Quality of life and psychological status of patients with implantable cardioverter defibrillators
Quality of life and psychological status of patients with implantable cardioverter defibrillators
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DOI：
10.1007/s10840-006-9053-1
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发表时间：
2006-10-01
影响因子：
1.8
通讯作者：
Gottlieb, S. S.
中科院分区：
文献类型：
--
作者：
Friedmann, E.;Thomas, S. A.;Gottlieb, S. S.
前言植入式心脏转复除颤器(ICD)能有效降低心源性猝死(SCD)高危患者的死亡率，但会引起心理痛苦，降低生活质量(QOL)。只有当患者的生活质量和心理状态得到维持时，ICDS的全部好处才能实现。我们调查了ICD植入后的心理状态和生活质量，心理状态与生活质量的关系，植入时间与心理状态和生活质量的关系，以及ICD植入时间和患者年龄与这些变量的关系。方法与结果对48例在过去10年内在城市医院接受ICD治疗的患者的生活质量、抑郁、焦虑、人口学特征和心血管健康史进行横断面自我评估。患有ICDS时间较长的患者经历了更严重的抑郁和生活质量。年轻的患者有更严重的抑郁、焦虑和生活质量。焦虑、抑郁、年龄和植入ICD的时间对总体QOL和QOL的心理社会和生理维度的预测力分别为55.5%、54%和34.9%。结论年轻ICD患者心理困扰和生活质量较差的风险最高。纵向研究将有助于确定ICD经历期间心理状态和生活质量变化的轨迹。
Introduction Implantable cardioverter defibrillators (ICDs) are effective at reducing mortality in patients at high risk for sudden cardiac death (SCD) but can cause psychological distress and reduce quality of life (QOL). The full benefits of ICDs can only be achieved when the patient's QOL and psychological status are maintained. We examined psychological status and QOL post ICD implantation; the relationship of psychological status to QOL; the relationship of time since implantation to psychological status and QOL; and the relationship of time since ICD implantation and age of patient to these variables.Methods and results A cross-sectional self-administered assessment of QOL, depression, anxiety, demographic characteristics and cardiovascular health history of patients (n = 48) who had received ICDs within the past 10 years at an urban hospital. Patients who had ICDs for longer experienced worse depression and QOL. Patients who were younger had worse depression, anxiety, and QOL. The combination of anxiety, depression, age, and time since ICD implant significantly predicted overall QOL and the psychosocial and physical dimensions of QOL explaining 55.5, 54, and 34.9% of the variance, respectively.Conclusion Younger ICD patients are at highest risk for psychological distress and poor QOL. Longitudinal research would facilitate determination of the trajectory of changes in psychological status and QOL over the duration of the ICD experience.