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Self-reported adjustment to implanted cardiac devices.

Theresa A Beery1, Linda S Baas, Carl Henthorn

  • 1College of Nursing, University of Cincinnati, Ohio 45221-0038, USA. Theresa.beery@uc.edu

The Journal of Cardiovascular Nursing
|December 20, 2007
PubMed
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Psychological adjustment to cardiovascular implantable devices is generally good, with fear/anxiety being a key factor. Understanding this adjustment is crucial for developing better patient support interventions.

Area of Science:

  • Cardiology
  • Psychology
  • Health Sciences

Background:

  • Cardiovascular implantable device use is increasing.
  • Little is known about psychological adjustment to these devices.
  • This study addresses this gap by analyzing adjustment factors.

Purpose of the Study:

  • To perform factor analysis of the Implanted Device Adjustment Scale (IDAS).
  • To examine relationships between psychological adjustment and quality of life, mood, and device experience.
  • To identify key factors influencing patient adjustment to cardiovascular implantable devices.

Main Methods:

  • Cross-sectional correlational study with 174 participants (46 women, 128 men).
  • Participants completed the IDAS, SF-36 quality-of-life measure, Profile of Mood States, and a visual analog scale for adjustment.

Related Experiment Videos

  • Convenience sample recruited from electrophysiology practices.
  • Main Results:

    • Factor analysis yielded four IDAS subscales: fear/anxiety, attitude, preparation, and body awareness.
    • 89% of patients reported good adjustment, unrelated to demographics or device type.
    • Higher IDAS scores indicated poorer adjustment; a weak correlation was found with mental quality of life.
    • Anxiety/fear subscale correlated with mood states; patients with implantable cardioverter-defibrillators reported more fear.

    Conclusions:

    • The IDAS is a reliable measure for assessing psychological adjustment to cardiovascular implantable devices.
    • Fear and anxiety are significant components of adjustment, impacting mood and quality of life.
    • Further research is needed to develop interventions supporting patient adjustment to implanted devices.