Pasyar Nilofar, Rambod Masoume, Zare Alireza, Nikoo Mohammad Hossein
Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Malays J Med Sci. 2022 Jun;29(3):80-89. doi: 10.21315/mjms2022.29.3.8. Epub 2022 Jun 28.
Acceptance of the implantable cardioverter-defibrillator (ICD) device may be affected by a variety of factors. This study aimed to investigate the predictor roles of spiritual well-being, healthcare professionals' support and shock anxiety in accepting ICD.
This cross-sectional study was conducted on 100 patients with ICD. The data were collected by the Florida Patient Acceptance Scale, Florida Shock Anxiety Scale, Spiritual Well-Being Scale and Healthcare Professionals' Support Questionnaire.
The mean (SD) scores of patient acceptance, shock anxiety, spiritual well-being and healthcare professionals' support were 65.4 (13.56), 21.93 (8.95), 88.92 (11.78) and 76.41 (10.54), respectively. The results revealed higher acceptance among the participants with lower shock anxiety levels ( = -0.51, < 0.001), higher mean scores of spiritual well-being ( = 0.33, = 0.001) and higher healthcare professionals' support ( = 0.40, < 0.01). Additionally, the results of linear regression indicated that spiritual well-being, healthcare professionals' support and shock anxiety predicted 36% of the patient acceptance variance ( = 0.61, = 0.38, adj = 0.36) and shock anxiety and healthcare professionals' support were the predictors of patient acceptance.
The study results indicated that the patients' mean score of acceptance was relatively high. In addition, the mean scores of shock anxiety, spiritual well-being and healthcare professionals' support were low, moderate and relatively high, respectively. Conducting healthcare professionals' support interventions, spiritual therapy and reducing shock anxiety can help patients accept ICDs.
植入式心脏复律除颤器（ICD）装置的接受度可能受到多种因素的影响。本研究旨在探讨精神幸福感、医护人员支持和电击焦虑在接受ICD方面的预测作用。
本横断面研究对100例ICD患者进行。数据通过佛罗里达患者接受度量表、佛罗里达电击焦虑量表、精神幸福感量表和医护人员支持问卷收集。
患者接受度、电击焦虑、精神幸福感和医护人员支持的平均（标准差）得分分别为65.4（13.56）、21.93（8.95）、88.92（11.78）和76.41（10.54）。结果显示，电击焦虑水平较低的参与者接受度较高（r = -0.51，P < 0.001），精神幸福感平均得分较高（r = 0.33，P = 0.001），医护人员支持较高（r = 0.40，P < 0.01）。此外，线性回归结果表明，精神幸福感、医护人员支持和电击焦虑可预测患者接受度变异的36%（R² = 0.61，F = 0.38，调整后R² = 0.36），电击焦虑和医护人员支持是患者接受度的预测因素。
研究结果表明，患者的接受度平均得分相对较高。此外，电击焦虑、精神幸福感和医护人员支持的平均得分分别较低、中等和相对较高。开展医护人员支持干预、精神治疗和降低电击焦虑有助于患者接受ICD。
