Department of General and Specialized Nursing, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, São Paulo, Brazil.
Braz J Cardiovasc Surg. 2022 Aug 16;37(4):423-429. doi: 10.21470/1678-9741-2021-0392.
Implantable cardiac pacemakers or cardioverter defibrillators are alternatives for the treatment of arrhythmias, however, their use has caused changes in the emotional state of patients. The objective of this study was to compare the measures of anxiety and depression symptoms in individuals according to their sex, type of cardiac device, and diagnosis of Chagas disease.
This is an observational and cross-sectional study conducted with adults with implantable cardiac pacemakers or cardioverter defibrillators. Data was collected using a sociodemographic and clinical questionnaire and the Hospital Anxiety and Depression Scale. We used the Student's t-test for independent samples and the Chi-squared test, with a significance level of 0.05.
Two hundred forty-four patients participated in the study, 168 with cardiac pacemakers and 76 with implantable cardioverter defibrillators; 104 had Chagas cardiomyopathy (85 with cardiac pacemakers and 19 with implantable cardioverter defibrillators). No statistically significant differences were found in measures of anxiety and depression symptoms according to device type (P=0.594 and P=0.071, respectively) and the presence of Chagas etiology (P=0.649 and P=0.354, respectively). Women had higher mean scores for anxiety (P=0.002) and depression symptoms (P<0.001).
In the comparison between the groups, according to the type of implanted device and the diagnosis of Chagas disease, no significant differences were found in the measures of anxiety and depression symptoms. Women showed higher means when compared to men, indicating the need to test and implement interventions to minimize these symptoms in this population.
植入式心脏起搏器或除颤器是治疗心律失常的替代方法，但它们的使用改变了患者的情绪状态。本研究的目的是比较根据性别、心脏设备类型和恰加斯病诊断，个体焦虑和抑郁症状的测量结果。
这是一项观察性和横断面研究，纳入了植入式心脏起搏器或除颤器的成年人。使用社会人口统计学和临床问卷以及医院焦虑和抑郁量表收集数据。我们使用独立样本 Student's t 检验和卡方检验，显著性水平为 0.05。
共有 244 名患者参与了研究，其中 168 名患者使用心脏起搏器，76 名患者使用植入式除颤器；104 名患者患有恰加斯心肌病（85 名患者使用心脏起搏器，19 名患者使用植入式除颤器）。根据设备类型（P=0.594 和 P=0.071）和恰加斯病因（P=0.649 和 P=0.354），焦虑和抑郁症状的测量结果没有统计学差异。女性的焦虑（P=0.002）和抑郁症状（P<0.001）的平均得分更高。
在各组之间的比较中，根据植入设备的类型和恰加斯病的诊断，焦虑和抑郁症状的测量结果没有显著差异。与男性相比，女性的平均值更高，表明需要测试和实施干预措施，以尽量减少该人群的这些症状。
