Change in quality of life in patients with permanent cardiac pacemakers: a six-month follow-up study.

Hsing-Mei Chen, Y. Chao
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引用次数: 16

Abstract

The purpose of this study was to investigate the quality of life (QOL) in patients before and after permanent pacemaker implantation. A follow-up study design was adopted and purposive sampling was applied to recruit subjects from two medical centers in Taipei City. Subjects were interviewed before pacemaker implantation. Follow-up interviews were conducted at second, fourth, and sixth month after pacemaker implantation. There were 42 subjects enrolled in this study. These subjects had moderate QOL (62.4 +/- 15.9 on a scale of 97) before pacemaker implantation and the QOL improved significantly after pacemaker implantation(p <.05). The QOL improvement reached a peak at the end of the fourth month and the scores decreased at the end of the sixth month vs. the fourth month (p <.05). They had significant improvement in general well-being, sleeping, appetite, physical activity, and physical symptoms (p <.05), but not in cognitive function, social participation, work capability and sexual function (p >.05). Subjects with spouses as their main caregivers had significantly better improvement in QOL after pacemaker implantation. Subjects perceptions of distress from arrhythmia were the most significant determinant in their QOL pre and post pacemaker implantation. The findings suggest that aggressively resolving arrhythmia distress is important for improving QOL.
永久性心脏起搏器患者生活质量的改变:为期六个月的随访研究。
本研究的目的是探讨永久性起搏器植入前后患者的生活质量(QOL)。本研究采随访研究设计,并以有目的的抽样方法,从台北市两间医疗中心招募受试者。在起搏器植入前对受试者进行访谈。在心脏起搏器植入后的第2、4、6个月进行随访。共有42名受试者参加了这项研究。这些患者在植入起搏器前的生活质量为中等(62.4 +/- 15.9(97分制)),植入起搏器后生活质量显著改善(p . 0.05)。以配偶为主要照顾者的受试者在心脏起搏器植入后的生活质量有明显改善。受试者对心律失常痛苦的感知是其起搏器植入前后生活质量的最重要决定因素。研究结果表明,积极解决心律失常窘迫对改善生活质量很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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