心律转复除颤器植入术和使用除颤器的心脏再同步化疗法患者与机动车驾驶相关的焦虑症

IF 1.1 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Shingo Moriguchi, Masahito Hitosugi, Yuzo Takeuchi, Takeshi Inoue, Shinsaku Takeda, Mineko Baba, Arisa Takeda, Mami Nakamura, Yasutaka Inuzuka
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引用次数: 0

摘要

背景 减轻接受植入式心脏复律除颤器和心脏再同步治疗除颤器患者对机动车驾驶的焦虑不仅对提高生活质量非常重要,而且对防止因驾驶员分心而发生车辆碰撞也非常重要。本研究旨在阐明使用这些除颤器的患者与驾驶相关的焦虑以及预测这种焦虑的因素。 方法 我们使用自制问卷对 2018 年 8 月至 2019 年 11 月期间在一家综合医院植入设备后驾驶车辆的患者进行了横断面调查。 结果 平均年龄为(60.8±12.6)岁。47名患者的植入原因为一级预防,30名患者为二级预防。共有 16 名患者有驾驶焦虑症,61 名患者没有。有焦虑症的年轻患者(平均年龄为 50.4 岁对 63.6 岁,p < 0.001)和植入心律转复除颤器的患者(100% 对 73.8%,p = 0.02)明显较多。多变量分析表明,年龄是预测驾驶相关焦虑的唯一独立因素(几率比 0.937;95% 置信区间 0.883-0.993)。 结论 识别并解决除颤器患者(尤其是年轻患者)的驾驶相关焦虑对于预防机动车碰撞事故和提高生活质量非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Motor Vehicle Driving-Related Anxiety in Patients Undergoing Cardioverter Defibrillator Implantation and Cardiac Resynchronization Therapy With Defibrillators

Motor Vehicle Driving-Related Anxiety in Patients Undergoing Cardioverter Defibrillator Implantation and Cardiac Resynchronization Therapy With Defibrillators

Background

Reducing anxiety about motor vehicle driving in patients receiving implantable cardioverter defibrillators and cardiac resynchronization therapy with defibrillators is important not only for improving quality of life but also for preventing vehicle collisions owing to driver distraction. This study aimed to clarify the driving-related anxiety of patients with these defibrillators and the factors that predict such anxiety.

Methods

We conducted a cross-sectional survey using a self-administered questionnaire of patients who had been driving a vehicle after device implantation at a general hospital between August 2018 and November 2019.

Results

The mean age was 60.8 ± 12.6 years. The reasons for implantation were primary prevention in 47 patients and secondary prevention in 30 patients. A total of 16 patients experienced anxiety about driving and 61 did not. Significantly more younger patients (mean age of 50.4 vs. 63.6 years, p < 0.001) and those with implantable cardioverter defibrillators had anxiety (100% vs. 73.8%, p = 0.02). Multivariable analysis indicated that age was the only independent factor that predicted driving-related anxiety (odds ratio, 0.937; 95% confidence interval, 0.883–0.993).

Conclusions

Identifying and addressing driving-related anxiety in patients (particularly young patients) with defibrillators is important in preventing motor vehicle collisions and improving quality of life.

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来源期刊
CiteScore
3.40
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation. ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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