Pasyar Nilofar, Rambod Masoume, Nikoo Mohammad Hossein, Mansouri Parisa
Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Department of Medical-Surgical Nursing, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran.
J Caring Sci. 2021 Nov 6;11(1):28-35. doi: 10.34172/jcs.2022.01. eCollection 2022 Mar.
Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias. However, it may result in the incidence of psychological tensions in patients' lives, eventually leading to changes in their quality of life (QoL). To date, this association has remained unclear among Iranian population. Therefore, the present study aimed to determine the association between QoL and psychological issues in patients with ICD. Using convenience sampling method, this cross-sectional study was conducted on 96 patients referred to the pacemaker clinic of Shahid Faghihi hospital and Kowsar heart hospital affiliated to Shiraz University of Medical Sciences, Iran from September 2016 to January 2017. The data were collected using Depression, Anxiety, Stress Scale (DASS-21) and the Short Form-36 (SF-36) questionnaire, and analyzed in SPSS software version 13 using independent t-test, Pearson's correlation test, and ANOVA. The mean (SD) score of patients' QoL was found to be 1672.02 (43.43). Moreover, the mean (SD) scores of depression, anxiety, and stress were 4.69 (0.46), 5.6 (0.47), and 7.51 (0.05), respectively indicating moderate depression, anxiety, and stress levels among the patients. A significant association was found between the patients' QoL and depression, anxiety, and stress. As an association was observed between the patients' QoL and depression, anxiety, and stress, performing some interventions to reduce the patients' psychological issues might improve their QoL.
植入式心脏复律除颤器（ICD）通过控制恶性心律失常发挥着挽救生命的作用。然而，它可能导致患者生活中出现心理紧张，最终导致其生活质量（QoL）发生变化。迄今为止，在伊朗人群中这种关联尚不清楚。因此，本研究旨在确定ICD患者的生活质量与心理问题之间的关联。采用便利抽样法，这项横断面研究于2016年9月至2017年1月对转诊至伊朗设拉子医科大学附属沙希德·法吉希医院和科萨尔心脏医院起搏器门诊的96例患者进行。使用抑郁、焦虑、压力量表（DASS - 21）和简短健康调查问卷（SF - 36）收集数据，并在SPSS 13软件中使用独立t检验、Pearson相关检验和方差分析进行分析。发现患者生活质量的平均（标准差）得分为1672.02（43.43）。此外，抑郁、焦虑和压力的平均（标准差）得分分别为4.69（0.46）、5.6（0.47）和7.51（0.05），分别表明患者存在中度抑郁、焦虑和压力水平。患者的生活质量与抑郁、焦虑和压力之间存在显著关联。由于观察到患者的生活质量与抑郁、焦虑和压力之间存在关联，实施一些干预措施以减少患者的心理问题可能会改善他们的生活质量。
