{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T04:17:16Z","timestamp":1779164236467,"version":"3.51.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2021,12,6]],"date-time":"2021-12-06T00:00:00Z","timestamp":1638748800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"German Federal Joint Committee","award":["01VSF18012"],"award-info":[{"award-number":["01VSF18012"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Ventricular assist device (VAD) implantation has become a well-established treatment strategy for patients suffering from advanced heart failure. Ventricular assist device treatment attempts to ameliorate the symptom burden but may create new challenges in patients\u2019 lives. Lacking are insights into perceived challenges and health-related needs of patients with VAD within their home environment. Our study aimed to explore\u00a0the perceived health-related needs of patients living with a VAD in their home environment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>We used a qualitative approach based on a hermeneutic, directed content analysis design. Telephone-based interviews were conducted with 10 patients with VAD from a single cardiology centre in Germany. Data collection and analyses were carried out using content-structuring content analyses. Normalcy and safety were identified as overarching themes: participants expressed a need to balance daily activities between striving for normalcy and maintaining safety. Underlying necessities reflecting this balance were categorized as functional, social, and mental health-related needs. Learning by doing, social-, and peer support were described as relevant requisites. Fulfilling these health-related needs could aid patients living with VAD in achieving the sense of normalcy and safety they seek.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Balancing health-related needs with striving for normalcy and safety, emerged as a new core concept for patients with VAD. Thus, being cognizant of this balance when caring for these patients, could facilitate coping after VAD implantation through increasing acceptance of limitations to daily functions by enhancing individual safety. A supportive social environment, including peer support, becomes vital in self-management programs preparing patients with VAD for their home environment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvab113","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T20:13:51Z","timestamp":1636661631000},"page":"446-452","source":"Crossref","is-referenced-by-count":9,"title":["Balancing normalcy and safety: health-related needs in patients with a ventricular assist device within their home environment"],"prefix":"10.1093","volume":"21","author":[{"given":"Florian","family":"Tre\u00df","sequence":"first","affiliation":[{"name":"Albert-Ludwigs University of Freiburg, Faculty of Medicine, Institute of Nursing Science , Breisacher Str. 153 , 79110 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Spitz-Koeberich","sequence":"additional","affiliation":[{"name":"Medical Center\u2014University of Freiburg, University Heart Center, University of Freiburg, Faculty of Medicine , Hugstetter Stra\u00dfe 55 , 79106 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Rebafka","sequence":"additional","affiliation":[{"name":"Albert-Ludwigs University of Freiburg, Faculty of Medicine, Institute of Nursing Science , Breisacher Str. 153 , 79110 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7597-7778","authenticated-orcid":false,"given":"David","family":"Schibilsky","sequence":"additional","affiliation":[{"name":"Medical Center\u2014University of Freiburg, University Heart Center, University of Freiburg, Faculty of Medicine , Hugstetter Stra\u00dfe 55 , 79106 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1422-2718","authenticated-orcid":false,"given":"Christiane","family":"Kugler","sequence":"additional","affiliation":[{"name":"Albert-Ludwigs University of Freiburg, Faculty of Medicine, Institute of Nursing Science , Breisacher Str. 153 , 79110 Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,12,6]]},"reference":[{"key":"2022063008552170900_zvab113-B1","doi-asserted-by":"crossref","first-page":"e254","DOI":"10.1161\/CIR.0000000000000950","article-title":"Heart disease and stroke statistics\u20142021 update. 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