A Valid and Reliable Scale to Measure Adjustment in Persons with Pacemakers and Internal Defibrillators

2.50
Hdl Handle:
http://hdl.handle.net/10755/159309
Type:
Presentation
Title:
A Valid and Reliable Scale to Measure Adjustment in Persons with Pacemakers and Internal Defibrillators
Abstract:
A Valid and Reliable Scale to Measure Adjustment in Persons with Pacemakers and Internal Defibrillators
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2005
Author:Beery, Theresa, PhD, RN, ACNP
P.I. Institution Name:University of Cincinnati
Title:Associate Professor
Contact Address:College of Nursing, PO Box 210038, Cincinnati, OH, 45221-0038, USA
Contact Telephone:513-558-5006
Co-Authors:Linda Baas, PhD, RN, ACNP, CCNS, Professor; Helga Matthews, BSN, RN; Richard Henthorn, MD; and Jefferson Burroughs, MD
More people than ever need implanted devices like cardiac pacemakers
and internal cardioverter defibrillators to support, replace, or maintain
organ function. Currently there are nearly 25 million persons in the
United States with implanted medical devices. While most patients adapt
well to having a device, a subset of individuals experience psychological
difficulties. No tool designed to measure adjustment to various implanted
medical devices currently exists.
The implanted device adjustment scale (IDAS) has demonstrated strong
reliability and validity in a pilot sample of 45 persons with pacemakers
and implanted cardioverter defibrillators. The revised 22 item Likert-type
IDAS was used with a new sample of 136 persons (35 women; mean age 70,
range 35-88) with implanted devices (51 with pacemakers and 82 with
cardioverter defibrillators). Subjects also completed scales measuring
quality of life (SF-36), mood states (profile of mood states-POMS), and
global adjustment visual analogue scale.
The IDAS was internally consistent (Cronbach alpha=.87). Exploratory
factor analysis using Zeller's criteria supported 4 subscales: physical
functioning, attitude, support/control, and body awareness. There was
significant correlation (p<.05) between the total IDAS and the Mental
Component Scale of the SF-36, global adjustment, and all subscales of the
POMS. In conclusion, the IDAS demonstrated strong reliability and validity
in this sample and may be useful for clinicians who wish to evaluate how
well a person is adjusting to her/his device. Clinical use of the IDAS
could lead to more timely and appropriate interventions that will improve
outcomes.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Valid and Reliable Scale to Measure Adjustment in Persons with Pacemakers and Internal Defibrillatorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159309-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Valid and Reliable Scale to Measure Adjustment in Persons with Pacemakers and Internal Defibrillators</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</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">Beery, Theresa, PhD, RN, ACNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Cincinnati</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, PO Box 210038, Cincinnati, OH, 45221-0038, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">513-558-5006</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">theresa.beery@uc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Linda Baas, PhD, RN, ACNP, CCNS, Professor; Helga Matthews, BSN, RN; Richard Henthorn, MD; and Jefferson Burroughs, MD</td></tr><tr><td colspan="2" class="item-abstract">More people than ever need implanted devices like cardiac pacemakers <br/> and internal cardioverter defibrillators to support, replace, or maintain <br/> organ function. Currently there are nearly 25 million persons in the <br/> United States with implanted medical devices. While most patients adapt <br/> well to having a device, a subset of individuals experience psychological <br/> difficulties. No tool designed to measure adjustment to various implanted <br/> medical devices currently exists.<br/> The implanted device adjustment scale (IDAS) has demonstrated strong <br/> reliability and validity in a pilot sample of 45 persons with pacemakers <br/> and implanted cardioverter defibrillators. The revised 22 item Likert-type <br/> IDAS was used with a new sample of 136 persons (35 women; mean age 70, <br/> range 35-88) with implanted devices (51 with pacemakers and 82 with <br/> cardioverter defibrillators). Subjects also completed scales measuring <br/> quality of life (SF-36), mood states (profile of mood states-POMS), and <br/> global adjustment visual analogue scale. <br/> The IDAS was internally consistent (Cronbach alpha=.87). Exploratory <br/> factor analysis using Zeller's criteria supported 4 subscales: physical <br/> functioning, attitude, support/control, and body awareness. There was <br/> significant correlation (p&lt;.05) between the total IDAS and the Mental <br/> Component Scale of the SF-36, global adjustment, and all subscales of the <br/> POMS. In conclusion, the IDAS demonstrated strong reliability and validity <br/> in this sample and may be useful for clinicians who wish to evaluate how <br/> well a person is adjusting to her/his device. Clinical use of the IDAS <br/> could lead to more timely and appropriate interventions that will improve <br/> outcomes.</td></tr></table>en_GB
dc.date.available2011-10-26T21:53:47Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:53:47Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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