Department of Internal Medicine and Internal Nursing, Chair of Preventive Nursing, Faculty of Health Sciences, Medical University of Lublin, Ul. Chodźki 7, 20-093 Lublin, Poland.
Int J Environ Res Public Health. 2022 Oct 29;19(21):14133. doi: 10.3390/ijerph192114133.
Pacemaker implantation improves the quality of life of most patients, especially in the initial period after implantation. It is necessary to measure the long-term quality of life and factors that can affect it-stress and illness acceptance. The aim of the study was to assess the impact of stress and illness acceptance on the quality of life of patients after pacemaker implantation. To obtain final conclusions, we performed a survey on a group of 100 patients with implanted pacemakers. Our survey consists of standardized research tools to check the quality of life (WHOQOL-BREF), perceived stress and ways to cope with it (PSS-10, mini-COPE) and acceptance of illness (AIS). The results of the study were summarized in a statistical analysis. At least a good quality of life was declared by more than half of the respondents [Me = 4; 95% PU (4, 4)]. The average result obtained by the respondents when converted to the STEN scale was six. The respondents were characterized by a moderate level of stress compared to the PSS-10 norms and it was related to the quality of life. Similar, statistically significant correlations were presented as mini-COPE and AIS results. Respondents were most likely to use acceptance strategies, active coping methods, when dealing with something else and planning. The rarest strategies were doing nothing and taking pharmaceuticals. The average score on the acceptance of illness scale was (M = 22.14; SD = 6.05), which is more than the result obtained by patients from the AIS normalization group. It shows that assessed patients after pacemaker implantation declare the general quality of life as good or higher. Additionally, this quality of life is closely related to stress levels, coping strategies and acceptance of illness, which shows us the importance of research in this area.
心脏起搏器植入术改善了大多数患者的生活质量,尤其是在植入后的初期。有必要衡量长期生活质量和可能影响生活质量的因素,如压力和疾病接受度。本研究旨在评估压力和疾病接受度对心脏起搏器植入后患者生活质量的影响。为了得出最终结论,我们对 100 名植入心脏起搏器的患者进行了调查。我们的调查包括使用标准化研究工具来检查生活质量(WHOQOL-BREF)、感知压力及其应对方式(PSS-10、mini-COPE)和疾病接受度(AIS)。研究结果在统计分析中进行了总结。超过一半的受访者报告了良好的生活质量[Me=4;95%PU(4,4)]。受访者转换为 STEN 量表后获得的平均分数为六。与 PSS-10 标准相比,受访者的压力水平处于中等水平,并且与生活质量相关。类似的,mini-COPE 和 AIS 的结果也呈现出统计学上显著的相关性。受访者在处理其他事情和计划时最有可能使用接受策略、积极应对方法。最不常用的策略是不作为和服用药物。疾病接受度量表的平均得分为(M=22.14;SD=6.05),高于 AIS 正常化组患者的得分。这表明评估后的心脏起搏器植入患者报告的总体生活质量为良好或更高。此外,这种生活质量与压力水平、应对策略和疾病接受度密切相关,这表明我们在该领域的研究具有重要意义。