Changes in Fears and Concerns in Implanted Cardioverter Defibrillator (ICD) Recipients

2.50
Hdl Handle:
http://hdl.handle.net/10755/163387
Category:
Abstract
Type:
Presentation
Title:
Changes in Fears and Concerns in Implanted Cardioverter Defibrillator (ICD) Recipients
Author(s):
Caroll, Diane; Hamilton, Glenys A.; Kenney, Barbara
Author Details:
Diane Carroll, RN, PhD, Clinical Nurse Specialist, Partners Health Care, Nursing, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Glenys A. Hamilton, DNS; Barbara Kenney, BSN
Abstract:
Purpose: An ICD has known survival benefits but little is known about the fears and concerns and the recipient's mood states. Therefore the purpose of this study was to investigate the changes in fears and mood states in recipients over 4 years after ICD implantation. Theoretical Framework: not applicable. Methods (Design, Sample, Setting, Measures, Analysis): Seventy subjects, 51 males and 19 females, mean age 64 years, completed the Brodsky ICD and Profile of Mood States (POMS) questionnaires at 6 months, 1, 2, 3 and 4 years after ICD. The Brodsky questionnaire asked subjects to rate their levels of fear, embarrassment, suffering, worry, and lifestyle change, whiles the POMS asked subjects to rate level of 6 mood states. Results: There were significant changes over time in level of fear of ICD shock while on the highway (F=3.69; p< .007), fear of spouse being resentful about caring for recipient (F=3.77; p< .007) fear of spouse considering recipient an invalid (F=3.53; p< .014) and fear of spouse being afraid to upset recipient (2.96; p< .0.25). There was a trend to less fear of ICD shock occurring on the job (F=2.76; p< .065). All negative psychological moods; anger, confusion, fatigue, depression, anxiety, and the total psychological distress score were significantly lower (p< 0.001) while there was an increase in perceived vigor on the POMS over 4 years (F=3.53; p< 0.004). Conclusions and Implications: This study provides long-term data that moods improve over time. Most of the fears and concerns are at a nominal level and are unchanged; though 4 concerns lessened significantly over the 4 years. These results indicate that the recipient and the spouse/partner adjust to living with ICD or living with the recipient. Recipients adjust and have less fear of where ICD shock could occur and perceive less fear from spouse regarding the impact of ICD device on physical and mental health.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleChanges in Fears and Concerns in Implanted Cardioverter Defibrillator (ICD) Recipientsen_GB
dc.contributor.authorCaroll, Dianeen_US
dc.contributor.authorHamilton, Glenys A.en_US
dc.contributor.authorKenney, Barbaraen_US
dc.author.detailsDiane Carroll, RN, PhD, Clinical Nurse Specialist, Partners Health Care, Nursing, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Glenys A. Hamilton, DNS; Barbara Kenney, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163387-
dc.description.abstractPurpose: An ICD has known survival benefits but little is known about the fears and concerns and the recipient's mood states. Therefore the purpose of this study was to investigate the changes in fears and mood states in recipients over 4 years after ICD implantation. Theoretical Framework: not applicable. Methods (Design, Sample, Setting, Measures, Analysis): Seventy subjects, 51 males and 19 females, mean age 64 years, completed the Brodsky ICD and Profile of Mood States (POMS) questionnaires at 6 months, 1, 2, 3 and 4 years after ICD. The Brodsky questionnaire asked subjects to rate their levels of fear, embarrassment, suffering, worry, and lifestyle change, whiles the POMS asked subjects to rate level of 6 mood states. Results: There were significant changes over time in level of fear of ICD shock while on the highway (F=3.69; p< .007), fear of spouse being resentful about caring for recipient (F=3.77; p< .007) fear of spouse considering recipient an invalid (F=3.53; p< .014) and fear of spouse being afraid to upset recipient (2.96; p< .0.25). There was a trend to less fear of ICD shock occurring on the job (F=2.76; p< .065). All negative psychological moods; anger, confusion, fatigue, depression, anxiety, and the total psychological distress score were significantly lower (p< 0.001) while there was an increase in perceived vigor on the POMS over 4 years (F=3.53; p< 0.004). Conclusions and Implications: This study provides long-term data that moods improve over time. Most of the fears and concerns are at a nominal level and are unchanged; though 4 concerns lessened significantly over the 4 years. These results indicate that the recipient and the spouse/partner adjust to living with ICD or living with the recipient. Recipients adjust and have less fear of where ICD shock could occur and perceive less fear from spouse regarding the impact of ICD device on physical and mental health.en_GB
dc.date.available2011-10-27T11:06:40Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:40Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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