The association between perception of noise from a mechanical heart valve and symptoms of anxiety and depression.

Autor:	Dehli LN; Department of Intensive Care, University Hospital of North Norway, P.O. Box 100, 9038 Tromsø, Norway.; Western Norway University of Applied Sciences, P.O. Box 7800, 5020 Bergen, Norway., Norekvål TM; Western Norway University of Applied Sciences, P.O. Box 7800, 5020 Bergen, Norway.; Department of Heart Disease, Haukeland University Hospital, P.O. Box 1400, 5021 Bergen, Norway.; Department of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway., Haaverstad R; Department of Heart Disease, Haukeland University Hospital, P.O. Box 1400, 5021 Bergen, Norway.; Department of Clinical Science, Faculty of Medicine, University of Bergen, Bergen, Norway., Eide GE; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.; Centre for Clinical Research, Haukeland University Hospital, Bergen, Norway., Oterhals K; Western Norway University of Applied Sciences, P.O. Box 7800, 5020 Bergen, Norway.; Department of Heart Disease, Haukeland University Hospital, P.O. Box 1400, 5021 Bergen, Norway.
Jazyk:	angličtina
Zdroj:	European journal of cardiovascular nursing [Eur J Cardiovasc Nurs] 2024 May 28; Vol. 23 (4), pp. 391-399.
DOI:	10.1093/eurjcn/zvad091
Abstrakt:	Aims: Patients with symptomatic aortic valve stenosis are efficiently treated by aortic valve replacement (AVR), using a biological or mechanical valve. For some patients with mechanical valves, the metallic clicking sound may be problematic. The aim of this study was to investigate the perceived disturbance from the sound of a mechanical valve and the association between noise perception and symptoms of anxiety and depression. Methods and Results: The study had a cross-sectional design. In April 2013, all patients who had undergone AVR at one university hospital during the period 2000-12 were invited by post to participate. The primary variables were assessed using a valve-specific questionnaire and the Hospital Anxiety and Depression Scale. Of the 912 (77%) respondents, 245 had mechanical valves. Of these, 59 (24%) were women, the mean (standard deviation) age was 61 (11) years, and the mean time since surgery was 7 (3) years. The valve-specific questionnaire showed that 84% of the patients could sometimes or often hear the valve sound. A moderate positive correlation was found between valve prosthesis noise disturbance and anxiety, r = 0.35 (P = 0.001), and depression, r = 0.27 (P = 0.001). In a multiple linear regression analysis, valve noise perception was only significantly associated with anxiety among several other bio-psychosocial factors. Conclusion: This study shows an association between valve noise disturbance and symptoms of anxiety and highlights the importance of preparing all patients for the sound from the mechanical valves that arises after surgery. Competing Interests: Conflict of interest: None declared. (© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)
Databáze:	MEDLINE
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