Myers Gina M, James Gary D
School of Nursing and Health Systems, SUNY Institute of Technology, Utica, NY 13504, USA.
Prog Cardiovasc Nurs. 2008 Fall;23(4):160-7. doi: 10.1111/j.1751-7117.2008.00009.x.
Although the use of support groups for patients with an implantable cardioverter defibrillator (ICD) is recommended, little information concerning support and anxiety exists in relation to group attendance. Using a comparative descriptive design, this study sought to examine differences in demographics, ICD indicators, anxiety, and social support between the ICD recipients who attended a support group and those who did not. Characteristics of 150 ICD patients (77 nonattendees, 73 attendees) were evaluated using Sarason's 6-item Social Support Questionnaire and the State-Trait Anxiety Inventory. Results show that those who attended a support group had higher trait anxiety (P=.05) and were less satisfied with their social support (P=.03) compared with nonattendees. Among all participants, trait anxiety was higher in those diagnosed with tachycardia (P=.046). Finally, higher satisfaction with support was associated with less anxiety (P=.000) and a larger social network (P=.02). Thus, support group attendees were not less anxious, nor did they experience more support than nonattendees, indicating that support groups may serve a vital role for ICD recipients who are characteristically anxious and lack supportive resources. This study recommends evaluating patient support and anxiety to improve support group efficacy.
尽管推荐为植入式心脏复律除颤器（ICD）患者设立支持小组，但关于参与小组活动的支持情况和焦虑状况的信息却很少。本研究采用比较描述性设计，旨在探讨参加支持小组的ICD接受者与未参加者在人口统计学、ICD指标、焦虑和社会支持方面的差异。使用萨拉森6项社会支持问卷和状态-特质焦虑量表对150名ICD患者（77名未参加者，73名参加者）的特征进行了评估。结果显示，与未参加者相比，参加支持小组的患者特质焦虑更高（P = 0.05），对社会支持的满意度更低（P = 0.03）。在所有参与者中，被诊断为心动过速的患者特质焦虑更高（P = 0.046）。最后，对支持的更高满意度与更低的焦虑（P = 0.000）和更大的社交网络（P = 0.02）相关。因此，支持小组参与者并不比未参加者焦虑程度更低，也没有获得更多支持，这表明支持小组可能对那些生性焦虑且缺乏支持资源的ICD接受者起着至关重要的作用。本研究建议评估患者的支持情况和焦虑状况，以提高支持小组的效能。
