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Factors associated with health‐related quality of life among patients with implantable cardioverter defibrillator: identification of foci for nursing intervention
Author(s) -
Wong Florence Mei Fung,
Sit Janet Wing Hung,
Wong Eliza Mi Ling,
Choi Kai Chow
Publication year - 2014
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12434
Subject(s) - implantable cardioverter defibrillator , medicine , intervention (counseling) , identification (biology) , quality of life (healthcare) , quality (philosophy) , nursing , intensive care medicine , philosophy , botany , epistemology , biology
Aim To explore factors associated with health‐related quality of life of patients with implantable cardioverter defibrillators. Background Substantial evidence indicates that implantable cardioverter defibrillator is proven to increase survival rate by terminating life‐threatening arrhythmia. However, this device can negatively affect health‐related quality of life. Little is known about factors associated with health‐related quality of life of patients with implantable cardioverter defibrillators, particularly in Asian population. Design A transversal descriptive design was used. Methods Data were collected from a convenience sample of 139 adult patients with implantable cardioverter defibrillators from 4 January–30 April 2012 using the structured questionnaires administered by the researcher and medical record reviews. The Short Form‐36 Health Survey version 2 was used to measure health‐related quality of life. Results A total of 139 Chinese patients, including 107 (77·0%) males with a mean age of 63·0 (14·6) years, were selected. The physical component summary was relatively lower, whereas the mental component summary was relatively higher than that of the general Hong Kong Chinese population. Multivariable regression analysis revealed gender, self‐care dependence, educational level, atrial fibrillation, diabetes mellitus, anxiety and depression significantly associated with physical or mental quality of life. Conclusions Depression was a common factor affecting physical and mental quality of life. Self‐care dependence, atrial fibrillation, diabetes mellitus, depression and anxiety could be improved. Our findings expand existing knowledge on identifying at‐risk patients for having lower quality of life, thus allowing development of appropriate interventions targeting risk factors for improving health‐related quality of life of patients with implantable cardioverter defibrillator.