A qualitative Meta-synthesis research on the decision-making experience of the heart failure patients and caregivers about left ventricular assist device implantation
Objective To systematically integrate the decision-making experience of left ventricular assist device(LVAD)implantation in patients with heart failure patients and their caregivers.Methods The qualitative research of LVAD implantation decision-making experience in PubMed,Embase,The Corhrane Library,Web of Science,CI-NAHL,Wanfang data,China National Knowledge Network,VIP database and China biomedical literature service system were searched,and the search time was from the establishment of the database to December 1,2023.Results A total of 10 pieces of literature were included,and a total of 24 topics were extracted and summarized into 9 catego-ries,which were combined into 3 integrated results:LVAD decision thoughts,LVAD decision-making-influencing fac-tors,LVAD decision-making needs and support.Conclusion The decision-making thinking of patients and caregivers for LVAD implantation is complex,influenced by many factors,and the decision-making needs are diverse.It is sug-gested that health care providers should pay attention to the decision-making psychology of patients and caregivers,timely intervention or counseling,and constantly improve decision-making services,improve the decision-making service level,assist patients to make the best decision,and improve the quality of life of patients with heart failure.