Quality of life and psychological status of patients with implantable cardioverter defibrillators.

  • Thomas S
  • Friedmann E
  • Kao C
 et al. 
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Abstract

BACKGROUND: Implantable cardioverter defibrillators reduce mortality
in patients at high risk for sudden cardiac death and in patients
with heart failure. Patients with defibrillators often experience
psychological distress and poor quality of life, which can potentiate
pathological processes that increase the risk for sudden cardiac
death. To achieve the full benefits of the defibrillators, patients
must maintain their psychological status and quality of life. OBJECTIVES:
To review the research on psychological status and quality of life
of patients with implantable cardioverter defibrillators and suggest
nursing interventions to improve the patients' health. METHOD: Searches
of PubMed were used to find articles on depression, anxiety, and
quality of life in patients with implantable cardioverter defibrillators.
RESULTS: Poor quality of life is associated with anxiety and depression
in patients with implantable cardioverter defibrillators. Discharges
of the devices have adverse consequences for patients' psychological
status and quality of life. Younger patients are at highest risk
for psychological distress and poor quality of life after implantation.
Longitudinal research would facilitate determining the course of
the changes in psychological status and quality of life during the
time patients have the defibrillators. More intensive intervention
may be necessary for the most vulnerable recipients: patients who
are young, have experienced shocks, and are in psychological distress.
CONCLUSIONS: Poor quality of life and depression are common in patients
with implantable cardioverter defibrillators. Nursing interventions
to reduce psychological distress and improve quality of life may
reduce morbidity and mortality in these patients. Additional research
is needed to determine effective interventions.

Author-supplied keywords

  • Age Factors ; Anxiety/etiology/nursing ; Arrhythmi
  • Implantable/adverse effects/*psychology ; Depress
  • Psychological/etiology/*nursing/*psychology

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Authors

  • S A Thomas

  • E Friedmann

  • C W Kao

  • P Inguito

  • M Metcalf

  • F J Kelley

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