2.50
Hdl Handle:
http://hdl.handle.net/10755/147140
Type:
Presentation
Title:
Waiting for the Shock - ICD Patient Outcomes
Abstract:
Waiting for the Shock - ICD Patient Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Yellen, Elaine A., RN, PhD
P.I. Institution Name:Texas A&M-Corpus Christi
Title:Assistant Professor
Co-Authors:Kathy A. Acosta, RN; Ruth Vermace, RN, BSN
Implanted cardiodefibrillator (ICD) is the standard of care for the treatment of patients with life-threatening or potentially life-threatening ventricular tachyarrhythmias. The first ICD was implanted in 1980. The technology has evolved with smaller devices, more functions, improved batteries and widening therapy indications. There were more than 55,000 implants per year in 2002. In the hospital setting patients are admitted for electrophysiology studies and receive implants with minimal education or psychological preparation. The occurrence of ICD shocks is associated with a significant impairment in quality of life. Patients who receive multiple shocks have higher levels of anxiety, anger and depression. Post implantation care is largely dependent on patient/nurse motivation and health insurance coverage. This presentation will share results of a repeated measures design study, with preoperative, 7-10 days and 3 month follow-up measurement times of ICD recipients in a South Texas urban community. The presentation will report on a research study undertaken to document baseline demographic data, physical assessment, electrophysiological event history, quality of life, anxiety and alcoholic behavior of ICD recipients. Data collection instruments include the SF-36 Health Survey, STAI, CAGE questions and the New York Heart Association (NYHA) Functional Classification System. This study is an early attempt to document the state of the patient as the health care community grapples with the implications of treating potential sudden death. Preliminary findings preoperatively to the 7-day data collection period show no change in the patient-reported quality of life or anxiety level. The New York Heart Association Scale a practitioner rating of the recipient showed a significant difference at the 7-day rating period. It appears the patient does not perceive the improvement in their physical condition. Results from this study will enable nurses in the audience to anticipate developing patient and health care community needs in caring for patients with chronic illnesses.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWaiting for the Shock - ICD Patient Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147140-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Waiting for the Shock - ICD Patient Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yellen, Elaine A., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Texas A&amp;M-Corpus Christi</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Elaine.Yellen@mail.tamucc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathy A. Acosta, RN; Ruth Vermace, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Implanted cardiodefibrillator (ICD) is the standard of care for the treatment of patients with life-threatening or potentially life-threatening ventricular tachyarrhythmias. The first ICD was implanted in 1980. The technology has evolved with smaller devices, more functions, improved batteries and widening therapy indications. There were more than 55,000 implants per year in 2002. In the hospital setting patients are admitted for electrophysiology studies and receive implants with minimal education or psychological preparation. The occurrence of ICD shocks is associated with a significant impairment in quality of life. Patients who receive multiple shocks have higher levels of anxiety, anger and depression. Post implantation care is largely dependent on patient/nurse motivation and health insurance coverage. This presentation will share results of a repeated measures design study, with preoperative, 7-10 days and 3 month follow-up measurement times of ICD recipients in a South Texas urban community. The presentation will report on a research study undertaken to document baseline demographic data, physical assessment, electrophysiological event history, quality of life, anxiety and alcoholic behavior of ICD recipients. Data collection instruments include the SF-36 Health Survey, STAI, CAGE questions and the New York Heart Association (NYHA) Functional Classification System. This study is an early attempt to document the state of the patient as the health care community grapples with the implications of treating potential sudden death. Preliminary findings preoperatively to the 7-day data collection period show no change in the patient-reported quality of life or anxiety level. The New York Heart Association Scale a practitioner rating of the recipient showed a significant difference at the 7-day rating period. It appears the patient does not perceive the improvement in their physical condition. Results from this study will enable nurses in the audience to anticipate developing patient and health care community needs in caring for patients with chronic illnesses.</td></tr></table>en_GB
dc.date.available2011-10-26T09:29:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:29:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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