Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression
Introduction: Implantation of a permanent cardiac pacemaker (PPM) improves recipients’ quality of life (QoL). However, psychiatric disturbance may adversely affect QoL and undermine clinical outcomes. Aim: To explore impact of anxiety and depression on QoL of PPM recipient...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Pensoft Publishers
2022-02-01
|
| Series: | Folia Medica |
| Subjects: | |
| Online Access: | https://foliamedica.bg/article/63234/download/pdf/ |
| _version_ | 1819107608295899136 |
|---|---|
| author | Maria Polikandrioti |
| author_facet | Maria Polikandrioti |
| author_sort | Maria Polikandrioti |
| collection | DOAJ |
| description | Introduction: Implantation of a permanent cardiac pacemaker (PPM) improves recipients’ quality of life (QoL). However, psychiatric disturbance may adversely affect QoL and undermine clinical outcomes. Aim: To explore impact of anxiety and depression on QoL of PPM recipients. Materials and methods: A hundred and fifty PPM recipients were enrolled. Data collection was performed by completing the Hospital Anxiety and Depression Scale (HADS) and the SF-36 Health Survey (SF-36). Demographic characteristics were also included. The statistical significance level was p<0.05.Results: Almost a quarter of the patients experienced anxiety (25.3%) and depression (26.0%). In terms of QoL, patients showed moderate to high levels in social functionality, energy/fatigue, emotional well-being and pain (median: 50, 60, 72, and 67.5, respectively) and poor levels in physical functioning, physical role and emotional role (medians: 22, 0, and 0 respectively). In addition, patients had moderate levels of general health (median 48.5). All QoL subscales were negatively associated with anxiety and depression of patients on a univariate level (p<0.05). Regarding demographic variables affecting QoL, age was statistically significantly associated with physical role (p=0.025), emotional role (p=0.005), social functioning (p=0.033), and pain (p=0.018). Furthermore, physical role was statistically significantly associated with number of children (p=0.024), emotional role with education level (p=0.011), social functioning with family status (p=0.018), and general health with residency (p=0.006). Conclusions: Demographic characteristics and anxiety/depression are related with QoL. A better understanding of these associations may help clinicians in planning rational and cost-effective interventions. |
| first_indexed | 2024-12-22T02:56:44Z |
| format | Article |
| id | doaj.art-621c47ed91fe4385b6735be48207fedf |
| institution | Directory Open Access Journal |
| issn | 1314-2143 |
| language | English |
| last_indexed | 2024-12-22T02:56:44Z |
| publishDate | 2022-02-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Folia Medica |
| spelling | doaj.art-621c47ed91fe4385b6735be48207fedf2022-12-21T18:41:15ZengPensoft PublishersFolia Medica1314-21432022-02-0164111712710.3897/folmed.64.e6323463234Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depressionMaria Polikandrioti0University of West AtticaIntroduction: Implantation of a permanent cardiac pacemaker (PPM) improves recipients’ quality of life (QoL). However, psychiatric disturbance may adversely affect QoL and undermine clinical outcomes. Aim: To explore impact of anxiety and depression on QoL of PPM recipients. Materials and methods: A hundred and fifty PPM recipients were enrolled. Data collection was performed by completing the Hospital Anxiety and Depression Scale (HADS) and the SF-36 Health Survey (SF-36). Demographic characteristics were also included. The statistical significance level was p<0.05.Results: Almost a quarter of the patients experienced anxiety (25.3%) and depression (26.0%). In terms of QoL, patients showed moderate to high levels in social functionality, energy/fatigue, emotional well-being and pain (median: 50, 60, 72, and 67.5, respectively) and poor levels in physical functioning, physical role and emotional role (medians: 22, 0, and 0 respectively). In addition, patients had moderate levels of general health (median 48.5). All QoL subscales were negatively associated with anxiety and depression of patients on a univariate level (p<0.05). Regarding demographic variables affecting QoL, age was statistically significantly associated with physical role (p=0.025), emotional role (p=0.005), social functioning (p=0.033), and pain (p=0.018). Furthermore, physical role was statistically significantly associated with number of children (p=0.024), emotional role with education level (p=0.011), social functioning with family status (p=0.018), and general health with residency (p=0.006). Conclusions: Demographic characteristics and anxiety/depression are related with QoL. A better understanding of these associations may help clinicians in planning rational and cost-effective interventions.https://foliamedica.bg/article/63234/download/pdf/anxietydepressionquality of lifeHADSSF36 |
| spellingShingle | Maria Polikandrioti Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression Folia Medica anxiety depression quality of life HADS SF36 |
| title | Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression |
| title_full | Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression |
| title_fullStr | Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression |
| title_full_unstemmed | Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression |
| title_short | Quality of life of patients with cardiac pacemaker: levels, associated characteristics, and the impact of anxiety and depression |
| title_sort | quality of life of patients with cardiac pacemaker levels associated characteristics and the impact of anxiety and depression |
| topic | anxiety depression quality of life HADS SF36 |
| url | https://foliamedica.bg/article/63234/download/pdf/ |
| work_keys_str_mv | AT mariapolikandrioti qualityoflifeofpatientswithcardiacpacemakerlevelsassociatedcharacteristicsandtheimpactofanxietyanddepression |