The Predictor Roles of Spiritual Well-Being, Healthcare Professionals' Support and Shock Anxiety in Implantable Cardioverter-Defibrillator Device Acceptance.

Abstract

BackgroundAcceptance of the implantable cardioverter-defibrillator (ICD) device may be affected by a variety of factors. This study aimed to investigate the predictor roles of spiritual well-being, healthcare professionals’ support and shock anxiety in accepting ICD.MethodsThis cross-sectional study was conducted on 100 patients with ICD. The data were collected by the Florida Patient Acceptance Scale, Florida Shock Anxiety Scale, Spiritual Well-Being Scale and Healthcare Professionals’ Support Questionnaire.ResultsThe mean (SD) scores of patient acceptance, shock anxiety, spiritual well-being and healthcare professionals’ support were 65.4 (13.56), 21.93 (8.95), 88.92 (11.78) and 76.41 (10.54), respectively. The results revealed higher acceptance among the participants with lower shock anxiety levels (r = −0.51, P < 0.001), higher mean scores of spiritual well-being (r = 0.33, P = 0.001) and higher healthcare professionals’ support (r = 0.40, P < 0.01). Additionally, the results of linear regression indicated that spiritual well-being, healthcare professionals’ support and shock anxiety predicted 36% of the patient acceptance variance (R = 0.61, R2 = 0.38, adj R2 = 0.36) and shock anxiety and healthcare professionals’ support were the predictors of patient acceptance.ConclusionThe study results indicated that the patients’ mean score of acceptance was relatively high. In addition, the mean scores of shock anxiety, spiritual well-being and healthcare professionals’ support were low, moderate and relatively high, respectively. Conducting healthcare professionals’ support interventions, spiritual therapy and reducing shock anxiety can help patients accept ICDs.