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Ventricular Assist Device Self-Management Issues: The Patient and Caregiver Perspectives

Casida, Jesus M.*; Combs, Pamela; Schroeder, Sarah E.; Hickey, Kathleen T.§

doi: 10.1097/MAT.0000000000000733
VAD Coordinator Series

Despite technological advancements, ventricular assist device (VAD) self-management (SM) remains complex. Using a descriptive mixed-method research, we examined the VAD care issues reported by nondyadic sample of 102 patients and 116 caregivers in the United States. Participants (mean age, 50.0 ± 13.1 years) were predominantly white (80%), female (59%), and married (77%). Quantitative and qualitative data revealed the patients/caregivers’ need for competency assessment and reassessment of VAD care after discharge. Competent home-care registered nurses (RNs) and on-going communications with VAD care team are needed in support for VAD SM.

From the *University of Michigan School of Nursing, Ann Arbor, Michigan

Advocate Christ Medical Center, Oak Lawn, Illinois

Bryan Heart, Lincoln, Nebraska

§Columbia University School of Nursing, New York City, New York.

Submitted for consideration August 2017; accepted for publication in revised form October 2017.

Disclosure: The authors have no conflicts of interest to report.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text, and links to the digital files are provided in the HTML and PDF versions of this article on the journal’s Web site (www.asaiojournal.com).

Correspondence: Jesus M. Casida, University of Michigan, School of Nursing, 426 North Ingalls, Suite 438, Ann Arbor, MI 48109. Email: jcasida@umich.edu.

Copyright © 2018 by the American Society for Artificial Internal Organs