The experience of family caregivers of patients with a left ventricular assist device: An integrative review

OBJECTIVE: The purpose of this review is to understand the experience of caregivers of patients with left ventricular assist device (LVAD) and to evaluate how health professionals can support them properly. BACKGROUND: Left ventricular assist device can improve quality of life, enhance functional status, and prolong survival in patients with advanced heart failure. Nonetheless, LVAD can adversely influence quality of life for their family caregivers. METHODS: An integrative literature review was conducted using scientific databases between January to March 2015. RESULTS: A total of 15 studies are included in the final review. Three major themes emerged "emotional distress," "responsibility," and "coping strategies" that characterize family caregivers' experiences with care of patients with LVAD. CONCLUSION: Health care providers should understand the pivotal role of caregivers in promoting and maintaining patients' well-being and be able to help the caregiver to moderate the impact being overloaded. Research should be addressed to create interventions that motivate the caregivers to engage in activities that promote their health.