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基于网络的干预措施改善植入式心脏复律除颤器患者电击相关焦虑及生活质量:一项随机对照试验

Web-Based Intervention to Improve Implantable Cardioverter Defibrillator Patients' Shock-Related Anxiety and Quality of Life: A Randomized Controlled Trial.

作者信息

Yardımcı Tuğba, Mert Hatice

机构信息

1 Sinop University School of Health, Turkey.

2 Dokuz Eylül University Faculty of Nursing, Izmir, Turkey.

出版信息

Clin Nurs Res. 2019 Feb;28(2):150-164. doi: 10.1177/1054773817741427. Epub 2017 Nov 14.

Abstract

In spite of its effectiveness, implantable cardioverter defibrillator (ICD) patients face psychological problems such as shock-related anxiety due to device shocks. The aim of this study was to evaluate whether a web-based intervention program for ICD patients would reduce shock-related anxiety and improve quality of life compared with usual care. This was a randomized controlled trial study including a total of 76 patients. Data were collected using Turkish versions of the Florida Shock Anxiety Scale and Short Form Health Survey (SF-36) at 0 (baseline), 3, and 6 months. Following intervention, there was a significant decrease in shock anxiety levels of patients and a statistically significant increase in social functioning, role-physical, mental health, vitality, and bodily pain subdimensions of SF-36. While no statistically significant difference was found between groups in terms of summary scores of SF-36, our results suggest that web-based interventions can be useful for ICD patients.

摘要

尽管植入式心脏复律除颤器(ICD)疗效显著,但ICD患者仍面临一些心理问题,比如因设备电击引发的电击相关焦虑。本研究旨在评估,与常规护理相比,针对ICD患者的基于网络的干预项目是否能减轻电击相关焦虑并改善生活质量。这是一项随机对照试验研究,共纳入76例患者。在0(基线)、3个月和6个月时,使用土耳其语版的佛罗里达电击焦虑量表和简明健康调查问卷(SF-36)收集数据。干预后,患者的电击焦虑水平显著降低,SF-36的社会功能、角色-身体、心理健康、活力和身体疼痛子维度有统计学意义的显著提高。虽然两组在SF-36总分方面未发现统计学显著差异,但我们的结果表明,基于网络的干预对ICD患者可能有用。

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