Qualitative studies and Meta-integration on decision-making for initial implantation of implantable cardioverter defibrillator in patients with heart disease
Lu Jing
Sun Guozhen
Liu Shenxinyu
Yu Tianqi
Abstract：Objective To review systematically the qualitative studies on decision-making for initial implantation of implantable cardioverter defibrillator(ICD)in patients with heart disease.Methods The databases of PubMed,The Cochrane Library,EMbase,Web of Science,CINAHL,Scopus,PsycINFO,CNKI and WanFang were retrieved to collecting the literature of qualitative studies on decision-making for ICD initial implantation from patients with heart disease.The retrieving period was from database establishment time to June 2023.The quality of collected literatures was reviewed according to quality assessment criteria for qualitative studies of Australian Joanna Briggs Institute(JBI).The results were summed up and sorted out by using Meta synthesis method.Results There were totally 14 literatures obtained included,and 32 complete study themes,8 categories and 3 results extracted,summed up and integrated,which were patient-centered decision-making dilemmas,contextual factors with support and hinder coexistence and decision results after trade-off of risk and benefit.Conclusion There are many practical and psychological challenges in the initial decision-making process of ICD implantation in patients with heart disease.Medical practitioners should pay attention to the decision-making state and emotion of patients,respect and help patients clarify individual differentiated decision-making preferences and values,timely and dynamically assess decision-making conflicts,explore superb multiple auxiliary support and reduce decision regret to improve the quality of ICD decision-making.
Keywords：Implantable cardioverter defibrillatorHeart diseaseQualitative studyMeta-integration
Publication Date：2024-06-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：7( 661-666,689 )