İmplante edilebilen kardiyoverter defibrilatörü olan hastanın eğitiminde teknoloji kullanımı

İmplante edilebilen kardiyoverter defibrilatör (ICD) cihazları ile tedavi günümüzde ölümcül aritmilerin ve ileri düzey kalp yetersizliklerinin tedavisinde sıklıkla kullanılan bir yöntemdir. ICD kullanımı klinik olarak etkili olmasına karşın, hasta ve ailesi için bir dizi psikososyal zorluğu da beraberinde getirmektedir. Bu hastaların ve ailelerinin kaliteli bir yaşam sürdürmesi için psikolojik destek ve eğitimlerine özel bir önem verilmelidir. ICD hastalarının eğitimi için birçok teknolojik yöntem kullanılmıştır. Yapılan girişimlerin amacı hastaların yaşadıkları psikososyal sorunları gidererek yaşam kalitelerini yükseltmektir. Teknoloji alanında yaşanan büyük değişiklikler ve bireylerin bu yönde olan ilgisi, sağlık çalışanlarının da bu konuya olan ilgisinin artmasına neden olmuştur. Hasta ve sağlam bireyler için teknoloji temelli eğitim programları geliştirilmeye başlanmıştır. Bu makalenin amacı ICD hastalarına teknoloji kullanılarak yapılan sağlık eğitimi araştırmalarının sonuçlarını sunmak ve başta hemşirelik mesleği olmak üzere tüm sağlık profesyonellerine bu konu hakkında bakış açısı kazandırmaktır.

Anahtar Kelimeler:

İmplante edilebilen kardiyoverter defibrilatör, teknoloji kullanımı, internet tabanlı hasta eğitimi

Use of technology in training patients with implantable cardioverter defibrillator

Implantable cardioverter defibrillator (ICD) devices provide a treatment method that is frequently used for the cure of terminal arrhythmias and advanced-stage heart failures. Even though the ICDs are clinically efficient, they bring along a series of psychosocial difficulties for both patients and their families. A particular attention should be paid to the psychological support and training of these patients and their families to increase their life quality. A number of technological methods are used to train the ICD patients. The objective of interventions is to remove the psychosocial problems of patients and increase the quality of life. Great changes in technology and the interest of individuals in this subject have caused the healthcare professionals to have an increased interest in this subject, as well. Technology-based training programs have developed for both sick and healthy individuals. The objective of this article is to present the results of health training studies that were conducted by applying technology on ICD patients and to bring a relevant viewpoint in all the healthcare professionals, primarily the nurses.

Keywords:

Implantable cardioverter defibrillator, technology use, internet-based patient education,

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Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med. 2002;346(12):877-883.
Connolly SJ, Hallstrom AP, Cappato R, Schron EB, Kuck KH, Zipes DP, Greene HL, Boczor S, Domanski M, Follmann D, Gent M, Roberts RS. Metaanalysis of the implantable cardioverter defibrillator secondary prevention trials. Eur Heart J. 2000;21(24):2071-2078.
Lewin RJ, Coulton S, Frizelle DJ, Kaye, Cox H. A brief cognitive behavioural preimplantation and rehabilitation programme for patients receiving an implantable cardioverter-defibrillator improves physical health and reduces psychological morbidity and unplanned readmissions. Heart. 2009;95:63-69.
Sossong A. Living with an implantable cardioverter defibrillator patient outcomes and the Nurse’s role. J Cardiovasc Nurs. 2007; 22:2, 99-104.
Dickerson SS. Technology–patient interactions: Internet use for gaining a healthy context for living with an implantable cardioverter defibrillator. Heart Lung. 2005;34:157-168.
Dickerson SS, Posluszny M, Kennedy MC. Help seeking in a support group for recipients of implantable cardioverter defibrillators and their support person. Heart Lung. 2000;29:87-96.
Kohn CS, Petruccı RJ, Baessler C, Soto DM, Movsowitz C. The effect of psychological intervention on patients’ long-term adjustment to the ICD: A prospective study. PACE. 2000; 23[Pt. I]:450-456.
Lang S, Becker R, Wilke S, Hartmann M, Herzog W, Löwe B. Anxiety disorders in patients with implantable cardioverter defibrillators: frequency, course, predictors, and patients’ requests for treatment PACE 2014;37:35-47.
White E. Patients with implantable cardioverter defibrillators: Transition to home. J Cardiovasc Nurs. 2000;14:42-52.
Edelman S, Jim L, Kirkness A. Educational intervention for patients with automatic implantable cardioverter defibrillators. Aust J Adv Nurs. 2007;24(3):26-32.
Dougherty CM, Glenny RW, Kudenchuk PJ, Malinick TE, Flo GL. Testing an exercise intervention to improve aerobic conditioning and autonomic function after an implantable cardioverter defibrillator (ICD). PACE. 2010;33:973-980.
Dougherty CM, Thompson EA, Lewıs FM. Long-Term outcomes of a telephone intervention after an ICD. PACE. 2005;28:1157-116.
Dougherty CM, Pyper GP, Frasz HA. Description of a nursing intervention program after an implantable cardioverter defibrillator. Heart Lung. 2004;33:183-90.
Stoop AP, Riet A, Berg M. Using information technology for patient education: realizing surplus value. Patient Educ Counsel. 2004;54(2): 187-195.
Richards B, Colman AW, Hollingsworth RA The current and future role of the internet in patient education. Int J Med Informat. 1998;50(1-3), 279-285.
Serber ER, Finch NJ, Afrin LB, Greenland WJ. Using a webcast support service: Experiences of in-person attendees of an implantable cardioverter defibrillator support group. Heart Lung. 2010;39:94-104.
Pedersen SS, Spek V. Rationale and design of WEBCARE: A randomized, controlled, web-based behavioral intervention trial in cardioverter- defibrillator patients to reduce anxiety and device concerns and enhance quality of life. Trials. 2009;10:120.
Vogt A. Establishing an ICD support group. Adv Nurse Pract. 2006;14(9):59-60.
Salmoirago-Blotcher E, Crawford SL, Carmody J, Rosenthal L, Yeh G, Stanley M, Rose K et al. Phone-Delivered Mindfulness Training for Patients with Implantable Cardioverter Defibrillators: Results of a Pilot Randomized Controlled Trial Ann Behav Med. 2013;46:243-250.
Dunbar SB, Langberg JJ, Reilly CM, Viswanathan B, McCarty F, Culler SD, O’Brien MC, Weintraub WS. Effect of a psychoeducational intervention on depression, anxiety, and health resource use in ICD patients. Pacing Clin Electrophysiol. 2009;32(10):1259-1271.
Albert NM, Buchsbaum R, Li J. Randomized study of the effect of video education on heart failure healthcare utilization, symptoms, and self-care behaviors. Patient Educ Counsel. 2007;69:129-139.
Lopez EJ. The art of using visual aids. Nurse Practitioner. 2005; 30 [the 2005 Sourcebook for Advanced Practice Nurses: 15-6].
Kuhl EA, Sears SF, Vazquez LD, Conti J. Patient-assisted computerized education for recipients of implantable cardioverter defibrillators. A randomized controlled trial of the pacer program. J Cardiovasc Nurs. 2009;24(3):225-231.
Demirel M, Tekin A, Özbek S, Kaya E. E-sağlık kapsamında internet kullanıcılarının sağlık web sitelerini kullanma durumu üzerine bir araştırma. Uluslararası Davraz Kongresi 2009 Bildiri Kitabı, 1057-1075. Erişim adresi: http://idc.sdu.edu.tr/2009/ekitap.html (14/06/2014).
Tonta Y (2002). Elektronik yayıncılık ve elektronik bilgi kaynakları. Erişim adresi: http://yunus.hacettepe.edu.tr/~tonta/courses/fall2002/ kut655/02-e-yayincilik-e-bilgi-kaynaklari.pdf (06/03/14).
Türkiye İstatistik Kurumu [TÜİK] Haber Bülteni. 2013 Yılı Hanehalkı Bilişim Teknolojileri Kullanım Araştırması. 2013, Sayı: 13569. http://www.tuik.gov.tr/PreHaberBultenleri.do;jsessionid=3kX nTYqTLTpTy50vTLp19vFJxpwBh2BbbFjbzLwmrrsrKWgT8rQT - 1841607899?id=13569 Erişim. Tarihi: 06/03/14.
Salo D, Perez, C, Lavery R, Malankar A, Borenstein M, Bernstein S. Patient education and the internet: Do patients want us to provide them with medical web sites to learn more about their medical problems? J Emerg Med. 2004;26(3):293-300.
Magnusson L, Hanson E, Borg M. A literature review study of information and communication technology as a support for frail older people living at home and their family carers. Tech Disabil. 2004;16:223-235.
Kuhl EA, Sears SF, Conti JB. Using computers to improve the psychosocial care of implantable cardioverter defibrillator recipients. PACE. 2006;29:1426-1433.
Schulz SM, Pauli P. Internet therapy for ICD-patients. Herzschrittmacherther Elektrophysiol. 2011;22(3):166-73.
Kuhl EA, Sears SF, Conti JB. Internet-based behavioral change and psychosocial care for patients with cardiovascular disease: A review of cardiac disease-specific applications. Heart Lung. 2006;35:374 -382.
Fox MP. A systematic review of the literature reporting on studies that examined the impact of interactive, computer-based patient education programs. Patient Educ Counsel. 2009;77:6-13.
Taylor CB, Luce KH. Computer- and internet-based psychotherapy interventions. Curr Dir Psychol Sci. 2003;12:18-24.
Christensen H, Griffiths KM. The prevention of depression using the internet. Med J Aust. 2002;177:122-125.
Atkinson NL, Gold RS. The promise and challenge of e-health interventions. Am J Health Behav. 2002;26:494-503.