Morken Ingvild M, Norekvål Tone M, Bru Edvin, Larsen Alf I, Karlsen Bjørg
Department of Cardiology, Stavanger University Hospital, Norway.
Department of Health Studies, University of Stavanger, Norway.
J Adv Nurs. 2014 Sep;70(9):2061-2071. doi: 10.1111/jan.12364. Epub 2014 Feb 9.
To investigate the extent to which perceived support from healthcare professionals and shock anxiety is related to device acceptance among implantable cardioverter defibrillator recipients.
Device acceptance can be influenced by several factors, one of which is shock anxiety associated with poor device acceptance. Reduced shock anxiety, as well as increased device acceptance, has been reported after psycho-educational programmes. As healthcare professionals appear to play a significant role in providing support and education during regular follow-up visits, they may constitute an important social support system that could be another factor influencing device acceptance. However, little is known about the relationship between perceived support from healthcare professionals and device acceptance among recipients.
A cross-sectional survey design.
A sample comprising implantable cardioverter defibrillator recipients completed questionnaires assessing perceived support from healthcare professionals, shock anxiety and device acceptance. Demographic and clinical data were collected by self-report and from medical records in September-October 2010.
The descriptive results indicated that approximately 85% of the recipients experienced high device acceptance. Regression analysis demonstrated that constructive support from healthcare professionals was positively associated with device acceptance and moderated the negative relationship between shock anxiety and device acceptance. Non-constructive support and shock anxiety had a negative statistical association with device acceptance.
Healthcare professionals may represent a valuable constructive support system that can enhance device acceptance among implantable cardioverter defibrillator recipients, partly by preventing shock anxiety from leading to poor device acceptance. Non-constructive communication on the part of healthcare professionals could hinder device acceptance.
调查植入式心脏复律除颤器（ICD）接受者所感知到的来自医护人员的支持以及电击焦虑与设备接受度之间的关联程度。
设备接受度可能受到多种因素影响，其中之一是与设备接受度不佳相关的电击焦虑。心理教育项目实施后，电击焦虑有所减轻，设备接受度也有所提高。由于医护人员在定期随访期间提供支持和教育方面似乎发挥着重要作用，他们可能构成一个重要的社会支持系统，这可能是影响设备接受度的另一个因素。然而，对于ICD接受者所感知到的来自医护人员的支持与设备接受度之间的关系，我们知之甚少。
横断面调查设计。
选取一组植入式心脏复律除颤器接受者作为样本，他们完成了评估医护人员支持度、电击焦虑和设备接受度的问卷。通过自我报告和从医疗记录中收集了2010年9月至10月的人口统计学和临床数据。
描述性结果表明，约85%的接受者对设备接受度较高。回归分析表明，医护人员提供的建设性支持与设备接受度呈正相关，并缓和了电击焦虑与设备接受度之间的负相关关系。非建设性支持和电击焦虑与设备接受度呈负相关。
医护人员可能代表一个有价值的建设性支持系统，可提高植入式心脏复律除颤器接受者对设备的接受度，部分原因是防止电击焦虑导致设备接受度不佳。医护人员的非建设性沟通可能会阻碍设备接受度。
