植入式心律转复除颤器受者的生活质量、情绪障碍和性健康。

IF 1.7 4区 医学 Q2 NURSING
Rosa Amelia Herrera Viancha, Sueny Paloma Lima Dos Santos, Olga Rocío Gómez Ortega, Magda Lucia Flórez Flórez, Wendy C Moore, Cindy Tofthagen
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引用次数: 0

摘要

植入式心律转复除颤器(ICDs)对于治疗危及生命的心律失常至关重要,但也会影响患者的生活质量(QoL)、情绪和性健康。虽然生活质量可能在植入后不久得到改善,但年龄、心理状态和ICD冲击等因素可能影响长期结果。焦虑、抑郁和对身体和性活动的恐惧在ICD患者中很常见,但这些影响的深度仍未得到充分探讨。本横断面相关研究调查了30名成年ICD患者(年龄27-83岁)植入后3年内生活质量、情绪和性健康之间的关系,这些患者来自美国东南部的学术医疗中心。参与者完成了SF-36、情绪状态概况和多维性行为问卷。Spearman相关表明,较低的生活质量与较高的情绪障碍显著相关(rho = -0.645, p p = .005),但情绪障碍与性健康之间没有显著联系(rho = -0.279, p = .168)。多元线性回归证实情绪和性健康对生活质量均有影响。事后功率分析使用EpiData验证,样本量(n = 30)提供90%的功率和5%的错误率。这些发现强调了在ICD患者护理中处理情感和性健康的重要性。有针对性的干预措施可以改善结果,但需要更多样本的进一步研究来加深对这些关系的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality of Life, Mood Disturbance, and Sexual Health in Implantable Cardioverter Defibrillators Recipients.

Implantable Cardioverter Defibrillators (ICDs) are essential for managing life-threatening arrhythmias but can impact patients' quality of life (QoL), mood, and sexual health. Although QoL may improve shortly after implantation, factors such as age, psychological state, and ICD shocks can influence long-term outcomes. Anxiety, depression, and fears around physical and sexual activity are common among ICD patients, yet the depth of these effects remains underexplored. This cross-sectional, correlational study examined associations between QoL, mood, and sexual health in 30 adult ICD patients (ages 27-83) within 3 years postimplantation, recruited from a Southeastern U.S. academic medical center. Participants completed the SF-36, Profile of Mood States, and Multidimensional Sexuality Questionnaire. Spearman's correlations indicated that lower QoL was significantly associated with higher mood disturbance (rho = -0.645, p < .001) and lower sexual health (rho = 0.535, p = .005), though no significant link was found between mood disturbance and sexual health (rho = -0.279, p = .168). Multiple linear regression confirmed that QoL was influenced by both mood and sexual health. Post-hoc power analysis using EpiData verified that the sample size (n = 30) provided 90% power with a 5% error rate. These findings underscore the importance of addressing emotional and sexual well-being in ICD patient care. Targeted interventions could improve outcomes, but further research with larger samples is needed to deepen understanding of these relationships.

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来源期刊
CiteScore
3.40
自引率
5.90%
发文量
107
审稿时长
>12 weeks
期刊介绍: Clinical Nursing Research (CNR) is a peer-reviewed quarterly journal that addresses issues of clinical research that are meaningful to practicing nurses, providing an international forum to encourage discussion among clinical practitioners, enhance clinical practice by pinpointing potential clinical applications of the latest scholarly research, and disseminate research findings of particular interest to practicing nurses. This journal is a member of the Committee on Publication Ethics (COPE).
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