Students' Scientific Group at the 1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.
1st Department of Cardiology, Interventional Electrocardiology and Hypertension, Jagiellonian University Medical College, Kraków, Poland.
Folia Med Cracov. 2022 Jun 29;62(1):121-134. doi: 10.24425/fmc.2022.141695.
Cardiac implantable electronic devices (CIED) such as pacemakers or cardioverter defibrillators prevent dangerous heart arrhythmias and conduction abnormalities. Post-intervention education is crucial in the patient recovery process and aims to avoid both dangerous behavior and unnecessary restraints in daily living.
The evaluation of knowledge of daily activities' safety among patients with CIEDs and an analysis of the relationship between the state of knowledge and perceived post-intervention quality of life.
The study group included 100 patients (57% men) with CIEDs, recruited in the University Hospital in Kraków. Data on the patients' knowledge about permissible daily activities, medical procedures and perceived quality of life was collected using a dedicated questionnaire, which comprised 57 simple and multiple-choice questions.
The analyzed group included patients aged 28 to 97 years (mean age 73). Among them, 26% either have not received or have not read the information booklet. Two-thirds of them either need more information about their device (51%) or do not possess essential knowledge (15%). Patients raised concerns about performing daily activities such as: car-driving (38%), using seat belts (14%), bathing (15%), returning to work (51%) or climbing stairs (16%). They reported anxiety when using computers (39%), mobile phones (51%), microwaves (73%) and even electric toothbrushes (51%). It has been observed that patients with a greater general understanding of the pacemaker and post-implantation restraints had a higher quality of life on average.
Patients with CIEDs restrain themselves excessively in daily living. There is a strong need to provide them with knowledge of their medical condition, concomitant capabilities, and limitations to undergo a fully successful rehabilitation. Comprehensive and easily comprehensible recommendations may play a key role in improving patients' quality of life.
心脏植入式电子设备（CIED），如起搏器或除颤器，可预防危险的心律失常和传导异常。术后教育在患者康复过程中至关重要，旨在避免日常生活中既危险的行为和不必要的限制。
评估 CIED 患者对日常活动安全性的认知，并分析知识状态与感知术后生活质量之间的关系。
研究组包括 100 名在克拉科夫大学医院接受 CIED 治疗的患者（57%为男性）。使用专门的问卷收集患者对允许的日常活动、医疗程序和感知生活质量的知识数据，该问卷包含 57 个简单和多项选择题。
分析组包括年龄在 28 至 97 岁之间的患者（平均年龄为 73 岁）。其中，26%的患者要么没有收到过，要么没有阅读过信息手册。三分之二的患者要么需要更多关于他们设备的信息（51%），要么没有掌握基本的知识（15%）。患者对日常活动存在担忧，如：驾驶汽车（38%）、使用安全带（14%）、洗澡（15%）、重返工作岗位（51%）或爬楼梯（16%）。他们在使用电脑（39%）、手机（51%）、微波炉（73%）甚至电动牙刷（51%）时会感到焦虑。观察到，对起搏器和植入后限制有更全面理解的患者平均生活质量更高。
CIED 患者在日常生活中过度限制自己。强烈需要向他们提供有关其病情、伴随能力和限制的知识，以实现全面成功的康复。全面且易于理解的建议可能对改善患者的生活质量起着关键作用。
