Key result
Among 139 patients with implantable cardioverter defibrillators, depression, anxiety, atrial fibrillation, and diabetes were significantly associated with physical or mental quality of life.
Cross-Sectional (n=139)
Depression, anxiety, and comorbidities like atrial fibrillation and diabetes are key modifiable factors associated with lower quality of life in ICD patients.
Warrants screening for depression and anxiety in ICD patients; leaves open whether treating these factors improves quality of life.
AIM: To explore factors associated with health-related quality of life of patients with implantable cardioverter defibrillators. BACKGROUND: Substantial evidence indicates that implantable cardioverter defibrillator is proven to increase survival rate by terminating life-threatening arrhythmia. However, this device can negatively affect health-related quality of life. Little is known about factors associated with health-related quality of life of patients with implantable cardioverter defibrillators, particularly in Asian population. DESIGN: A transversal descriptive design was used. METHODS: Data were collected from a convenience sample of 139 adult patients with implantable cardioverter defibrillators from 4 January-30 April 2012 using the structured questionnaires administered by the researcher and medical record reviews. The Short Form-36 Health Survey version 2 was used to measure health-related quality of life. RESULTS: A total of 139 Chinese patients, including 107 (77·0%) males with a mean age of 63·0 (14·6) years, were selected. The physical component summary was relatively lower, whereas the mental component summary was relatively higher than that of the general Hong Kong Chinese population. Multivariable regression analysis revealed gender, self-care dependence, educational level, atrial fibrillation, diabetes mellitus, anxiety and depression significantly associated with physical or mental quality of life. CONCLUSIONS: Depression was a common factor affecting physical and mental quality of life. Self-care dependence, atrial fibrillation, diabetes mellitus, depression and anxiety could be improved. Our findings expand existing knowledge on identifying at-risk patients for having lower quality of life, thus allowing development of appropriate interventions targeting risk factors for improving health-related quality of life of patients with implantable cardioverter defibrillator.
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Wong et al. (2014) conducted a cross-sectional in implantable cardioverter defibrillators (n=139). Clinical and demographic factors (e.g., depression, anxiety, atrial fibrillation, diabetes) was evaluated on Physical or mental quality of life (measured by Short Form-36 Health Survey version 2). Among 139 patients with implantable cardioverter defibrillators, depression, anxiety, atrial fibrillation, and diabetes were significantly associated with physical or mental quality of life.
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