Living with an Insertable Cardiac Monitor: Influences on Self-Care Management

West J Nurs Res. 2021 Feb;43(2):123-129. doi: 10.1177/0193945920942254. Epub 2020 Jul 16.

Abstract

The insertable cardiac monitor (ICM) is technology for diagnosing cardiac arrhythmias. The perception of those living with the device and how this relates to self-care management is unknown. The aim of this study was to explore the experiences of those with undiagnosed cardiac symptoms living with an ICM. This study used a qualitative descriptive design. Analysis of data was by intraparticipant analysis, interparticipant analysis, and interrelationships. Three global categories emerged: (a) influences on self-care, (b) dealing and (c) monitoring. Self-care management after insertion of the ICM was determined by the participant's perception of health, what symptoms they were experiencing and whether there was a positive or negative experience with the clinician. Many indicated little to no regular communication regarding symptoms and ICM results. Increasing communication relevant to management of health and long-term findings may assist in enhancing physical and psychological health.

Keywords: arrythmias; insertable cardiac monitor; qualitative; self-care management.

MeSH terms

  • Arrhythmias, Cardiac / diagnosis*
  • Electrocardiography, Ambulatory / instrumentation*
  • Female
  • Heart Rate / physiology
  • Humans
  • Interviews as Topic
  • Male
  • Miniaturization / instrumentation*
  • Qualitative Research
  • Self Care / psychology*