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Quality of profile 1 and 5 years after ICD implantation
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
Sahlgrenska universitetssjukhuset, Göteborg.
Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
Sahlgrenska universitetssjukhuset, Göteborg.
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2004 (English)Conference paper, Published paper (Refereed)
Abstract [en]

Aim: Treatment with implantable cardioverter defibrillators (ICDs) increases survival in patients suffering from ventricular tachyarrhythmias. The physiologic effects of having an ICD implanted are well-known but there is still limited knowledge about quality of life (QoL), especially in a long-term perspective. Therefore, the aim of this prospective, follow-up study was to describe and compare uncertainty and QoL at year 1 and year 5 after implantation in patients living with an ICD.

Methods: The Mishel Uncertainty in Illness Scale-community version (MUIS-C) and Quality of Life Index-cardiac version (QLI) was used for 35 patients, living with an ICD in average 6 years 9 months. Higher scores indicate higher uncertainty and QoL.

Results: An improvement in uncertainty was found at year 5 compared to year 1 (p=0.009), and at year 5 compared to baseline (p = 0.009). Overall QoL decreased at year 1 compared to baseline (p = 0.033). QoL in the socioeconomic domain decreased at year 1 compared to baseline (p = 0.006), and increased at year 5 compared to year 1 (p=0.027). QoL in the family domain decreased at year 5 compared to year 1 (p=0.039), and at year 5 compared to baseline (p=<0.001).

Conclusion: Patients with ICD feel better at year 5 than at year 1. The QoL is reasonable good 5 years after implant once they have passed the first years and adapted to lifestyle changes, and patients are more certain and perceive the ICD as a parachute of life. 

Place, publisher, year, edition, pages
Amsterdam: Elsevier, 2004. p. 117-118
Series
European Journal of Cardiovascular Nursing, ISSN 1474-5151 ; 3
National Category
Nursing
Identifiers
URN: urn:nbn:se:hh:diva-6130DOI: 10.1016/j.ejcnurse.2004.06.002OAI: oai:DiVA.org:hh-6130DiVA, id: diva2:356836
Conference
4th Annual Spring Meeting of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, Amsterdam, april 2-3, 2004
Available from: 2010-10-14 Created: 2010-10-14 Last updated: 2018-03-23Bibliographically approved

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Flemme, IngerHinic, Hansi

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