|Assessment of Anxiety level in Patients Receiving Implantable Cardioverter Defibrillator|
|Nooreddin Mohammadi, Shahin Askari, Mansooureh Ashghali Farahani1, Azam Ghorbani, Rezvan Ghafarzadegan, Nasrin Masuomi|
|1Nursing and Midwifery Faculty, Iran University of Medical Science, Tehran, Iran
2Nursing and Midwifery Faculty, Tehran University of Medical Science, Tehran, Iran
3Nursing and Midwifery Faculty, Arak University of Medical Science, Arak, Iran
4Nursing and Midwifery Faculty, Zanjan University of Medical Science, Zanjan, Iran
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Keywords : Anxiety, Implantable Cardioverter defibrillator, Gender
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Objectives: The Implantable cardioverter defibrillator (ICD) is a device that used for patients who suffer from dangerous ventricular dysrhythmia like ventricular tachycardia or ventricular fibrillation by preventing them from sudden cardiac death. Our knowledge about psychological reactions and adaptability after insertion of ICD is not enough so we do this study to asses and compare anxiety level in male and female patients before and after ICD implantation.
Materials &methods: In this comparative cross-sectional study, after providing written informed consent,95 eligible patients (30=female and 65=male) were selected through convenience sampling in the Shahid Rajaee Heart Hospital and the medical centers related to Tehran Arhythmia Clinic. A demographic questionnaire and HADS (Hospital Anxiety and Depression Scale) questionnaire were used to measure anxiety level before and four weeks after implantation of ICD. In this study data were collected and analyzed by using SPSS software version 14.
Results: The mean±SD of anxiety in male patients was significantly lower than females prior to inserting ICD device (M=7.55±4.95 vs. F=10.93±5.34, P=0.003) and also, after insertion (M=7.76±5.76 vs. F=12.06±6.68, P=0.001).
Conclusion: We found out that women had higher level of anxiety before and after ICD implantation. Since sex is a predisposing factor for encountering higher level of anxiety, health care providers need to notice the role of gender when providing psychological support for patients with ICD.
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