Artykuł przedstawia wyniki badań, których celem była analiza
doświadczenia burzy elektrycznej u osób z ICD (kardiowerter-
-defibrylator) przy uwzględnieniu nasilenia lęku dotyczącego
tej sytuacji. Badania oraz interwencje psychologiczne przeprowadzono na Oddziale Intensywnej Opieki Kardiologicznej.
Ciekawe wyniki badań nasuwają wiele refleksji do spożytkowania w okolicznościach udzielania pomocy psychologicznej
tego typu pacjentom.
abstract in English:
Objectives: Cardioverter-defibrillator (ICD) reduces the risk of sudden cardiac death and
ensures a feeling of safety in the patient. In some patients, an electrical storm can be a source
of difficulties in adaptation process, requiring psychological interventions. The electrical
storm is a rare, but psychologically burdensome situation in patients with ICD. The aim of
the study was the analysis of the experiences of electrical storm in patients with cardioverter
defibrillator taking into account the severity of state anxiety.
Methods: The study and the psychological intervention were conducted in the first three
days after the ICD electric storm in the Intensive Cardiology Care Ward. Data was analyzed
on the basis of narrative interview and thematic analysis. The severity of state and trait anxiety
was also assessed with the use of STAI questionnaire.
Results: All the patients were characterized by a medium to high level of anxiety as
personality trait. In response to electrical storm two groups were found: a high - and medium-level of anxiety group. In the high-level of anxiety group, the statements had anxious
and/or depressive characteristics, while in the medium-level of anxiety group the statements
indicated an acceptance of the ICD treatment.
Conclusions: The main result of the analysis is the distinction of two theme groups
identified on the basis of the statements concerning the electric storm experience. In the
high-level of anxiety group, lack of acceptance of this method of treatment and anxious statements were found more often, whereas the statements of the medium-level of anxiety
group presented better adaptation.