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A New Single Chamber Implantable Defibrillator with Atrial Sensing: A Practical Demonstration of Sensing and Ease of Implantation
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An Evaluation of the Association between Quality of Life and Psychological Issues in Patients with Automated

Nilofar Pasyar1,2, Masoume Rambod1,2, Mohammad Hossein Nikoo3

  • 1Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Journal of Caring Sciences
|May 23, 2022
PubMed

Insights

Implantable cardioverter defibrillator (ICD) use is linked to moderate depression, anxiety, and stress. Addressing these psychological issues may improve patients' quality of life (QoL).

Area of Science:

  • Cardiology
  • Psychology
  • Public Health

Background:

  • Implantable cardioverter defibrillators (ICDs) are crucial for managing malignant dysrhythmias.
  • Psychological distress, including depression, anxiety, and stress, can impact patients' quality of life (QoL) post-ICD implantation.
  • The association between QoL and psychological issues in Iranian ICD patients requires further investigation.

Purpose of the Study:

  • To determine the association between quality of life (QoL) and psychological issues (depression, anxiety, stress) in patients with implantable cardioverter defibrillators (ICDs).

Main Methods:

  • A cross-sectional study involving 96 patients with ICDs.
  • Data collected using the Depression, Anxiety, Stress Scale (DASS-21) and the Short Form-36 (SF-36) questionnaire.
  • Statistical analysis included independent t-test, Pearson's correlation, and ANOVA.

Main Results:

  • Patients reported moderate levels of depression, anxiety, and stress.
  • A significant association was found between patients' QoL and their levels of depression, anxiety, and stress.
  • Mean QoL score was 1672.02 (SD 43.43); mean DASS-21 scores for depression, anxiety, and stress were 4.69 (SD 0.46), 5.6 (SD 0.47), and 7.51 (SD 0.05), respectively.

Conclusions:

  • A significant link exists between psychological distress and QoL in Iranian ICD patients.
  • Interventions aimed at reducing psychological issues may enhance the QoL for patients with ICDs.

Keywords:
AnxietyDepressionImplantable cardioverter defibrillatorsQuality of lifeStress

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