Assessment of Anxiety Level in Patients Receiving Implantable Cardioverter Defibrillator

Nooreddin Mohammadi; Shahin Askari; Mansooureh Ashghali Farahani; Azam Ghorbani; Rezvan Ghafarzadegan; Nasrin Masuomi

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Original Article
Assessment of Anxiety Level in Patients Receiving Implantable Cardioverter Defibrillator
Nooreddin Mohammadi¹, Shahin Askari², Mansooureh Ashghali Farahani², Azam Ghorbani³, Rezvan Ghafarzadegan⁴, Nasrin Masuomi⁵
¹Nursing Care Research Centre, Iran University of Medical Sciences, Tehran, Iran ²Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran ³Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran ⁴Faculty of Nursing, Khomein University of Medical Sciences, Khomein, Iran ⁵Faculty of Nursing, Zanjan University of Medical Sciences, Zanjan, Iran
CJMB 2019; 6: 013-017 Viewed : 3048 times Downloaded : 2814 times. Keywords : Anxiety, Implantable cardioverter defibrillator, Gender
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Abstract

Objectives: The implantable cardioverter-defibrillator (ICD) is a device that is 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 did this study to assess and compare anxiety level in patients before and after ICD implantation. Materials and Methods: In this comparative cross-sectional study, after providing written informed consent, 95 eligible patients (30 females and 65 males) were selected through convenience sampling in Shahid Rajaee heart hospital and the medical centers related to Tehran Arrhythmia Clinic. A demographic questionnaire and HADS (Hospital Anxiety and Depression Scale) questionnaire were used to measure anxiety level before and 4 weeks after implantation of ICD. In this study, data were collected and analyzed using SPSS software version 14.0. Results: The mean ± SD of anxiety was significantly lower in male patients than in 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). Conclusions: We found that women had a higher level of anxiety before and after ICD implantation. Since sex is a predisposing factor for encountering a higher level of anxiety, health care providers need to notice the role of gender when providing psychological support for patients with ICD.