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Master Thesis

Analyse des besoins auprès des patients porteurs d’une assistance ventriculaire

Abstract : In developed countries, 1–2% of the adult population has Heart Failure. Ventricular assist device emerged as an alternative to heart transplant in advanced heart failure and 100-150 patients are currently implanted each year. These numbers are expected to reach 500 annual implantations. The aim of this study is to conduct a needs analysis of the patients fit with a ventricular assist device, at the Grenoble Teaching Hospital. Semi-structured phone interviews have been made b thanks to a predetermined interview guide. After transcribing the interviews, a thematic analysis was conducted. 6 of 8 patients implanted were interviewed and five major themes emerged from the analysis of the verbatim: 1. The experience of implantation; 2. The device; 3. Treatments ; 4. Patient’s relative; 5. HealthCare system. The results relate the importance of managing the ventricular assist device, without which patients would no longer be alive, but also the constraints of the disease on daily life and the psychological impact due to the risk of failure of the device and to its life expectancy. Contrary to literature data, treatments are not perceived as difficulties by the patients surveyed, with the exception of the stabilization of the INR. Patients are satisfied with their hospital care but report the lack of knowledge of healthcare professionals in primary care. This work allows us to understand the needs of patients and highlight several areas for improvement to initiate the establishment of a collaborative care necessary for optimal patient care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01159299
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Submitted on : Wednesday, June 3, 2015 - 10:15:31 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:18 AM
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  • HAL Id : dumas-01159299, version 1

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Marie-Élise Ferrier. Analyse des besoins auprès des patients porteurs d’une assistance ventriculaire. Sciences pharmaceutiques. 2014. ⟨dumas-01159299⟩

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