Quality of Life Among Patients With a Left Ventricular Assist Device

Abstract

As more patients have a diagnosis of end-stage heart failure, nurses are more likely to encounter the use of left ventricular assist devices (LVADs). Currently, LVADs are used as a bridge to cardiac transplantation. However, current research suggests that LVADs may be used as destination therapy for those unable to undergo cardiac transplantation. The technology has been developed to sustain life, but what is the impact of technology on the quality of life? This article reviews current research on the quality of life with an LVAD.

Supportive psychotherapy for patients with heart transplantation or ventricular assist devices☆☆☆

“…Moreover, coping by their families and significant others can influence the patients' coping in positive or negative ways [15]. Families of VAD and HTX vad patients face frequently a sudden onset of the illness [16], whereas HTX patients' families often have time to adapt to the upcoming operation. The number of patients as well as the number of partners and families who need supportive psychotherapy increases with the complexity of distressing factors and the magnitude of the emotional burden.…”

Quality of Life After Removal of Left Ventricular Assist Device for Myocardial Recovery

“…In contrast, Savage reported that patients' limitations after LVAD implantation were not related to physical function, because the population examined had improved physical function, including increased exercise endurance and physical well-being. 22 The main concerns were related to potential device failure, infection and social functioning.…”

Lifestyle adjustments of adults with long-term implantable left ventricular assist devices: A phenomenologic inquiry

“…18 Yet other studies have reported patients coping and accepting the situation of living with an implantable LVAD. In those studies, 22,23,27 investigators reported that patients who had a good sense of humor, engaged in diversional activities, developed a routine, took medications for anxiety and depression, and had a strong support system (ie, family, church, and health care team) successfully coped with the prolonged hospitalizations, boredom, and realities of living with the LVAD. Notably, the frequent interactions with the recipient's support system was an effective coping strategies reported by 40 adults at 3 months after the LVAD implant.…”