Miller Jennifer L, Thylén Ingela, Moser Debra K
College of Nursing, University of Kentucky, Lexington, Kentucky.
Department of Cardiology and Department of Medical and Health Sciences, Division of Nursing, Linköping University, Linköping, Sweden.
Pacing Clin Electrophysiol. 2016 Feb;39(2):149-59. doi: 10.1111/pace.12786. Epub 2015 Dec 17.
Most patients cope well with an implantable cardioverter defibrillator (ICD), but psychological distress and ICD-related concerns have been reported in about 20% of ICD recipients. Many previous studies have not distinguished between genders.
In this nationwide study we compared quality of life, anxiety, and depression symptoms between the genders in ICD recipients, and determined predictors of each of these variables in men and women. All adult Swedish ICD recipients were invited by mail to participate and 2,771 patients (66 ± 12 years) completed standardized measures of quality of life, symptoms of anxiety, and depression. Time since implantation ranged from 1 year to 23 years with a mean of 4.7 ± 3.9.
Women reported worse quality of life (mean index 0.790 vs 0.825) and higher prevalence of anxiety (20.5% vs 14.7%) than did men (P < 0.001 for both comparisons), while there were no differences in symptoms of depression (8.8% vs 8.2%).
Most ICD recipients report a good quality of life, without emotional distress, but among the minority with distress, women fare worse than men.
大多数植入式心律转复除颤器（ICD）患者应对良好，但据报道约20%的ICD接受者存在心理困扰和与ICD相关的担忧。许多先前的研究未对性别进行区分。
在这项全国性研究中，我们比较了ICD接受者中不同性别的生活质量、焦虑和抑郁症状，并确定了男性和女性中这些变量各自的预测因素。通过邮件邀请了所有成年瑞典ICD接受者参与，2771名患者（66±12岁）完成了生活质量、焦虑症状和抑郁症状的标准化测量。植入后的时间从1年到23年不等，平均为4.7±3.9年。
女性报告的生活质量较差（平均指数0.790对0.825），焦虑患病率较高（20.5%对14.7%），均高于男性（两项比较P均<0.001），而抑郁症状无差异（8.8%对8.2%）。
大多数ICD接受者报告生活质量良好，无情绪困扰，但在少数有困扰的人群中，女性情况比男性更糟。
