关键词: 左心室辅助装置, 心力衰竭, 居家康复, 体验, 质性研究, 康复护理

Abstract:

Objective To explore the home rehabilitation experience of individuals with fully magnetically levitated left ventricular assist device，and to provide a basis for developing scientific nursing intervention plans and follow-up strategies for clinical practice. Methods Using phenomenological research methods，a semi-structured interview was conducted on 13 patients with fully maglev left ventricular assist device implantation in a tertiary A comprehensive hospital in Wuhan from September to October 2022. Colaizzi’s 7-step analysis method was used to analyze the data and extract themes. Results A total of 3 themes and 9 subthemes were extracted，including complex emotions in home rehabilitation（challenges for new characters，anxieties and concerns，regaining new life and full of confidence），difficulties in home self-management（lack of professional knowledge，insufficient exercise，difficulty in managing pump cable bag wounds，weak ability to recognize and respond to external controller alarms），and needs for home rehabilitation（need for continuity of care，desire for more social support）. Conclusion Complex emotional experiences and many difficulties and needs exist in the home rehabilitation process of patients after implantation of full magnetic levitation left ventricular assist device. Healthcare professionals should actively pay attention to the postoperative psychological changes of patients，strengthen pre-discharge training to improve patients’ self-management ability，and actively build a multi-party Internet home rehabilitation management platform to improve the rehabilitation quality of patients.

Key words: Left Ventricular Assist Device, Heart Failure, Home Rehabilitation, Experience, Qualitative Research, Rehabilitation Nursing