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Published on: February 28, 2012
Partner quality of life in the antiarrhythmics versus implantable defibrillators trial
Louise S Jenkins1, Judy L Powell, Eleanor B Schron
1Institute for Educators in Nursing and Health Professions, University of Maryland School of Nursing, Baltimore, MD, USA.
Insights
Partners of patients with ventricular dysrhythmias reported stable mental quality of life but declining physical quality of life. Concerns about patient health lessened over time, but device function remained a concern.
Area of Science:
- Cardiology
- Psychology
- Quality of Life Research
Background:
- Quality of life (QOL) in patients with ventricular dysrhythmias is well-documented.
- Limited research exists on the QOL of partners supporting these patients.
Purpose of the Study:
- To describe the QOL of partners of patients experiencing serious ventricular dysrhythmias.
- To assess changes in partner QOL over a 12-month period.
Main Methods:
- A convenience sample of 124 partners of patients from the Antiarrhythmics Versus Implantable Defibrillators trial were assessed.
- The Short Form-36 (SF-36) and Quality of Life Index were administered at baseline and at 3, 6, and 12 months.
Main Results:
- Partner SF-36 physical summary scores declined over 12 months; mental summary scores remained stable.
- Partner concerns regarding patient death, dysrhythmia recurrence, and life enjoyment decreased over time.
- Concerns about implantable cardioverter defibrillator (ICD) function remained constant.
Conclusions:
- This is the largest prospective study on the QOL of partners of patients with serious dysrhythmias.
- Findings suggest a need for targeted support for partners to address their evolving needs and enhance QOL.
- Results provide a foundation for future research into partner support and QOL optimization.
Background And Objective:
The quality of life (QOL) of patients with ventricular dysrhythmias is well studied, but less is known about the QOL of their partners. This study describes the QOL of partners of patients with serious ventricular dysrhythmias enrolled in the Antiarrhythmics Versus Implantable Defibrillators trial.
Subjects And Methods:
A convenience sample of 124 partners of patients randomized to antiarrhythmic drugs (n = 59) or an implantable cardioverter defibrillator (n = 65) in the Antiarrhythmics versus Implantable Defibrillators trial was obtained. The Short Form-36 and Quality of Life Index were assessed at baseline (postrandomization) and at 3-, 6-, and 12-month follow-up.
Results And Conclusions:
The mean age of the partners was 62 years. Most were white and female. Their mean Short Form-36 scores were comparable to a normative age group. Partner and participant mean Short Form-36 and Quality of Life Index scores correlated modestly (range 0.25-0.36). The physical summary scores of partners using the Short Form-36 declined over time, whereas their mental summary scores remained stable. Partner concerns related to death, dysrhythmia recurrence, and the impact of dysrhythmias on enjoyment of life lessened from baseline to 12 months. Concern about implantable cardioverter defibrillator function remained stable over time. Although the sample size of this study was relatively small and limited by missing data for some assessments, it is the largest prospective study of QOL in partners of patients with serious dysrhythmias. The results offer a foundation for future research of the partners of patients with serious dysrhythmias in terms of identifying their needs, offering support, and maximizing QOL.
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