2.50
Hdl Handle:
http://hdl.handle.net/10755/163388
Category:
Abstract
Type:
Presentation
Title:
Long-Term Effects of the Implanted Cardioverter Defibrillator on Quality of Life
Author(s):
Caroll, Diane; Hamilton, Glenys A.; Kenney, Barbara
Author Details:
Diane Carroll, PhD, RN, Clinical Nurse Specialist, Parterns Health Care, Nursing, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Glenys A. Hamilton, DNS; Barbara Kenney, BSN
Abstract:
Purpose: Living with an implanted cardioverter defibrillator (ICD) has known survival benefits but little is known about its effects on quality of life over time. Therefore the purpose of this study was to investigate changes in perceptions of quality of life, health and psychological status in ICD recipients during the first 4 years after ICD. Theoretical Framework: Not applicable. Methods (Design, Sample, Setting, Measures, Analysis): Seventy subjects, 51 males and 19 females, with a mean age 64 years, completed the study questionnaires; MOS short form (SF-36), Ferrans and Powers Quality of Life Index (QLI), and the Profile of Moods States (POMS) at implantation, 6 months, and 1, 2, 3 and 4 years after ICD implantation. During the four years of follow-up, 10 subjects (14%) died and 19 subjects (27%) were lost to follow-up or withdrew from the study. Results: There were significant changes over time in the physical (PCS) and mental (MCS) health composite summary scores of the SF-36 with MCS improving (F= 2.95; p< 0.02) and PCS worsening (F=3.69; P< 0.008) over the four years. Negative psychological moods; anger, confusion, fatigue, depression, and anxiety, were significantly lower. There was an increase in vigor on the POMS over time (F=3.53; p< 0.004). The total psychological distress score of the POMS was also significantly lower over time (F=10.21; p< 0.001).There were no significant differences in the 4 domains or total quality of life scores from the QLI. Conclusions and Implications: This study provides the first set of data that the mental health of ICD recipients improves over time indicating a psychological adjustment to the ICD. The PCS score demonstrated a decline in physical functioning over the 4 years. There is limited cardiac rehabilitation access for ICD recipients. The PCS identifies a need to evaluate a comprehensive rehabilitative approach by initiating assessments on the effect of strength training and activity in ICD recipients in a supervised environment.
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.titleLong-Term Effects of the Implanted Cardioverter Defibrillator on Quality of Lifeen_GB
dc.contributor.authorCaroll, Dianeen_US
dc.contributor.authorHamilton, Glenys A.en_US
dc.contributor.authorKenney, Barbaraen_US
dc.author.detailsDiane Carroll, PhD, RN, Clinical Nurse Specialist, Parterns Health Care, Nursing, Boston, Massachusetts, USA, email: dcarroll3@partners.org; Glenys A. Hamilton, DNS; Barbara Kenney, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163388-
dc.description.abstractPurpose: Living with an implanted cardioverter defibrillator (ICD) has known survival benefits but little is known about its effects on quality of life over time. Therefore the purpose of this study was to investigate changes in perceptions of quality of life, health and psychological status in ICD recipients during the first 4 years after ICD. Theoretical Framework: Not applicable. Methods (Design, Sample, Setting, Measures, Analysis): Seventy subjects, 51 males and 19 females, with a mean age 64 years, completed the study questionnaires; MOS short form (SF-36), Ferrans and Powers Quality of Life Index (QLI), and the Profile of Moods States (POMS) at implantation, 6 months, and 1, 2, 3 and 4 years after ICD implantation. During the four years of follow-up, 10 subjects (14%) died and 19 subjects (27%) were lost to follow-up or withdrew from the study. Results: There were significant changes over time in the physical (PCS) and mental (MCS) health composite summary scores of the SF-36 with MCS improving (F= 2.95; p< 0.02) and PCS worsening (F=3.69; P< 0.008) over the four years. Negative psychological moods; anger, confusion, fatigue, depression, and anxiety, were significantly lower. There was an increase in vigor on the POMS over time (F=3.53; p< 0.004). The total psychological distress score of the POMS was also significantly lower over time (F=10.21; p< 0.001).There were no significant differences in the 4 domains or total quality of life scores from the QLI. Conclusions and Implications: This study provides the first set of data that the mental health of ICD recipients improves over time indicating a psychological adjustment to the ICD. The PCS score demonstrated a decline in physical functioning over the 4 years. There is limited cardiac rehabilitation access for ICD recipients. The PCS identifies a need to evaluate a comprehensive rehabilitative approach by initiating assessments on the effect of strength training and activity in ICD recipients in a supervised environment.en_GB
dc.date.available2011-10-27T11:06:41Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:06:41Z-
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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