Factors influencing health related quality of life in patient with automatic implantable cardioverter defibrillators (AICDs)

Authors

  • อินทิรา โสภาภรณ์ Registered Nurse, Vichaiyut Hospital
  • วิชชุดา เจริญกิจการ Assistant Professor, Faculty of Nursing Mahidol University
  • ดวงรัตน์ วัฒนกิจไกรเลิศ Associate Professor , Faculty of Nursing Mahidol University
  • ฉัตรกนก ทุมวิภาต Lecturer, Faculty of medicine Mahidol University

Keywords:

health related quality of life, patients with automatic implantable cardioverter defibrillators, anxiety, health literacy, social support

Abstract

       This study was aimed to analyze the predictive relationships of shock anxiety about automatic implantable cardioverter defibrillators (AICDs), health literacy and social support influencing to health related quality of life in patient with AICDs. The sample was 90 patients with AICDs who came to follow-up at a tertiary hospital. Instrumentation was composed of the following: The personal data recording form, Short – Form-12 Health Survey Version 2 (SF-12 V2), Florida Shock Anxiety Scale; FSAS, The health literacy evaluation form for patients with AICDs, and the social support questionnaire. Data were analyzed using multiple regression analysis.

        The samples were good quality of life (Mean= 634.96, S.D. = 73.12). Based on the outcome from enter multiple regression analysis, all independent variables were found to be able to explain fluctuations in the quality of life in patients with AICDs at 17.7 percent (R2=.177, p<.05). Finding anxiety about AICDs and social support were found to be able to predict quality of life in patients with AICDS with statistical significance (p<.05).

        The results from this study suggest that nurses should provide proper information for patients with AICDS about implantable cardioverter defibrillators to reduce anxiety among patients, promote social support in patients with AICDs in order to promote self-care and improve better quality of life.

References

1. Epstein AE, Dimarco JP, Ellenbogen KA, Estes NA, 3rd, Freedman RA, Gettes LS, et al. ACC/AHA/HRS 2008 Guidelines for device-based therapy of cardiac rhythm abnormalities. Heart Rhythm. 2008;5(6):e1-62.

2. World Health Organization. World health statistics. 2012 [Cited 2014 January 24]. Available from: https://www.who.int/gho/publications/world_health_statistics/2.

3. Al-Khatib SM, Hellkamp A, Curtis J, Mark D, Peterson E, Sanders GD, et al. Non-evidence-based ICD implantations in the United States. JAMA. 2011 Jan 5; 305(1):43-9.

4. The heart association of Thailand under the royal patronage of H.M. the King. Practical guidelines for treatment of cardiac arrhythmias and heart failure with implantable device [document on the internet]. 2010 [Cited 2013 Oct 20]. Available from: https://www.thaiheart.org/images/column_1291454908/DeviceGuideline.pdf.

5. Yung D, Birnie D, Dorian P, Healey JS, Simpsom CS, Crystal E, et al. Survival After Implantable Cardioverter- Defibrillator Implantation in the Elderly. Circulation. 2013; 127:2383-92.

6. Van Rees JB, Borleffs CJ, de Bie MK, Stijnen T, van Erven L, Bax JJ, et al. Inappropriate implantable cardioverter- defibrillator shocks: incidence, predictors, and impact on mortality. J Am Coll Cardiol. 2011; 57(5):556-62.

7. Bostwick JM, Sola CL. An updated review if implantable cardioverter /defibrillators, induced anxiety, and quality of life. Heart Failure Clin. 2011 Jan; 7(1):101-8.

8. Chair SY, Lee CK, Choi KC, Sears SF. Quality of life outcomes in Chinese patients with implantable cardioverter defibrillators. Pacing Clin Electrophysiol. 2011 Jul; 34(7):858-67.

9. Fanny J, Gael F, Arnaud S, Frederic A, Audrey B, Alain C, et al. A comparison of anxiety, depression and quality of life between device shock and nonshock groups in implantable cardioverter defibrillator recipients. Gen Hosp Psychiatry. 2009 May-Jun; 31(3):266-73.

10. Carroll DL, Hamilton GA. Long-term effects of implanted cardioverter-defibrillators on health status, quality of life, and psychological state. Am J Crit Care. 2008 May; 17(3):222-30; quiz 231.

11. Kovacs AH, Feigofsky S, Goff JS, Saidi AS, Curtis AB, Conti JB, et al. Implantable cardioverter defibrillator implant- explant-implant case study: addressing the psychological adjustment to multiple shocks. Clin Cardiol. 2006 Jun; 29(6):274-6.

12. Luyster F, Hughes JW, Waechter D, Josephson R. Resource loss predicts depression and anxiety among patients treated with an implantable cardioverter defibrillator. Psychosom Med. 2006(68):794–800.

13. Kraaier K, Starrenburg AH, Verheggen RM, van der Palen J, Scholten MF. Incidence and predictors of phantom shocks in implantable cardioverter defibrillator recipients. Neth Heart J. 2013; 21:191-5.

14. Sears SF, Hauf JD, Kirian K, Hazelton G, Conti JB. Posttraumatic stress and the implantable cardioverter- defibrillator patient: what the electrophysiologist needs to know. Circ Arrhythm Electrophysiol. 2011 Apr; 4(2):242-50.

15. Sears SF, Hazelton AG, St Amant J, Matchett M, Kovacs A, Vazquez LD, et al. Quality of life in pediatric patients with implantable cardioverter defibrillators. Am J Cardiol. 2011 Apr 1; 107(7):1023-7.

16. Van den Broek KC, Nyklicek I, Denollet J. Anxiety predicts poor perceived health in patients with an implantable defibrillator. Psychosomatics. 2009 Sep-Oct;50(5):483-92.

17. Braunschweig F, Boriani G, Bauer A, Hatala R, Herrmann-Lingen C, Kautzner J, et al. Management of patients receiving implantable cardiac defibrillator shocks: recommendations for acute and long-term patient management. Europace. 2010 Dec; 12(12):1673-90.

18. Harendeal HV, Pinter A, Ahmed K, Korley V, Mangat I, Dorian P. Role of antiarrhythmic drugs in patients with implantable cardioverter defibrillators. Europace. 2010; 12:618-25.

19. Thomas SA, Friedmann E, Kao CW, Inguito P, Metcalf M, Kelley FJ, et al. Quality of life and psychological status of patients with implantable cardioverter defibrillators. Am J Crit Care. 2006 Jul;15(4):389-98.

20. Pedersen SS, Theuns DA, Jordaens L, Kupper N. Course of anxiety and device-related concerns in implantable cardioverter defibrillator patients the first year post implantation. Europace. 2010 Aug;12(8):1119-26.

21. Carroll, Hamilton. Quality of life in implanted cardioverter defibrillator recipients: the impact of a device shock. Heart Lung. 2005 May-Jun; 34(3):169-78.

22. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh. 2005; 37(4):336-42.

23. Wilson IB, Cleary PD. Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA. 1995 Jan 4; 273(1):59-65.

24. Polit DF, Beck CT. Nursing research : generating and assessing evidence for nursing practice (Ninth Edition. ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2012.

25. Chariyalertsak, S., Wansom, T., Kawichai, S., Ruangyuttikarna, C., Kemerer, V. F., & Wu, A. W. Reliability and validity of Thai versions of the MOS-HIV and SF-12 quality of life questionnaires in people living with HIV/AIDS. Health Qual Life Outcomes. 2011; 25(3): 1-15. (in Thai)

26. Kuhl EA, Dixit NK, Walker RL, Conti JB, Sears SF. Measurement of patient fears about implantable cardioverter defibrillator shock: an initial evaluation of the Florida Shock Anxiety Scale. Pacing Clin Electrophysiol. 2006 Jun; 29(6):614-8.

27. Hajak W, Wattanakitkrilert D. The influence of uncertainty in illness, health literacy, and social support on quality of life of patients with heart failure. Journal of Nursing Science Chulalongkorn University. 2013; 25(1): 79-92. (in Thai)

28. Parker RM, Baker DW, Williams MV, Nurss JR. The test of functional health literacy in adults: a new instrument for measuring patients' literacy skills. J Gen Intern Med. 1995 Oct; 10(10):537-41.

29. Toljamo M, Hentinen M. Adherence to self-care and social support. J Clin Nurs. 2001 Sep;10(5):618-27.

30. Leelacharas S, Orathai P. Construct validity of social support questionnaire in Thai woman diagnosed with hypertension. Journal of Public Health Nursing. 2011; 25(3): 1-17. (in Thai)

31. Sears SF, Lewis TS, Kuhl EA, Conti JB. Predictors of quality of life in patients with implantable cardioverter defibrillators. Psychosomatics. 2005 Sep-Oct; 46(5):451-7.

32. Macabasco-O'Connell A, DeWalt DA, Broucksou KA, Hawk V, Baker DW, Schillinger D, et al. Relationship between literacy, knowledge, self-care behaviors, and heart failure-related quality of life among patients with heart failure. J Gen Intern Med. 2011 Sep; 26(9):979-86

33. Evangelista LS, Rasmusson KD, Laramee AS, Barr J, Ammon SE, Dunbar S, et al. Health literacy and the patient with heart failure--implications for patient care and research: a consensus statement of the Heart Failure Society of America. J Card Fail. 2010 Jan; 16(1):9-16.

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Published

2018-12-31

How to Cite

1.
โสภาภรณ์ อ, เจริญกิจการ ว, วัฒนกิจไกรเลิศ ด, ทุมวิภาต ฉ. Factors influencing health related quality of life in patient with automatic implantable cardioverter defibrillators (AICDs). Thai J Cardio-Thorac Nurs. [Internet]. 2018 Dec. 31 [cited 2024 Nov. 5];29(2):28-42. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/164278

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Research Articles