551. Effect of psycho-educational interventions on quality of life in patients with implantable cardioverter defibrillators: a meta-analysis of randomized controlled trials
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Ting-Yu Chen, Miao-Yi Chen, Pai-Hui Lin, and Chi-Wen Kao
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Adult ,medicine.medical_specialty ,Psychological intervention ,030204 cardiovascular system & hematology ,Cochrane Library ,law.invention ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Randomized controlled trial ,Patient Education as Topic ,law ,Outcome Assessment, Health Care ,medicine ,Health Status Indicators ,Humans ,030212 general & internal medicine ,Intensive care medicine ,Randomized Controlled Trials as Topic ,Models, Statistical ,business.industry ,Research ,Public Health, Environmental and Occupational Health ,General Medicine ,Jadad scale ,humanities ,Defibrillators, Implantable ,Psychotherapy ,Study heterogeneity ,Death, Sudden, Cardiac ,Meta-analysis ,Inclusion and exclusion criteria ,Physical therapy ,Quality of Life ,business - Abstract
Background Implantable cardioverter defibrillators (ICD) were developed for primary and secondary prevention of sudden cardiac death. However, ICD recipients’ mortality is significantly predicted by their quality of life (QOL). The aim of this meta-analysis was to evaluate the effects of psycho-educational interventions on QOL in patients with ICDs. Methods We systematically searched PubMed, Medline, Cochrane Library, and CINAHL through April 2015 and references of relevant articles. Studies were reviewed if they met following criteria: (1) randomized controlled trial, (2) participants were adults with an ICD, and (3) data were sufficient to evaluate the effect of psychological or educational interventions on QOL measured by the SF-36 or SF-12. Studies were independently selected and their data were extracted by two reviewers. Study quality was evaluated using a modified Jadad scale. The meta-analysis was conducted using the Cochrane Collaboration’s Review Manager Software Package (RevMan 5). Study heterogeneity was assessed by Q statistics and I2 statistic. Depending on heterogeneity, data were pooled across trials using fixed-effect or random-effect modeling. Results Seven randomized controlled trials fulfilled the inclusion and exclusion criteria, and included 1017 participants. The psycho-educational interventions improved physical component summary (PCS) scores in the intervention groups more than in control groups (mean difference 2.08, 95 % CI 0.86 to 3.29, p
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