Change in Quality of Life in Patients With Permanent Cardiac Pacemakers: A Six-month Follow-up Study

Hsing-Mei Chen；Yann-Fen Chao

quality of life (QOL) ； per ma nent pace maker im plan ta tion ； ar rhyth mia dis tress

The Journal of Nursing Research

10卷2期（2002 / 06 / 01）

143 - 150

英文

The purpose of this study was to investigate the quality of life (QOL) in patients before and after permanent pace make rimplantation. A follow-up study design was adopted and purposive sampling was applied to recruit subjects from two mcdical centers in Taipci City. Subjects were inter viewed before pace maker implantation. Follow-up inter views were con ducted at second, fourth, and sixth month after pace make rimplantation. There were 42 subjects enrolled in this study. These subjects had moderate QOL (62.4±15.9 on a scale of 97) before pace maker implantation and the QOL improved significantly after pace maker implant tation (p＜05). The QOL improvement reached a peak at the end of the fourth month and the scores decreased at the end of the sixth month vs. the fourth month (p＜05). They hadsignifi cant improvement in “general well-being”, “sleeping”, “appetite”physical activity”,and“phys icalsymptoms”(p＜05), but not in “cognitive function”, “social participation” ,“work capability” and “sexual function” (p＜05). Subjects with spouses as their main care givers had significantly better improvement in QOL after pace maker implantation. Subjects’perceptions of distress fom arrhyth miawere the most significant determinant in their QOL pre and postpace maker implartation. The findings suggest that aggressively resolving arrhythmia distress is important for improving QOL.

1. Catipovic-Veselica, K., Skrinjaric, S., Mrdenovic, S., Mujic, N., Catipovic, B., Andric, M., Vizner-Lovric, I., Lauc, A.(1990).Emotion Profiles and Quality-of-Life of Paced Patients.Pacing ＆ Clinical Electrophysiology,13(4)
2. Deharo, J. C., Badier, M., Thirion, X., Ritter, P., Provenier, F., Graux, P., Guillot, C., Mugica, J., Jordaens, L., Djiane, P.(1996).A Randomized, Single-Blind Crossover Comparison of the Effects of Chronic DDD and Dual Sensor VVIR Pacing Mode on Quality-of-Life and Cardiopulmonary Performance in Complete Heart Block.Pacing ＆ Clinical Electrophysiology,19(9)
3. Gillis, A. M., Kerr, C. R.(2000).Whither Physiologic Pacing? Implications of CTOPP.Pacing ＆ Clinical Electrophysiology,23(8)
4. Grimm, W., Langenfeld, H., Maisch, B., Kochsiek, K.(1990).Symptoms, Cardiovascular Risk Profile and Spontaneous ECG in Paced Patients: A Five-Year Follow-Up Study.Pacing ＆ Clinical Electrophysiology,13(12)
5. Hesse, K. A. F.(1975).Meeting the Psychosocial Needs of Pacemaker Patients.International Journal of Psychiatry in Medicine,359-372
6. Hillers, T. K., Guyatt, G. H., Oldridge, N., Growe, J., Willan, A., Griffith, L., Feeny, D.(1994).Quality of Life After Myocardial Infarction.Journal of Clinical Epidemiology,47(11)
7. Hummel, J., Barr, E., Hanich, R., McElroy, B., Brinker, J.(1990).DDDR Pacing is Better Tolerated than VVIR in Patients With Sinus Node Disease.Pacing ＆ Clinical Electrophysiology,13(4)
8. Koide, H., Kobayashi, S., Kitani, M., Tsunematsu, T., Nakazawa, Y.(1994).Improvement of Cerebral Blood Flow Cognitive Function Following Pacemaker Implantation in Patients with Bradycardia.Gerontology,40(5)
9. Lamas, G. A., Orav, E. J., Stambler, B. S., Ellenbogen, K. A., Sgarbossa, E. B., Huang, S. K. S., Marinchak, R. A., Estes, N. A. M., Mitchell, G. F., Lieberman, E. H., Mangione, C. M., Goldman, L.(1998).Quality of Life and Clinical Outcomes in Elderly Patients Treated with Ventricular Pacing as Compared with Dual-Chamber Pacing.The New England Journal of Medicine,338(16)
10. Lau, C. P., Tai, Y. T., Lee, P. W. H., Cheung, B., Tang, M. O., Lam, W. K.(1994).Quality-of-Life in DDDR Pacing: Atrioventricular Synchrony or Rate Adaptation?.Pacing ＆ Clinical Electrophysiology, Pt. II,17(11)
11. Lau, C. P., Tai, Y. T., Leung, W. H., Wong, C. K., Lee, P., Chung, L. W.(1994).Rate Adaptive Pacing in Sick Sinus Syndrome: Effects of Pacing Modes and Intrinsic Conduction on Physiological Responses, Arrhythmias, Symptomatology and Quality of Life.European Heart Journal,15(11)
12. Lau, W., Paquette, M., Irvine, J., Dorian, P., Tang, T., Lau, C., Connolly S. J., Burns, M., Newman, D.(1999).Quality of Life Improves After Pacing in the Canadian Trial of Physiologic Pacing, Independent of Pacing Mode.Pacing ＆ Clinical Electrophysiology,22
13. Linde-Edelstam, C., Nordlander, R., Unden, A. L., Orth-Gomer, K., Ryden, L.(1992).Quality-of-Life in Patients Treated with Atrioventricular Synchronous Pacing Compared to Rate Modulated Ventricular Pacing: A Long-Term, Double-Blind, Crossover Study.Pacing ＆ Clinical Electrophysiology, Pt. I,15(10)
14. Lukl, J., Doupal, V., Heinc, P.(1994).Quality-of-Life During DDD and Dual Sensor VVIR Pacing.Pacing ＆ Clinical Electrophysiology, Pt. II,19(11)
15. McGuire, L. B., Kaiser, D. L.(1984).Symptoms and Associated Illness Among Patients with Ventricular Pacemakers: Implications for Pacemaker Selection.American Heart Journal, Pt. I,108(3)
16. Mickley, H., Pertersen, J., Nielsen, B. L.(1989).Subjective Consequences of Permanent Pacemaker Therapy in Patients Under the Age of Retirement.Pacing ＆ Clinical Electrophysiology,12(3)
17. Mitsuoka, T., Kenny, R. A., Yeung, T. A., Chan, S. L., Perrins, J. E., Sutton, R.(1988).Benefits of Dual Chamber Pacing in Sick Sinus Syndrome.British Heart Journal,60(4)
18. Morton, P. G.(1997).The Pacemaker and Defibrillator Codes: Implications for Critical Care Nursing.Critical Care Nurse,17(1)
19. Oto, M. A., Muderrisoglu, H., Ozin, M. B., Korkmaz, M. E., Karamehmetoglu, A., Oram, A., Oram, E., Ugurlu, S.(1991).Quality of Life in Patients With Rate Responsive Pacemakers: A Randomized, Cross-Over Study.Pacing ＆ Clinical Electrophysiology, Pt. I,14(5)
20. Parsonnet, V.(2000).Pacemaker Indication Revisionism.Pacing ＆ Clinical Electrophysiology,23(8)
21. Sager, D. P.(1992).Cardiovascular Nursing: Holistic Practice.St. Louis, MO:Mosby Year Book.
22. Sgarbossa, E. B., Pinski, S. L., Jaeger, F. J., Trohman, R. G., Maloney, J. D.(1992).Incidence and Predictors of Syncope in Paced Patients with Sick Sinus Syndrome.Pacing ＆ Clinical Electrophysiology, Pt. II,15(11)
23. Sulke, N., Chambers, J., Dritas, A., Sowton, E.(1991).A Randomized Double-Blind Crossover Comparison of Four Rate-Responsive Pacing Modes.Journal of American College of Cardiology,17(3)
24. Witt, C. B.(1972).Problems With Cardiac Pacemakers in the Aged.Geriatrics,27(1)
25. 連文彬 Lien, Wen-Pin、 江志桓 Kong, Chi-Woon、 姜必寧(1991)。臺灣地區在過去二十年間心律調節器使用的演進 The Changing Pattern of Pacing Services Over the past Two Decades in Taiwan, Republic of China。中華民國心臟學會雜誌 Acta Cardiologica Sinica，7(1)

1. 蔡青青、黃麗月、黃翠媛、郭素娥(2014)。系統性個別護理指導方案對裝置永久性心律調節器病患自我照顧知識、態度及行為之成效。臺灣公共衛生雜誌，33(2)，174-184。