J Caring Sci. 2022;11(1): 28-35.
doi: 10.34172/jcs.2022.01
  Abstract View: 114
  PDF Download: 78

Original Article

An Evaluation of the Association between Quality of Life and Psychological Issues in Patients with Automated Implantable Cardioverter Defibrillator

Nilofar Pasyar 1,2 ORCID logo, Masoume Rambod 1,2* ORCID logo, Mohammad Hossein Nikoo 3 ORCID logo, Parisa Mansouri 2 ORCID logo

1 Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2 Department of Medical-Surgical Nursing, Nursing and Midwifery School, Shiraz University of Medical Sciences, Shiraz, Iran
3 Cardiovascular Research Center, Cardiology Department, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
*Corresponding Author: Masoume Rambod, Email: rambodma@yahoo.com


Introduction: Implantable cardioverter defibrillator (ICD) plays a life-saving role via controlling malignant dysrhythmias. However, it may result in the incidence of psychological tensions in patients’ lives, eventually leading to changes in their quality of life (QoL). To date, this association has remained unclear among Iranian population. Therefore, the present study aimed to determine the association between QoL and psychological issues in patients with ICD.

Methods: Using convenience sampling method, this cross-sectional study was conducted on 96 patients referred to the pacemaker clinic of Shahid Faghihi hospital and Kowsar heart hospital affiliated to Shiraz University of Medical Sciences, Iran from September 2016 to January 2017. The data were collected using Depression, Anxiety, Stress Scale (DASS-21) and the Short Form-36 (SF-36) questionnaire, and analyzed in SPSS software version 13 using independent t-test, Pearson’s correlation test, and ANOVA.

Results: The mean (SD) score of patients’ QoL was found to be 1672.02 (43.43). Moreover, the mean (SD) scores of depression, anxiety, and stress were 4.69 (0.46), 5.6 (0.47), and 7.51 (0.05), respectively indicating moderate depression, anxiety, and stress levels among the patients. A significant association was found between the patients’ QoL and depression, anxiety, and stress.

Conclusion: As an association was observed between the patients’ QoL and depression, anxiety, and stress, performing some interventions to reduce the patients’ psychological issues might improve their QoL.

Keywords: Quality of life, Depression, Anxiety, Stress, Implantable cardioverter defibrillators

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Submitted: 17 Feb 2021
Revision: 12 Jun 2021
Accepted: 12 Jun 2021
ePublished: 06 Nov 2021
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