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Elias Neto J. Importance of the Anesthetic Technique and Analgesia in the Implantation of Subcutaneous and Endovascular Defibrillator: An Aspect Often Ignored. Arq Bras Cardiol 2021; 116:1150-1152. [PMID: 34133602 PMCID: PMC8288522 DOI: 10.36660/abc.20210184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Jorge Elias Neto
- Vitória Apart Hospital - Serviço de Eletrofisiologia, Serra , ES - Brasil
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Pannag J, Martin L, Yost J, McGillion M, Carroll SL. Testing a nurse-led, pre-implantation educational intervention for primary prevention implantable cardioverter-defibrillator candidates: a randomized feasibility trial. Eur J Cardiovasc Nurs 2021; 20:367-375. [PMID: 33620480 DOI: 10.1093/eurjcn/zvaa009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 06/18/2020] [Accepted: 10/02/2020] [Indexed: 11/14/2022]
Abstract
AIMS Implantable cardioverter-defibrillators (ICDs) deliver therapy for life-threatening arrhythmias. Evidence suggests that ICD candidates have misconceptions regarding ICD therapy and unmet information needs. We undertook a pilot feasibility trial comparing a nurse-led educational intervention plus standard care, vs. standard pre-ICD implantation care. Secondary aims included examination of anxiety, quality of life, and shock anxiety. METHODS AND RESULTS Implantable cardioverter-defibrillator candidates were consented and randomized to standard pre-ICD implantation care vs. standard care plus a nurse-led educational intervention. The primary feasibility outcomes included: recruitment rate, consent rate, randomization rate, proportion of participants able to complete all questionnaires, time to deliver intervention, and intervention topics completion. At baseline, demographic and Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety scores were collected. Four weeks post-ICD implantation, participants completed the PROMIS, Florida Patient Acceptance Survey (FPAS), and Florida Shock Anxiety Scale (FSAS). Twenty patients consented (10 per group). Feasibility targets were achieved for all but two outcomes: consent rate was 87% vs. 95% target, and completion of data collection measures was 85% vs. 90% target. Consent rate was lower than expected as one patient declined, and two could not be approached. Completion rate was lower than expected as two patients were lost to follow-up, and one did not receive an ICD during the study period, leading to incomplete post-implantation survey collections. CONCLUSION The results demonstrate the feasibility of conducting a trial comparing a nurse-led pre-implantation educational intervention to standard care in an outpatient setting. Further study to evaluate the effectiveness of this intervention on patient-reported outcomes is warranted.
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Affiliation(s)
- Jasprit Pannag
- School of Nursing, McMaster University, 1280 Main Street West, HSC 2J17, Hamilton, ON L8S 4K1, Canada
| | - Lynn Martin
- School of Nursing, McMaster University, 1280 Main Street West, HSC 2J17, Hamilton, ON L8S 4K1, Canada
| | - Jennifer Yost
- M. Louise Fitzpatrick College of Nursing, Villanova University, Driscoll Hall #330, Villanova, PA 19096, USA
| | - Michael McGillion
- School of Nursing, McMaster University, 1280 Main Street West, HSC 2J17, Hamilton, ON L8S 4K1, Canada
| | - Sandra L Carroll
- School of Nursing, McMaster University, 1280 Main Street West, HSC 2J17, Hamilton, ON L8S 4K1, Canada
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Jalloul Y, Refaat MM. The utility of the Florida Shock Anxiety Scale: What have we learned? Pacing Clin Electrophysiol 2019; 42:1302-1303. [DOI: 10.1111/pace.13794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Accepted: 08/26/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Youssef Jalloul
- Department of Internal MedicineDivision of CardiologyAmerican University of Beirut Medical Center Beirut Lebanon
| | - Marwan M. Refaat
- Department of Internal MedicineDivision of CardiologyAmerican University of Beirut Medical Center Beirut Lebanon
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Tripp C, Huber NL, Kuhl EA, Sears SF. Measuring ICD shock anxiety: Status update on the Florida Shock Anxiety Scale after over a decade of use. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2019; 42:1294-1301. [DOI: 10.1111/pace.13793] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 07/14/2019] [Accepted: 07/30/2019] [Indexed: 12/15/2022]
Affiliation(s)
- Connor Tripp
- Department of PsychologyEast Carolina University Greenville North Carolina
| | - Nichelle L. Huber
- Department of PsychologyEast Carolina University Greenville North Carolina
| | | | - Samuel F. Sears
- Department of PsychologyEast Carolina University Greenville North Carolina
- Department of Cardiovascular SciencesEast Carolina University Greenville North Carolina
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Affiliation(s)
- Laurel H Messer
- CU School of Medicine, Barbara Davis Center for Diabetes , Aurora, Colorado
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SAITO NAO, TARU CHIEMI, MIYAWAKI IKUKO. Time-Dependent Changes in Psychosocial Distress in Japanese Patients with Implantable Cardioverter Defibrillators. THE KOBE JOURNAL OF MEDICAL SCIENCES 2016; 62:E99-E106. [PMID: 28239075 PMCID: PMC5432064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/01/2016] [Accepted: 09/05/2016] [Indexed: 06/06/2023]
Abstract
This prospective study clarified changes in the mood states of Japanese patients with implantable cardioverter defibrillators as well as factors related to the mood states. Using a longitudinal repeated-measure design, 29 patients with implantable cardioverter defibrillators completed the Profile of Mood States-Short Form Japanese Version questionnaire before discharge and 1, 4, 7, and 13 months after implantation. One month after discharge, the mood states of the patients with implantable cardioverter defibrillators improved. From 7 to 13 months after discharge, moods deteriorated; 13 months after discharge, moods were equivalent to those at the time of discharge. No relationship with defibrillation experience was detected in this study, but employment, age, sex, and lack of experience of syncopal attack were factors related to poor mood states for patients with implantable cardioverter defibrillators. Therefore, Japanese patients with implantable cardioverter defibrillators with any factor deteriorating their mood state should be monitored so that their mood state does not deteriorate again between six months and one year after implantation.
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Affiliation(s)
- NAO SAITO
- Department of Nursing, Faculty of Health Sciences Graduate School of Health Sciences, Kobe University
| | - CHIEMI TARU
- Department of Nursing, Faculty of Health Sciences Graduate School of Health Sciences, Kobe University
| | - IKUKO MIYAWAKI
- Department of Nursing, Faculty of Health Sciences Graduate School of Health Sciences, Kobe University
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Kao CW, Chen MY, Chen TY, Lin PH. Effect of psycho-educational interventions on quality of life in patients with implantable cardioverter defibrillators: a meta-analysis of randomized controlled trials. Health Qual Life Outcomes 2016; 14:138. [PMID: 27716219 PMCID: PMC5045654 DOI: 10.1186/s12955-016-0543-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 09/27/2016] [Indexed: 01/22/2023] Open
Abstract
Background Implantable cardioverter defibrillators (ICD) were developed for primary and secondary prevention of sudden cardiac death. However, ICD recipients’ mortality is significantly predicted by their quality of life (QOL). The aim of this meta-analysis was to evaluate the effects of psycho-educational interventions on QOL in patients with ICDs. Methods We systematically searched PubMed, Medline, Cochrane Library, and CINAHL through April 2015 and references of relevant articles. Studies were reviewed if they met following criteria: (1) randomized controlled trial, (2) participants were adults with an ICD, and (3) data were sufficient to evaluate the effect of psychological or educational interventions on QOL measured by the SF-36 or SF-12. Studies were independently selected and their data were extracted by two reviewers. Study quality was evaluated using a modified Jadad scale. The meta-analysis was conducted using the Cochrane Collaboration’s Review Manager Software Package (RevMan 5). Study heterogeneity was assessed by Q statistics and I2 statistic. Depending on heterogeneity, data were pooled across trials using fixed-effect or random-effect modeling. Results Seven randomized controlled trials fulfilled the inclusion and exclusion criteria, and included 1017 participants. The psycho-educational interventions improved physical component summary (PCS) scores in the intervention groups more than in control groups (mean difference 2.08, 95 % CI 0.86 to 3.29, p < 0.001), but did not significantly affect mental component summary (MCS) scores (mean difference 0.84, 95 % CI -1.68 to 3.35, p = 0.52). Conclusion Our meta-analysis demonstrates that psycho-educational interventions improved the physical component, but not the mental component of QOL in patients with ICDs.
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Affiliation(s)
- Chi-Wen Kao
- Department of Nursing, Tri-Service General Hospital, No.325, Sec.2, Chenggong Rd., Taipei, 114, Taiwan. .,National Defense Medical Center, School of Nursing, No.161, Minchuan E. RD., Sec. 6, Taipei, 114, Taiwan.
| | - Miao-Yi Chen
- Department of Nursing, Ching Kuo Institute of Management and Health, No.336, Fu Hsin Rd., Keelung, Taiwan
| | - Ting-Yu Chen
- National Defense Medical Center, School of Nursing, No.161, Minchuan E. RD., Sec. 6, Taipei, 114, Taiwan.,Chung-Jen College of Nursing, Health Sciences and Management, No.161, Minchuan E. RD., Sec. 6, Taipei, 114, Taiwan
| | - Pai-Hui Lin
- Department of Nursing, Tri-Service General Hospital, No.325, Sec.2, Chenggong Rd., Taipei, 114, Taiwan
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Jakub KE, Sandelowski M. Reimplantation surgery in patients with implantable cardioverter defibrillators: A qualitative study. Heart Lung 2016; 45:48-55. [DOI: 10.1016/j.hrtlng.2015.09.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 09/19/2015] [Accepted: 09/25/2015] [Indexed: 11/25/2022]
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Thylén I, Moser DK, Strömberg A, Dekker RA, Chung ML. Concerns about implantable cardioverter-defibrillator shocks mediate the relationship between actual shocks and psychological distress. Europace 2015; 18:828-35. [PMID: 26324839 DOI: 10.1093/europace/euv220] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2014] [Accepted: 05/15/2015] [Indexed: 11/14/2022] Open
Abstract
AIMS Although most implantable cardioverter-defibrillator (ICD) patients cope well, fears about receiving ICD shocks have been identified as a major determinant of psychological distress. The relationships among ICD-related concerns, receipt of defibrillating shocks, and symptoms of anxiety and depression have not yet been investigated. Our objective was to examine whether the relationship between receipt of defibrillating shocks and psychological distress was mediated by patients' concerns related to their ICD. METHODS AND RESULTS All Swedish ICD-recipients were invited to this cross-sectional correlational study; 3067 completing the survey (55% response rate). Their mean age was 66 ± 11 years, and 80% were male. One-third (35%) had received defibrillating shocks, and 26% had high ICD-related concerns. Regression analyses demonstrated that having received at least one shock significantly predicted symptoms of anxiety and depression [odds ratio (OR) 1.58 and OR 3.04, respectively]. The association between receipt of shocks and psychologically distress was mediated by high ICD-related concerns which explained 68% of the relationship between shocks and symptoms of anxiety, and 54% of the relationship between shocks and symptoms of depression. CONCLUSION Implantable cardioverter-defibrillator-related concerns have a bigger impact on psychological distress than receipt of an actual shock. Assessing ICD-related concerns in clinical practice can identify patients at risk for psychological distress. Further research on assessment of, and interventions targeting, ICD-related concerns is warranted.
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Affiliation(s)
- Ingela Thylén
- Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden Department of Cardiology, County Council of Östergötland, Linköping University, Linköping, Sweden
| | - Debra K Moser
- College of Nursing, University of Kentucky, 527 CON, 751 Rose Street, Lexington, KY 40536-0232, USA University of Ulster, Newtownabbey, UK
| | - Anna Strömberg
- Department of Medicine and Health Sciences, Faculty of Health Sciences, Linköping University, Linköping, Sweden Department of Cardiology, County Council of Östergötland, Linköping University, Linköping, Sweden
| | - Rebecca A Dekker
- College of Nursing, University of Kentucky, 527 CON, 751 Rose Street, Lexington, KY 40536-0232, USA
| | - Misook L Chung
- College of Nursing, University of Kentucky, 527 CON, 751 Rose Street, Lexington, KY 40536-0232, USA
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Larsen JM, Riahi S, Johansen JB, Nielsen JC, Petersen HH, Haarbo J, Pedersen SS. The patient perspective on the Riata defibrillator lead advisory: A Danish nationwide study. Heart Rhythm 2014; 11:2148-55. [DOI: 10.1016/j.hrthm.2014.09.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Indexed: 11/24/2022]
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Morken IM, Norekvål TM, Bru E, Larsen AI, Karlsen B. Perceptions of healthcare professionals’ support, shock anxiety and device acceptance among implantable cardioverter defibrillator recipients. J Adv Nurs 2014; 70:2061-2071. [PMID: 24506575 DOI: 10.1111/jan.12364] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2013] [Revised: 09/13/2013] [Accepted: 01/11/2014] [Indexed: 11/30/2022]
Affiliation(s)
- Ingvild M. Morken
- Department of Cardiology; Stavanger University Hospital; Norway
- Department of Health Studies; University of Stavanger; Norway
| | - Tone M. Norekvål
- Department of Heart Disease; Haukeland University Hospital; Bergen Norway
- Institute of Medicine; University of Bergen; Norway
| | - Edvin Bru
- Department of Health Studies; University of Stavanger; Norway
- Norwegian Centre for Learning Environment and Behavioural Research in Education; University of Stavanger; Norway
| | - Alf I. Larsen
- Department of Cardiology; Stavanger University Hospital; Norway
- Institute of Medicine; University of Bergen; Norway
| | - Bjørg Karlsen
- Department of Health Studies; University of Stavanger; Norway
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