An Evaluation of the Association between Quality of Life and Psychological Issues in Patients with Automated Implantable Cardioverter Defibrillator.

Nilofar Pasyar,Mohammad Hossein Nikoo,Parisa Mansouri,Masoume Rambod

doi:10.34172/jcs.2022.01

Nilofar Pasyar, Mohammad Hossein Nikoo + Show 2 more

Open Access

https://doi.org/10.34172/jcs.2022.01

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Abstract

Introduction: Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias. However, it may result in the incidence of psychological tensions in patients’ lives, eventually leading to changes in their quality of life (QoL). To date, this association has remained unclear among Iranian population. Therefore, the present study aimed to determine the association between QoL and psychological issues in patients with ICD.Methods: Using convenience sampling method, this cross-sectional study was conducted on 96 patients referred to the pacemaker clinic of Shahid Faghihi hospital and Kowsar heart hospital affiliated to Shiraz University of Medical Sciences, Iran from September 2016 to January 2017. The data were collected using Depression, Anxiety, Stress Scale (DASS-21) and the Short Form-36 (SF-36) questionnaire, and analyzed in SPSS software version 13 using independent t-test, Pearson’s correlation test, and ANOVA. Results: The mean (SD) score of patients’ QoL was found to be 1672.02 (43.43). Moreover, the mean (SD) scores of depression, anxiety, and stress were 4.69 (0.46), 5.6 (0.47), and 7.51 (0.05), respectively indicating moderate depression, anxiety, and stress levels among the patients. A significant association was found between the patients’ QoL and depression, anxiety, and stress.Conclusion: As an association was observed between the patients’ QoL and depression, anxiety, and stress, performing some interventions to reduce the patients’ psychological issues might improve their QoL.

Highlights

Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias
Materials and Methods The population of this cross-sectional study included ICD patients referred to the pacemaker and ICD clinics of Shahid Faghihi hospital and Kowsar heart hospital affiliated to Shiraz University of Medical Sciences (SUMS), Iran
The results demonstrated no significant association between depression, anxiety, and stress scores and gender, marital status, living status, education level, employment status, and first hospital for ICD insertion (Table 3)

Summary

Introduction

Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias. It may result in the incidence of psychological tensions in patients’ lives, eventually leading to changes in their quality of life (QoL). To date, this association has remained unclear among Iranian population. Conclusion: As an association was observed between the patients’ QoL and depression, anxiety, and stress, performing some interventions to reduce the patients’ psychological issues might improve their QoL. ICD implantation has undergone considerable progresses in the recent years.[4] This device returns the cardiac rhythm to normal status by identifying the potentially dangerous cardiac rhythms and discharge of shock.[5]. It might lead to psychosocial distresses in patients and, in case of inability to adapt with the device, affect their quality of life (QoL).[6]

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Results

Conclusion