Device nurse intervention facilitates the patients’ adaptation to cardiac shock devices in the remote monitoring era
Device nurse intervention facilitates the patients’ adaptation to cardiac shock devices in the remote monitoring era
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设备护士干预有利于远程监护时代患者对心源性休克设备的适应
DOI：
10.1111/pace.14348
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Hirata Ken‐ichi
中科院分区：
文献类型：
--
作者：
Ogawa Tomomi;Saito Nao;Fukuzawa Koji;Kiuchi Kunihiko;Takami Mitsuru;Hayashi Megumi;Tanioka Ryo;Ota Masaya;Komoriya Keizo;Miyawaki Ikuko;Hirata Ken‐ichi
大量使用电击装置的患者（植入式心脏复律除颤器[ICD]或带除颤器的ICD [CRTDs]）经历心理困扰。我们调查了设备护士电话干预对改善患者对电击设备的适应、生活质量（QOL）和远程监测时代的焦虑的影响。在每3个月进行一次器械护士电话干预之前和之后1年，通过改良的植入器械适应-日本评分（IDAS）、简明量表-36和状态-特质焦虑量表（STAI）对患者的焦虑和焦虑进行调查。共有95名患者（中位年龄69岁，25名女性）参与。60例患者植入了ICD，35例植入了CRTD。结构性心脏病72例，特发性室性心律失常的其他。平均左室射血分数为46% ± 15%。自装置植入以来的中位持续时间为5.2 years.ResultsThe总IDAS评分从基线时的28.42 ± 7.11显著改善至1年时的26.77 ± 7.68（p= 0.0076）。状态焦虑和特质焦虑均显著改善（分别从38.9 ± 9.6改善至35.3 ± 9.0 [<0.0001]和38.8 ± 10.3改善至36.2±9.8 [p= 0.0044]）。状态和特质焦虑超过40的患者患病率从研究前的44（46%）和38（40%）例患者下降到1年时的27（28%）和32（34%）例患者。SF-36心理健康总分显著增加（基线时为50.8 ± 8.3，1年时为53.1 ± 7.7，p= 0.0031）。
BackgroundAsubstantial number of patients with shock devices (implantable cardioverter defibrillators [ICDs] or ICDs with resynchronization [CRTDs]) experience psychological distress.ObjectiveWe investigated the device nurse telephone intervention's effect on improving the patient's adaptation to shock devices, quality of life (QOL), and anxiety in the remote monitoring era.MethodsThe patient's adaptation to the device, health‐related QOL, and anxiety were investigated by the modified Implanted Devices Adjustment‐Japan score (IDAS), Short Form‐36, and State‐Trait Anxiety Inventory (STAI) before and 1‐year after the device nurse telephone intervention, performed every 3 months. A total of 95 patients (median age 69 years and 25 females) participated. Sixty patients had ICDs and 35 CRTDs. Structural heart disease was observed in 72 patients, and idiopathic ventricular arrhythmias in the others. The mean left ventricular ejection fraction was 46% ± 15%. The median duration since the device implantation was 5.2 years.ResultsThe total IDAS score significantly improved from 28.42 ± 7.11 at baseline to 26.77 ± 7.68 (p= 0.0076) at 1 year. Both the state and trait anxiety significantly improved (from 38.9 ± 9.6 to 35.3 ± 9.0 [<0.0001] and 38.8 ± 10.3 to 36.2±9.8 [p= 0.0044], respectively). The prevalence of patients with a state and trait anxiety of more than 40 decreased from 44 (46%) and 38 (40%) patients before the study to 27 (28 %) and 32 (34 %) at 1 year. The SF‐36 mental component summary score significantly increased (50.8 ± 8.3 at baseline to 53.1 ± 7.7 at 1 year,p= 0.0031).ConclusionsThe device nurse intervention facilitated the patient's adaptation to the shock device, increased the health‐related QOL, and reduced the patient's anxiety.
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影响因子：
2.7
作者：
Zanotto, Gabriele;D'Onofrio, Antonio;Ricci, Renato P.
通讯作者：
Ricci, Renato P.
影响因子：
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作者：
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作者：
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DOI：
--
发表时间：
1980
期刊：
影响因子：
--
作者：
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影响因子：
3.4
作者：
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