Frydensberg Vivi Skibdal, Möller Sören, Johansen Jens Brock, Strömberg Anna, Pedersen Susanne S
Department of Cardiology, Odense University Hospital, J. W. Winsloewsvej 4, 5000 Odense, Denmark.
OPEN-Open Patient data Explorative Network, Odense University Hospital, J. B. Winsløws Vej 21, 3rd floor, 5000 Odense, C Denmark.
Eur J Cardiovasc Nurs. 2025 Jan 30;24(1):91-101. doi: 10.1093/eurjcn/zvae121.
To investigate associations between body image concerns (BICs) measured by the implantable cardioverter defibrillator body image concerns questionnaire (ICD-BICQ) and other patient-reported outcomes (PROs), in a cohort of patients with an implantable cardioverter defibrillator (ICD).
In a cross-sectional survey, we included patients > 18 years implanted with a first-time ICD (VVI, DDD, and cardiac re-synchronization therapy defibrillator) who had lived with their ICD from 3-24 months. They completed the 39-item ICD-BICQ together with the Generalized Anxiety Disorder scale, Patient Health Questionnaire, Type D Scale, Health Status Questionnaire, and the Florida Patient Acceptance Survey. Data were analysed using linear regression to compare personality constructs between patients with and without BICs. Logistic repression and receiver operating characteristic curves were used to predict patients with BICs based on other PROs. A total of 330 patients completed the survey. Five patients were excluded due to re-operations leaving 325 patients in the analyses. A total of 20% reported BICs at the recommended cut-off at 36 points. Patients with BICs reported higher anxiety and depression levels, lower device acceptance and health status, and had a Type D personality as compared to patients without BICs. Florida Patient Acceptance Survey was moderately able to predict BICs, while other PROs only had limited ability to predict BICs.
Patients with BICs reported poorer PROs. The PRO instruments were not able to predict patients with BICs, indicating that the ICD-BICQ provides independent relevant clinical information. In clinical practice, healthcare professionals can use the ICD-BICQ to identify and obtain information on possible BICs. The ICD-BICQ can also be used to evaluate new operation techniques.
在植入式心律转复除颤器（ICD）患者队列中，研究通过植入式心律转复除颤器身体意象关注问卷（ICD - BICQ）测量的身体意象关注（BICs）与其他患者报告结局（PROs）之间的关联。
在一项横断面调查中，我们纳入了年龄大于18岁、首次植入ICD（VVI、DDD和心脏再同步治疗除颤器）且已使用ICD 3至24个月的患者。他们完成了包含39个项目的ICD - BICQ，以及广泛性焦虑障碍量表、患者健康问卷、D型量表、健康状况问卷和佛罗里达患者接受度调查。使用线性回归分析数据，以比较有和没有BICs的患者之间的人格结构。使用逻辑回归和受试者工作特征曲线，基于其他PROs预测有BICs的患者。共有330名患者完成了调查。5名患者因再次手术被排除，分析中留下325名患者。共有20%的患者在推荐的36分临界值时报告有BICs。与没有BICs的患者相比，有BICs的患者报告焦虑和抑郁水平更高，设备接受度和健康状况更低，且具有D型人格。佛罗里达患者接受度调查对BICs有中等预测能力，而其他PROs对BICs的预测能力有限。
有BICs的患者报告的PROs较差。PRO工具无法预测有BICs的患者，这表明ICD - BICQ提供了独立的相关临床信息。在临床实践中，医疗保健专业人员可以使用ICD - BICQ来识别并获取有关可能的BICs的信息。ICD - BICQ还可用于评估新的手术技术。
