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Factors That Cause Concerns after Cardioverter Defibrillator Implantation

Author

Listed:
  • Olimpia Karczewska

    (Department of Anaesthesia and Intensive Nursing Care, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland
    Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-635 Katowice, Poland)

  • Agnieszka Młynarska

    (Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-635 Katowice, Poland)

Abstract

Background and Objectives: The aim of the study was to assess the factors that influence the occurrence of concerns and their intensification after the implantation of a cardioverter defibrillator. Materials and Methods: This was a prospective and observational study including 158 patients. The study was conducted in two stages: stage I before implantable cardioverter defibrillator (ICD) implantation and stage II follow-up visit six months after ICD implantation. Standardized questionnaires were used in both stages. Results: Age and female gender were significantly correlated with the occurrence and intensity of concerns. Patients who had a device implanted for secondary prevention also experienced higher levels of concern. Additionally, a multiple regression model using the stepwise input method was performed. The model was statistically significant and explained 42% of the observed variance in the dependent variable ( p = 0.0001, R 2 = 0.4215). The analysis showed that age ( p = 0.0036), insomnia ( p = 0.0276), anxiety ( p = 0.0000) and negative emotions ( p = 0.0374) were important predictors of the dependent variable and enabled higher levels of the number of concerns to be predicted. Conclusions: There is a relationship between the severity of the concerns related to an implanted ICD and age, gender, anxiety, negative emotions and insomnia. Indications for ICD implantation may be associated with increased concerns about ICD.

Suggested Citation

  • Olimpia Karczewska & Agnieszka Młynarska, 2021. "Factors That Cause Concerns after Cardioverter Defibrillator Implantation," IJERPH, MDPI, vol. 18(11), pages 1-10, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6095-:d:569408
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    Citations

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    Cited by:

    1. Łukasz Januszkiewicz & Marcin Grabowski & Michał Mirosław Farkowski & Paweł Życiński & Tomasz Jędrychowski & Mariusz Pytkowski & Julian K. R. Chun & Jose M. Guerra & Giulio Conte & Sérgio Barra & Serg, 2023. "Implantable Cardioverter-Defibrillators in Poland Compared with other European Countries from the Patient’s Perspective: Insights from the EHRA Patient Survey," IJERPH, MDPI, vol. 20(6), pages 1-9, March.

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