Cardiovascular diseases, particularly arrhythmias requiring permanent pacemaker implantation, often result in significant anxiety and hopelessness, impacting quality of life. Jean Watson's Theory of Human Caring provides a holistic framework emphasizing transpersonal caring to address psychological distress.
Case Presentation: A 58-year-old retired man underwent dual-chamber pacemaker implantation for symptomatic sinus bradycardia on May 30, 2025. Six months post-implantation, he exhibited persistent anxiety, hopelessness, altered body image, fear of device malfunction, electromagnetic interference concerns, social isolation, and dependency on family and technology.
This qualitative case report utilized semi-structured interviews based on Watson's Caritas Processes in two phases: need identification and intervention implementation. Data were analyzed via conventional content analysis. Ongoing caring interviews reduced anxiety intensity, enhanced hope for life, improved self-care competency, and facilitated adaptation, as evidenced by the patient's self-reported mood improvements, increased energy, and positive coping strategies. In conclusion, Watson's theory effectively mitigated psychological burdens in this middle-aged pacemaker patient, demonstrating its value in nursing practice for enhancing holistic care during chronic illness adjustment.