Polikandrioti Maria
Department of Nursing, University of West Attica, Athens, Greece.
J Innov Card Rhythm Manag. 2021 Nov 15;12(11):4769-4779. doi: 10.19102/icrm.2021.121103. eCollection 2021 Nov.
Quality of life (QoL) reflects the multidimensional impact of a clinical condition and its treatment on patients' daily lives. Although permanent cardiac pacemakers (PPMs) have made a significant contribution to the improvement of patients' QoL, patients' perceptions remain crucial after implantation. Hence, the present study was carried out to explore the QoL and the associated perceptions of PPM patients. A total of 150 PPM patients were enrolled. Data were collected using the Short Form-36 (SF-36) health survey, which also included patients' characteristics. The statistical significance level was set at p < 0.05. The physical health score as measured by SF-36 was 42.9 ± 19.5 points, and the mental health score was 54.1 ± 26.6 points. Study participants had higher scores in emotional well-being (66.5 ± 18.8 points), and the lowest scores were in physical functioning (22.5 ± 10.7 points). The level of information about PPM was associated with physical role (p = 0.005), emotional role (p = 0.004), emotional well-being (p = 0.001), social functioning (p = 0.002), and general health (p = 0.001). Attendance at follow-up was associated with physical role (p = 0.015), emotional role (p = 0.014), social functioning (p = 0.003), and general health (p = 0.016). The belief that the device prevents disease deterioration was associated with physical role (p = 0.005), emotional role (p = 0.001), energy/fatigue (p = 0.010), emotional well-being (p = 0.004), social functioning (p = 0.001), pain (p = 0.005), and general health (p = 0.001). Dependency on the device was associated with energy/fatigue (p = 0.006), emotional well-being (p = 0.001), and social functioning (p = 0.002). Social difficulties due to the device were associated with emotional well-being (p = 0.001), social functioning (p = 0.001), pain (p = 0.001), and general health (p = 0.004). Family support was associated with emotional role (p = 0.023) and general health (p = 0.036), while pain was associated with information about the family (p = 0.001). In conclusion, the present findings regarding factors associated with QoL provide key opportunities for interventions aimed at facilitating positive adjustments after PPM implantation.
生活质量(QoL)反映了临床状况及其治疗对患者日常生活的多维度影响。尽管永久性心脏起搏器(PPM)对改善患者的生活质量做出了重大贡献,但植入后患者的认知仍然至关重要。因此,本研究旨在探讨PPM患者的生活质量及其相关认知。共纳入150例PPM患者。使用简短健康调查问卷(SF-36)收集数据,该问卷还包括患者的特征。统计学显著性水平设定为p < 0.05。SF-36测量的身体健康得分为42.9±19.5分,心理健康得分为54.1±26.6分。研究参与者在情感幸福方面得分较高(66.5±18.8分),而在身体功能方面得分最低(22.5±10.7分)。关于PPM的信息水平与身体角色(p = 0.005)、情感角色(p = 0.004)、情感幸福(p = 0.001)、社会功能(p = 0.002)和总体健康(p = 0.001)相关。随访参与情况与身体角色(p = 0.015)、情感角色(p = 0.014)、社会功能(p = 0.003)和总体健康(p = 0.016)相关。认为该设备可防止疾病恶化的信念与身体角色(p = 0.005)、情感角色(p = 0.001)、精力/疲劳(p = 0.010)、情感幸福(p = 0.004)、社会功能(p = 0.001)、疼痛(p = 0.005)和总体健康(p = 0.001)相关。对设备的依赖与精力/疲劳(p = 0.006)、情感幸福(p = 0.001)和社会功能(p = 0.002)相关。因设备导致的社交困难与情感幸福(p = 0.001)、社会功能(p = 0.001)、疼痛(p = 0.001)和总体健康(p = 0.004)相关。家庭支持与情感角色(p = 0.023)和总体健康(p = 0.036)相关,而疼痛与家庭信息(p = 0.001)相关。总之,本研究关于与生活质量相关因素的发现为旨在促进PPM植入后积极调整的干预措施提供了关键机会。