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Patient reported outcomes and quality of life in Chinese patients with implantable cardioverter defibrillatorsā°
- Source :
- Heart & Lung. 50:153-158
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Patient reported outcomes in Implantable Cardioverter Defibrillator (ICD) patients can describe the experience of living with heart disease and with an ICD. However, very little is known about patient outcomes among Chinese patients which may limit effective patient discussions and interventions for these patients. The purposes of this study were to examine device related experiences (e.g., device acceptance, shock anxiety) in Chinese ICD patients and identify potential variables that influence health related quality of life (HRQOL) and to compare HRQOL outcomes to healthy and heart failure populations.This study used a cross-sectional research design with serially recruited ICD patients (N = 100) from clinics in China. Participants completed surveys including: the 12-Item Short-Form Health Survey Questionnaire (SF-12), Florida Patient Acceptance Survey (FPAS), Florida Shock Anxiety Scale (FSAS), Type D Scale (DS-14), and general information questionnaire.Participants were 100 ICD patients in China with a mean age of 53.32(SD = 13.70). The mean scores of the SF-12 physical component summary (PCS) and mental component summary (MCS)of ICD patients (43.55 and 47.07, respectively) were lower than the Chinese general population (P0.001) and general health, social functioning, and role emotional scores were lower than chronic heart failure patients (P0.001). Multiple linear regression analysis indicated that LVEF, positive shock history, age and shock anxiety were significant predictors of physical function and accounted for 24.5% of the adjusted variance. Type D personality, shock history, and shock anxiety were predictors of the mental health component and accounted for 25.9% of the variance. Shock history, age, type D personality, and shock anxiety significantly predicted device acceptance (FPAS-Total) and accounted for 32% of variance.ICD patients reported health outcomes were generally lower than the Chinese general population and patients with heart failure in relation to general health, social functioning, and role emotional. Both generic and disease specific HRQOL were influenced by both medical and psychosocial predictors. This suggests that current Western society based comprehensive models of patient HRQOL and patient care needs may extend to Chinese patients with ICDs.
- Subjects :
- Pulmonary and Respiratory Medicine
Research design
China
medicine.medical_specialty
Heart disease
medicine.medical_treatment
Population
Psychological intervention
Anxiety
030204 cardiovascular system & hematology
Critical Care and Intensive Care Medicine
03 medical and health sciences
0302 clinical medicine
Quality of life (healthcare)
medicine
Humans
Patient Reported Outcome Measures
education
education.field_of_study
business.industry
Implantable cardioverter-defibrillator
medicine.disease
Defibrillators, Implantable
Cross-Sectional Studies
030228 respiratory system
Family medicine
Quality of Life
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Psychosocial
Subjects
Details
- ISSN :
- 01479563
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Heart & Lung
- Accession number :
- edsair.doi.dedup.....f0c73f7d5b78d44ee783e3ceeec73746