia, which may affect the ICD recipient in daily life. The aim of this study was therefore to describe how ICD recipients perceive driving and the driving restriction.

 

Methods: Fourteen men and 6 women, aged 43 to 82 years, with driving restrictions due to both secondary and primary ICD indications, were interviewed. Data were analyzed using phenomenography.

 

Results: The analysis resulted in the main category, the individual's unique relationship to driving, based on the categories: (1) achieving adherence on driving restrictions, (2) emotional influence of driving restriction, and (3) altered views on driving. The information was sometimes conceived as insufficient and unclear, and the willingness to accept the restriction differed. The ICD recipients perceived a loss of independence and changed self-image. Some patients had changed their driving behavior because of uncertainty of their driving abilities or fear of having arrhythmias/shocks while driving. They had different views on their future driving.

 

Conclusions: Handling driving restrictions after ICD implantation and shocks is a complex and delicate issue in clinical practice and should be addressed in a dialogue with the ICD recipient. More individualized and structured information and support should be given according to the ICD recipients' experiences and needs.

Place, publisher, year, edition, pages
2010. Vol. 26, no 5, E1-E10 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-63450DOI: 10.1097/JCN.0b013e3181e0f881OAI: oai:DiVA.org:liu-63450DiVA: diva2:379834
Available from: 2010-12-20 Created: 2010-12-20 Last updated: 2017-12-11

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Johansson, IngelaStrömberg, Anna

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Department of Cardiology in LinköpingNursing ScienceFaculty of Health Sciences
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