Factors related to health related quality of life in elderly people with permanent pacemaker
Keywords:
elderly people, permanent pacemaker, social support, quality of lifeAbstract
This research aimed to study the health-related quality of life (HRQoL) and the factors relating to HRQoL in elderly people with permanent pacemaker. The sample group is a hundred and eleven of the elderly people receiving care in out-patient department, Cardiovascular Medicine Unit of the Police General Hospital and King Chulalongkorn Memorial Hospital. The instruments were composed of demographic information, treatment information, Assessment of QUAlity of Life and RELated events in long – term pacing (AQUAREL), New York Heart Association Classification (NYHA), Thai Geriatric Depressive Scale, and social support questionnaire . Data were analyzed by percentage, mean, standard deviation, Pearson correlation coefficient and Eta coefficient.
The results showed that total score of the HRQoL in elderly people with permanent pacemaker was at a good level with 97.3% (Mean = 32.46, SD =10.42). Gender and age were not related to HRQoL (p> 0.05). Depression, co-morbidity, and limited of activity were significantly negatively related to HRQoL of the elderly people with permanent pacemaker at 0.05 (r = - 0.239, - 0.518 and r = - 0.697, respectively). Social support is significantly positively related to HRQoL of the elderly people with permanent pacemaker at 0.05 (r = 0.452). Co-morbidity, limited of activity and social support explained 61.2% of variance in quality of life in elderly people with permanent pacemaker.
The finding suggests that health personnel should provide health promotion for elderly people with permanent pacemaker in order to reduce limitation of activity. They should also prevent or minimize elderly people’s co-morbidity and provide well social support to enhanced better quality of life.
References
2. Brignole M, Auricchio A, Baron-Esquivias G, Bordachar P, Boriani G, Breithardt O-A, et al. 2013 ESC Guidelines on cardiac pacing and cardia resynchronization therapy. Eur Heart J. 2013;34(29):2281-329.
3. Zipes DP, Calkins H, Daubert JP, Ellenbogen KA, Field ME, Fisher JD, et al. ACC/AHA/HRS Advanced training statement on clinical cardiac electrophysiology (A revision of the ACC/AHA 2006 update of the clinical competence statement on invasive electrophysiology studies, catheter ablation, and cardioversion). J Am Coll Cardiol. 2015; 66(24):2767-802.
4. Taborsky M, Kautzner J. Summary of the 2013 ESC guidelines on cardiac pacing and cardiac resynchronization therapy: Prepared by the Czech Society of Cardiology. Cor et Vasa. 2014; 56(1):57-74.
5. Kasemsuwan P. Report of the Annual Meeting The Thai cardiac electrophysiology club; March; Bangkok: Electrophysiology Club; 2016 (in Thai).
6. Medical record and statistics in King Chulalongkorn Memorial Hospital. Statistic of older persons with permanent pacemaker implantation with all patients in cardiac catheterization Unit. Bangkok: King Chulalongkorn Memorial Hospital; 2015. (in Thai).
7. Aroonsang P. Nursing care for major problems of the elderly: applying. Khon Kaen: Klungnanatham; 2011. (in Thai).
8. Kanjanarutjawiwat W, Pitaksuteepong T, Dermsomboon R. Permanent Pacemaker : Prapokklao hospital experience complication and management. The Journal of Prapokklao Hospital Clinical Medical Education Center. 2015; 32(1): 58-67. (in Thai).
9. Pojar M, Vobornik M, Novy J. Left hemothorax: an unusual complication of delayed right ventricular perforation by a permanent pacemaker lead. J Card Surg. 2013;28(3):325-7.
10. Tang G, Zhai C, Wang Z, Chen H. Permanent pacemaker implanted into patient’s left ventricle via subclavian artery by mistake: a case report. BMC Cardiovasc Disord. 2015;15(1):1.
11. Malm D, Sandgren A. Regaining normalcy in relatives of patients with a pacemaker. Open J Nurs. 2014;4:139-49.
12. Cesarino CB, Beccaria LM, Aroni MM, Rodrigues LC, Pacheco SD. Quality of life of patients with implantable cardioversor-defibrillator: the usage of SF-36 questionnaire. Braz J Cardiovasc Surg. 2011;26(2):238-43.
13. Stofmeel MA, van Stel HF, van Hemel NM, Grobbee DE. The relevance of health related quality of life in paced patients. Int J Cardio. 2005;102(3):377-82.
14. Martijn Van Eck J, Van Hemel NM, KELDER J, Van Den Bos AA, Taks W, Grobbee DE, et al. Poor health‐related quality of life of patients with Indication for chronic cardiac pacemaker therapy. Pacing Clin Electrophysiol. 2008;31(4):480-6.
15. Udo EO, van Hemel NM, Zuithoff NP, Nijboer H, Taks W, Doevendans PA, et al. Long term quality-of-life in patients with bradycardia pacemaker implantation. Int J Cardiol. 2013;168(3): 2159-63.
16. Borges JBC, Barros RTd, Carvalho SMRd, Silva MAdM. Correlation between quality of life, functional class and age in patients with cardiac pacemaker. Braz J Cardiovasc Surg. 2013;28(1): 47-53.
17. Kurucová R, Žiaková K, Gurková E, Šimková E. Quality of life of patients with a permanent pacemaker. Ošetř. Porod. Asist. 2014;5(1):15-20.
18. Mlynarski R, Wlodyka A, Kargul W. Changes in the mental and physical components of the quality of life for patients six months after pacemaker implantation. J Cardiol. 2009;16(3):250-53.
19. Cully JA, Phillips LL, Kunik ME, Stanley MA, Deswal A. Predicting quality of life in veterans with heart failure: the role of disease severity, depression, and comorbid anxiety. Behav Med. 2010;36(2):70-6.
20. Hickey KT, Reiffel J, Sciacca RR, Whang W, Biviano A, Baumeister M, et al. Correlating perceived arrhythmia symptoms and quality of life in an older population with heart failure: a prospective, single centre, urban clinic study. J Clin Nurs. 2013;22(3-4):434-44.
21. Mayr S, Erdfelder E, Buchner A, Faul F. A short tutorial of G Power. Tutor Psychol Quant Methods. 2007;3(2): 51-59.
22. Lagewanwijit S. Heart failure. In: Lagewanwijit S, editor. Heart diseases-pathology. Chiang Mai: Faculty of Medicine, Chiang Mai University; 2013. (in Thai).
23. The Brain of Rehabilitation Group. Thai Geriatric Depression Scale. Siriraj Medical Journal. 2003;46(1):1-9. (in Thai).
24. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess.1988; 52(1):30-41.
25. Boonyamalik P. Epidemiology of adolescent suicidal ideation: Roles of perceived life stress, depressive symptoms and substance use [dissertation]. Baltimore (MD): Johns Hopkins University; 2005.
26. Chaimay P. Research methodology of public health. 3rd Edition. Songkhla: Namsilp Advertising; 2015. (in Thai)
27. Stevenson RT, Lugg D, Gray R, Hollis D, Stoner M, Williams JL. Pacemaker implantation in the extreme elderly. J Interv Card Electrophysiol. 2012;33(1):51-8.
28. Armaganijan LV, Toff WD, Nielsen JC, Andersen HR, Connolly SJ, Ellenbogen KA, et al. Are elderly patients at increased risk of complications following pacemaker implantation? A Meta-analysis of randomized trials. Pacing Clin Electrophysiol. 2012;35(2):131-4.
29. Chen HM, Chao YF. Change in quality of life in patients with permanent cardiac pacemakers: a six-month follow-up study. J Nurs Res. 2002;10(2):143-50.
30. Eliopoulos C. Gerontological nursing (8th ed). Hong Kong: Lippincott Williams & Wilkins; 2014.
31. Cunha T, Cota R, Souza B, Oliveira B, Ribeiro A, Sousa L. Correlation between functional class and quality of life among cardiac pacemaker users. Braz J Phys Ther. 2007;11(5):341-5.
32. Miller CA. Nursing for wellness in older adults. Lippincott Williams and Wilkins; 2015.
33. Meiner SE. Theories of Aging. In: Meiner SE. (Ed.), Gerontological nursing. 5 th Edition. New York: Elsevier Health Sciences; 2015. p. 16-27.
34. Figueroa C, Alcocer L, Ramos B. Psychological intervention to modify anxiety, depression and quality of life in patients with an implantable pacemaker. Psychol. 2016;7:374-81.
Downloads
Published
How to Cite
Issue
Section
License
บทความนี้ยังไม่เคยตีพิมพ์หรืออยู่ในระหว่างส่งไปตีพิมพ์ในวารสารอื่น ๆ มาก่อน และกองบรรณาธิการขอสงวนสิทธิ์ในการตรวจทาน และแก้ไขต้นฉบับตามเกณฑ์ของวารสาร ในกรณีที่เรื่องของท่านได้ได้รับการตีพิมพ์ในวารสารฉบับนี้ถือว่าเป็น ลิขสิทธิ์ของวารสารพยาบาลโรคหัวใจและทรวงอก
