Nursing Role in Permanent Pacemaker Patients: Integrative review

Abstract

Bradycardia patients due to deterioration of cardiac conduction was often found in patients with acute myocardial infraction (MI) and elderly. Those patients need to treat with the Permanent pacemaker (PPM). However, nurse’ knowledge and nursing role in PPM remain were unclear. The purpose of this integrative review was to explore nurse’ knowledge and nursing role in PPM. Following Cooper’s method, key word terms were used to search in database. There were 16 articles that met the criteria’s study including research study and case reports. Majority of studies was in western countries. There were between 1-5,200 for sample size, and 67.86 year (range 33-88) for mean age. There were three themes. First, complications were found in elderly that consisted of (1) malfunction (4.9%), (2) skin infection (0.7%), (3) obstruction of vein and, (4) hematoma in patient taking DAPT (5.2%). Second, adaptation and quality of life in patients with PPM were found that the patients increased anxiety and depression. Also, they had the lowest quality of life in psychological and spiritual domains; and felling limitation of their life. Finally, nursing role was in that nurses need to have knowledge to assess complication and created counseling program to reduce anxiety and coping stress, and mobile phone follow up post PPM. So, enhancing nurses’ competencies is needed to caring PPM patients that can help patients effective adapting and increase quality of life.