Pre-ICD Illness Beliefs Affect Postimplant Perceptions of Control and Patient Quality of Life

Autor: Julie L. Burke, Derek T. Connelly, David G. White, Claire N. Hallas
Rok vydání: 2010
Předmět:
Zdroj: Pacing and Clinical Electrophysiology. 33:256-265
ISSN: 1540-8159
0147-8389
DOI: 10.1111/j.1540-8159.2009.02641.x
Popis: Background: The implantable cardioverter defibrillator (ICD) is a device used in the treatment of ventricular arrhythmias and the prevention of sudden cardiac death. However, the ICD has been associated with negative psychological outcomes such as anxiety, depression, panic, and poor quality of life (QoL). Recent studies suggest that the preimplantation psychology of patients, combined with their postimplantation perceptions about their cardiac condition, are greater contributory factors than their medical status to a poor outcome. Method: Our study employed an interview-based qualitative grounded theory methodology to explore whether medical history hetereogeneity and illness beliefs impact on the QoL of 13 ICD patients. Results: Perceived control emerged as the core category related to QoL with three subsystem themes related to control: (1) illness beliefs, attributions, and appraisals; (2) coping resources and strategies; and (3) the social world. Patients at risk for the poorest adaptation were younger (
Databáze: OpenAIRE
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