Perceptions of Singaporean patients living with implantable cardioverter defibrillators: an exploratory qualitative study

Background: Despite the increasing use of implantable cardioverter defibrillators (ICDs) as a preventive approach for high-risk patients with arrhythmias, little is known about the perceptions of ICD recipients regarding these devices and their impact on quality of life. Objectives: To explore perceptions towards quality of life, coping strategies, and learning needs of patients living with ICDs in Singapore. Methods: 16 participants (age ranges 52 to 84 years old) were purposively recruited and interviewed individually for this exploratory qualitative study. Data collected was analyzed using thematic analysis. Results: Seven themes emerged: experiencing ICD shocks, ambivalent "love-hate" relationship with ICD, receiving support from healthcare professionals and social networks, attaining acceptance and returning to normalcy, physical coping, emotional coping, and readiness and need for enhanced patient education. Conclusions: With an insight to the perceptions of ICD recipients in Singapore, future practice can focus on addressing their concerns and improve post-implantation quality of life. (C) 2018 Elsevier Inc. All rights reserved.