Carroll Diane L, Hamilton Glenys A
Massachusetts General Hospital, Boston, MA 02114, USA.
Heart Lung. 2005 May-Jun;34(3):169-78. doi: 10.1016/j.hrtlng.2004.10.002.
The success of the implanted cardioverter defibrillator (ICD) in prolonging the life of patients with arrhythmia suggests a need to assess quality of life (QOL), especially in those who receive an ICD shock.
The purpose of this study was to compare QOL in a group who received an ICD shock with a group who did not receive an ICD shock during the first year.
Fifty-nine subjects, 42 men and 17 women with a mean age 63 years, completed the Medical Outcomes Study Short Form-36, Ferrans and Powers QOL Index, Profile of Mood States at implantation and 1 year, and the Brodsky ICD Questionnaire at 1 year.
Thirty-seven percent received an ICD shock. Those in the shock group had worse mental health ( P < or = .04) and vitality scores ( P < or = .03) on the Short Form-36, increased anxiety ( P < or = .015), fatigue ( P < or = .005), and psychologic distress ( P < or = .02), as measured by Profile of Mood States, compared with the no shock group at 1 year.
Shocked ICD recipients demonstrate mental health concerns.
植入式心脏复律除颤器（ICD）在延长心律失常患者生命方面的成功表明，有必要评估生活质量（QOL），尤其是在那些接受ICD电击的患者中。
本研究的目的是比较第一年中接受ICD电击的一组患者与未接受ICD电击的一组患者的生活质量。
59名受试者，42名男性和17名女性，平均年龄63岁，在植入时和1年时完成了医学结局研究简表-36、费兰斯和鲍尔斯生活质量指数、情绪状态量表，以及1年时的布罗德斯基ICD问卷。
37%的患者接受了ICD电击。与1年时未接受电击的组相比，接受电击的组在简表-36上的心理健康（P≤0.04）和活力得分（P≤0.03）更差，根据情绪状态量表测量，焦虑（P≤0.015）、疲劳（P≤0.005）和心理困扰（P≤0.02）增加。
接受电击的ICD患者存在心理健康问题。
