Department of Cardiology, Kalmar County Council, Kalmar, Sweden; Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden; Kalmar Maritime Academy, Linnaeus University, Kalmar, Sweden.
Department of Cardiology and Department of Medical and Health Sciences, Division of Nursing Science, Linköping University, Linköping, Sweden.
Resuscitation. 2018 Nov;132:78-84. doi: 10.1016/j.resuscitation.2018.09.002. Epub 2018 Sep 7.
To explore factors associated with health-related quality of life (HRQoL) among cardiac arrest (CA) survivors treated with an implantable cardioverter-defibrillator (ICD) in relation to gender, and to compare their HRQoL with a general population.
This cross-sectional study included 990 adults treated with an ICD after suffering CA. All participants received a questionnaire including demographics, comorbidities and instruments to measure HRQoL (EQ-5D-3L and HADS), ICD-related concerns (ICDC), perceived control (CAS), and type D personality (DS-14). HRQoL (EQ-5D-3L) was compared to a general Swedish population, matched for age and gender. Linear regression analyses were used to explore factors associated with HRQoL.
The CA survivors reported better HRQoL in EQ index and less pain/discomfort compared to the general population (p < 0.001). In contrast, they reported more problems in mobility and usual activities (p < 0.01). Problems with anxiety and depression were reported by 15.5% and 7.4% respectively. The following factors were independently associated with all aspects of worse HRQoL: being unemployed, suffering more comorbidity, perceiving less control, and having a type D personality. Further, being female and suffering ICD-related concerns were independently associated with worse HRQoL in three of the four final regression models.
This extensive population-based study showed that most CA survivors living with an ICD rate their HRQoL as acceptable. In addition, their HRQoL is similar to a general population. Women reported worse HRQoL compared to men. Several factors associated with HRQoL were identified, and might be used when screening patients for health problems and when developing health promoting interventions.
探讨与性别相关的与植入式心脏复律除颤器（ICD）治疗的心脏骤停（CA）幸存者健康相关生活质量（HRQoL）相关的因素，并将其与一般人群的 HRQoL 进行比较。
本横断面研究纳入了 990 名因 CA 接受 ICD 治疗的成年人。所有参与者均接受了一份问卷，包括人口统计学、合并症和测量 HRQoL（EQ-5D-3L 和 HADS）、ICD 相关担忧（ICDC）、感知控制（CAS）和 D 型人格（DS-14）的仪器。将 HRQoL（EQ-5D-3L）与年龄和性别相匹配的一般瑞典人群进行比较。线性回归分析用于探讨与 HRQoL 相关的因素。
CA 幸存者报告在 EQ 指数和疼痛/不适方面的 HRQoL 优于一般人群（p<0.001）。相比之下，他们报告在移动和日常活动方面有更多的问题（p<0.01）。分别有 15.5%和 7.4%的人报告有焦虑和抑郁问题。以下因素与所有方面的 HRQoL 较差独立相关：失业、合并症较多、感知控制较少和具有 D 型人格。此外，女性和 ICD 相关担忧是与四个最终回归模型中的三个模型中 HRQoL 较差相关的独立因素。
这项广泛的基于人群的研究表明，大多数患有 ICD 的 CA 幸存者对其 HRQoL 的评价可接受。此外，他们的 HRQoL 与一般人群相似。与男性相比，女性报告的 HRQoL 较差。确定了与 HRQoL 相关的几个因素，这些因素可用于筛选患者的健康问题和开发促进健康的干预措施。
