Functional Status, Anxiety and Depression Among Persons with Automatic Implantable Cardioverter Defibrilltor
Keywords:
Functional status, Anxiety, Depression, Implantable cardioverter defibrillatorAbstract
Sudden cardiac arrest from severe cardiac arrhythmia is a common cause of death. The implantation of an automatic cardioverter defibrillator is not only life saving therapy but it also affects physical, psychological, and social function. The objectives of this descriptive study were to survey the functional status, anxiety and depression of persons with automatic implantable cardioverter defibrillator who received care from the cardiovascular specialty noninvasive unit at Maharaj Nakorn Chiang Mai Hospital. One hundred and twenty-five subjects were purposively selected and questionnaires were sent by mail. Ninety-five subjects returned questionnaires which accounted for 76%. Data collection instruments included: 1) Demographic Data Recording Form, 2) The Functional Status Questionnaire, 3) The State–Trait Anxiety Inventory Form Y: STAI Form Y-1 and STAI Form Y- 2 and 4) Beck Depression Inventory IA (BDI-IA) Data were analyzed using descriptive statistics; range, frequency, percent, mean, and standard deviation.
The results of study
The findings showed that subjects had basic activities of daily living scores at a good level 71.60% and scored at functional disability 28.40%, scored at intermediate activities of daily living 45.30% and scored at functional disability 54.70%. Subjects had mental health scores at a good level 50.50% and scored at functional disability 49.50%. Subjects had work performance scores at a good level 26.30% and scored at functional disability 73.70%, social activities scores at a good level 55.80% and scored at functional disability 44.20%, quality of interaction scores at a good level 69.50% and scored at functional disability 30.50%.The majority of subjects had trait and state anxiety 90.50%. The majority of subjects did not have depression 76.80%, mild depression 11.60%, moderate depression 8.40% and severe depression 3.20%.
Study findings showed the problems related to impaired intermediate activities of daily living, mental health, social function and anxiety. This finding should be presented to the relevant departments whom taking care of the automatic implantable cardioverter defibrillator patients to work for an improvement of nursing care.
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