Factors Influencing Quality of Life in Patients with Permanent Cardiac Pacemakers
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Abstract
Purpose: This study aimed to examine the predictive power of health literacy, self-monitoring, family support, and patient-healthcare provider communication on the quality of life in patients with permanent cardiac pacemakers.
Design: A cross-sectional research design.
Methods: The sample included 130 patients with permanent cardiac pacemaker who were followed up at an adult cardiac device clinic of a super tertiary hospital in Bangkok. Data were collected using a set of questionnaires including personal information, quality of life, health literacy, self-monitoring, family support, and patient-healthcare provider communication. Data were analyzed using descriptive statistics and multiple regression statistics.
Main findings: The results revealed that 59.2% of the respondents were female, with a mean age of 71.15 years (SD = 13.42). Overall, the quality of life had a good level. Health literacy, self-monitoring, family support, and patient-healthcare provider communication were able to jointly explain 32% of the variances in quality of life of patients with permanent cardiac pacemaker (R2 = .32). Family support, and patient-healthcare provider communication could significantly predict the quality of life in patients with permanent cardiac pacemaker (β = .17, p < .05; and β = .34, p < .05, respectively).
Conclusion and recommendations: Family support and patient-healthcare provider communication can predict quality of life in patients with permanent cardiac pacemakers. In care for these patients, family involvement should be promoted, and healthcare professionals should focus on communication with patients and their families by emphasizing two-way communication, setting shared care goals, and providing options for actions.
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