Artículo de investigación científica y tecnológica
Vol. 23 Núm. 2 (2021)
Calidad de vida relacionada con la salud, la ansiedad y depresión en personas con cardiodesfibrilador
Facultad de Enfermería, Universidad Cooperativa de Colombia. Bucaramanga, Colombia
Facultad de Enfermería, Universidad Nacional de Colombia. Bogotá, Colombia.
Resumen
Introducción: Las enfermedades cardiovasculares han provocado el incremento de arritmias en la población, aumentando el uso de dispositivos como el cardiodesfibrilador, que, si bien previene las arritmias, puede afectar la calidad de vida. Objetivo: Describir la asociación que existe entre la calidad de vida relacionada con la salud, la ansiedad y la depresión en personas portadoras de un cardiodesfibrilador. Materiales y métodos: Estudio cuantitativo, descriptivo correlacional, de corte transversal, donde participaron 85 pacientes con implante de cardiodesfibrilador. Se aplicó una ficha sociodemográfica, los instrumentos Cuestionario de Salud (SF-36), el Inventario de Ansiedad y Depresión de Beck. Resultados: El 81,2% de los participantes fueron hombres con rango de edad 36-92 años. La calidad de vida relacionada con la salud mostró correlación negativa media con respecto a la ansiedad (r = ‒0,622; p<0,001) y moderada, respecto a la depresión (rs = ‒0,599; p<0,001). Conclusiones: Portar un cardiodesfibrilador puede desencadenar ansiedad y depresión, si estos no se intervienen oportunamente la calidad de vida relacionada con la salud puede deteriorarse, por ello, es importante implementar acciones tempranas que generen bienestar.
Citas
- Organización Mundial de la Salud (OMS). Enfermedades cardiovasculares [Internet]. Centro de prensa. Ginebra: Organización Mundial de la Salud (OMS); 2015. Available from: http://www.who.int/mediacentre/factsheets/fs317/es/
- Ministerio de Salud, Instituto Nacional de Salud, Observatorio Nacional de Salud. Carga de enfermedad por enfermedades crónicas no transmisibles y discapacidad en Colombia [Internet]. 5ta ed. Bogotá D.C: Imprenta Nacional de Colombia; 2015. 1–212 p. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/IA/INS/informe-ons-5.pdf
- Figueroa-López C, Rocha-Rodríguez V, Cigarroa-López Á, Ramos-Del Río B. Comorbilidad emocional y la aceptación psicológica al desfibrilador automático implantable. Rev Mex Cardiol [Internet]. 2016;27(S1):S4–12. Available from: https://www.medigraphic.com/pdfs/cardio/h-2016/hs161a.pdf
- Vázquez Ruiz de Castroviejo E, Muñoz Bellido J, Lozano Cabezas C, Ramírez Moreno A, Guzmán Herrera M, Tarabini Castellani A, et al. Análisis de la frecuencia de las arritmias cardíacas y de los trastornos de conducción desde una perspectiva asistencial. Rev Esp Cardiol [Internet]. 2005;58(6):657–65. Available from: https://doi.org/10.1157/13076418
- Borleffs CJW, Van Erven L, Van Bommel RJ, Van Der Velde ET, Van Der Wall EE, Bax JJ, et al. Risk of failure of transvenous implantable cardioverter-defibrillator leads. Circ Arrhythmia Electrophysiol [Internet]. 2009;2(4):411–6. Available from: https://doi.org/10.1161/CIRCEP.108.834093
- Dorantes Sánchez M. Complicaciones del cardioversor-desfibrilador automático implantable. Tormenta eléctrica arrítmica. Rev Cuba Investig Biomed [Internet]. 2011;30(4):537–54. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-03002011000400011
- Rodríguez-Morales MM, García-Niebla J, Valle-Racero JI. Intervenciones de enfermería al paciente portador de desfibrilador automático implantable. Cardiocore [Internet]. 2013;48(4):166–9. Available from: https://doi.org/10.1016/j.carcor.2012.10.005
- Wong FMF, Sit JWH, Wong EML, Choi KC. Factors associated with health-related quality of life among patients with implantable cardioverter defibrillator: Identification of foci for nursing intervention. J Adv Nurs [Internet]. 2014;70(12):2821–34. Available from: https://doi.org/10.1111/jan.12434
- Zuluaga Álzate LJ. Capacidad de agencia de autocuidado y calidad de vida de las personas que tienen dispositivos cardiacos implantables [Internet]. Universidad Nacional de Colombia; 2013:213. Available from: https://repositorio.unal.edu.co/handle/unal/49583
- Cevik C, Perez-Verdia A, Nugent K. Implantable cardioverter defibrillators and their role in heart failure progression. Europace [Internet]. 2009;11(6):710–5. Available from: https://doi.org/10.1093/europace/eup091
- Lugo LE, Garcia HI, Gomez C. Confiabilidad del cuestionario de calidad de vida en salud SF-36 en Medellin, Colombia. Rev Fac Nac Salud Pública [Internet]. 2006;24(2):37–50. Available from: http://www.scielo.org.co/pdf/rfnsp/v24n2/v24n2a05.pdf
- Beck AT, Clark DA. Anxiety and depression: An information processing perspective. Anxiety Res [Internet]. 1988;1(1):23–36. Available from: https://doi.org/10.1080/10615808808248218
- Galindo Vázquez O, Rojas Castillo E, Meneses García A, Aguilar Ponce JL, Álvarez Avitia MA, Alvarado Aguilar S. Propiedades psicométricas del inventario de ansiedad de beck (BAI) en pacientes con cáncer. Psicooncología [Internet]. 2015;12(1):51–8. Available from: https://doi.org/10.5209/rev_PSIC.2015.v12.n1.48903
- Jurado S, Villegas ME, Méndez L, Rodríguez F, Loperena V, Varela R. La estandarizacion del Inventario de Depresion de Beck para los residentes de la Ciudad de Mexico. Salud Ment [Internet]. 1998;21(3):26–31. Available from: http://www.revistasaludmental.mx/index.php/salud_mental/article/view/706/705
- Sears SF, Rosman L, Sasaki S, Kondo Y, Sterns LD, Schloss EJ, et al. Defibrillator shocks and their effect on objective and subjective patient outcomes: Results of the PainFree SST clinical trial. Hear Rhythm [Internet]. 2018;15(5):734–40. Available from: https://doi.org/10.1016/j.hrthm.2017.12.026
- Ichikura K, Kobayashi S, Matsuoka S, Suzuki T, Nishimura K, Shiga T, et al. Avoidance behavior associated with depressive symptoms in patients with implantable cardioverter defibrillators. Int J Clin Heal Psychol [Internet]. 2017;17(1):1–8. Available from: https://doi.org/10.1016/j.ijchp.2016.11.001
- Mohammadi N, Askari S, Farahani M, Ghorbani A, Ghafarzadegan R. Assessment of anxiety level in patients receiving implantable cardioverter defibrillator. Crescent J Med Biol Sci [Internet]. 2019;6(1):13–7. Available from: http://www.cjmb.org/uploads/pdf/pdf_CJMB_276.pdf
- Amiaz R, Asher E, Rozen G, Czerniak E, Glikson M, Amiaz R, et al. Do implantable cardioverter defibrillators contribute to new depression or anxiety symptoms? A retrospective study. Int J Psychiatry Clin Pract [Internet]. 2016;20(2):101–5. Available from: https://doi.org/10.3109/13651501.2016.1161055
- Braun S, Krüger J, Souza EN, Rabelo ER. Quality of life of patients with implanted cardiac devices: a transversal study. Online braz j nurs [Internet]. 2012;11(3):778–88. Available from: https://doi.org/10.5935/1676-4285.20120051
- Dougherty CM, Fairbanks AM, Eaton LH, Morrison ML, Kim MS, Thompson EA. Comparison of patient and partner quality of life and health outcomes in the first year after an implantable cardioverter defibrillator (ICD). J Behav Med [Internet]. 2016;39(1):94–106. Available from: https://doi.org/10.1007/s10865-015-9671-0
- Hammash M, McEvedy SM, Wright J, Cameron J, Miller J, Ski CF, et al. Perceived control and quality of life among recipients of implantable cardioverter defibrillator. Aust Crit Care [Internet]. 2019;32(5):383–90. Available from: https://doi.org/10.1016/j.aucc.2018.08.005
- Thylén I, Dekker RL, Jaarsma T, Strömberg A, Moser DK. Characteristics associated with anxiety, depressive symptoms, and quality-of-life in a large cohort of implantable cardioverter defibrillator recipients. J Psychosom Res [Internet]. 2014;77(2):122–7. Available from: https://doi.org/10.1016/j.jpsychores.2014.05.007
- Elosegui Itxaso L. Calidad de vida en pacientes con Desfibrilador Automático Implantable [Internet]. Tesis de doctorado; Universidad de Zaragoza. 2014. Available from: http://zaguan.unizar.es/record/15780/files/TESIS-2014-074.pdf
- Varghese S, Geller JC, Ohlow MA. Phantom shocks in implantable cardioverter-defibrillator recipients: impact of education level, anxiety, and depression. Herzschrittmachertherapie und Elektrophysiologie [Internet]. 2019;30(3):306–12. Available from: https://doi.org/10.1007/s00399-019-00645-y
- Varghese S, Geller JC, Ohlow MA. Decision regret in implantable cardioverter-defibrillator recipients: A cross-sectional analysis on patients that regret their decision after ICD implantation. Herzschrittmachertherapie und Elektrophysiologie [Internet]. 2020;31(1):77–83. Available from: https://doi.org/10.1007/s00399-020-00675-x
- Pedersen SS, Andersen CM, Denollet J, Habibovic M. Depressive symptoms in patients with an implantable cardioverter defibrillator: Does treatment expectations play a role? Gen Hosp Psychiatry [Internet]. 2018;51(December 2017):10–4. Available from: https://doi.org/10.1016/j.genhosppsych.2017.12.002
- Emons WH, Habibović M, Pedersen SS. Prevalence of anxiety in patients with an implantable cardioverter defibrillator: measurement equivalence of the HADS-A and the STAI-S. Qual Life Res [Internet]. 2019;28(11):3107–16. Available from: https://doi.org/10.1007/s11136-019-02237-2
- Rottmann N, Skov O, Andersen CM, Theuns DAMJ, Pedersen SS. Psychological distress in patients with an implantable cardioverter defibrillator and their partners. J Psychosom Res [Internet]. 2018;113:16–21. Available from: https://doi.org/10.1016/j.jpsychores.2018.07.010
- van Veen B, Andersen CM, Johansen JB, Theuns DA, Pedersen SS. Patient-Reported Quality of Life as a Predictor of Mortality and Ventricular Tachyarrhythmia’s During 7 Years’ Follow-Up in Patients With an Implantable Cardioverter Defibrillator (from the MIDAS Study). Am J Cardiol [Internet]. 2019;123(4):605–10. Available from: https://doi.org/10.1016/j.amjcard.2018.11.021
- Berg SK, Rasmussen TB, Mols RE, Thorup CB, Borregaard B, Christensen AV, et al. Both mental and physical health predicts one year mortality and readmissions in patients with implantable cardioverter defibrillators: findings from the national DenHeart study. Eur J Cardiovasc Nurs [Internet]. 2019;18(2):96–105. Available from: https://doi.org/10.1177/1474515118794598
- Miller JL, Thylén I, Moser DK. Gender disparities in symptoms of anxiety, depression, and quality of life in defibrillator recipients. PACE [Internet]. 2016;39(2):149–59. Available from: https://doi.org/10.1111/pace.12786
- Israelsson J, Thylén I, Strömberg A, Bremer A, Årestedt K. Factors associated with health-related quality of life among cardiac arrest survivors treated with an implantable cardioverter-defibrillator. Resuscitation [Internet]. 2018;132:78–84. Available from: https://doi.org/10.1016/j.resuscitation.2018.09.002
- Miller JL, Thylén I, Elayi SC, Etaee F, Fleming S, Czarapata MM, et al. Multi-morbidity burden, psychological distress, and quality of life in implantable cardioverter defibrillator recipients: Results from a nationwide study. J Psychosom Res [Internet]. 2019;120(November 2018):39–45. Available from: https://doi.org/10.1016/j.jpsychores.2019.03.006
- Haugaa KH, Potpara TS, Boveda S, Deharo J, Chen J, Dobreanu D, et al. Patients’ knowledge and attitudes regarding living with implantable electronic devices: results of a multicentre, multinational patient survey conducted by the European Heart Rhythm Association. Europace [Internet]. 2018;20:386–91. Available from: https://doi.org/10.1093/europace/eux365
- Maron BJ, Casey SA, Olivotto I, Sherrid MV, Semsarian C, Autore C, et al. Clinical Course and Quality of Life in High-Risk Patients with Hypertrophic Cardiomyopathy and Implantable Cardioverter-Defibrillators. Circ Arrhythmia Electrophysiol [Internet]. 2018;11(4):1–9. Available from: https://doi.org/10.1161/CIRCEP.117.005820
- Cesarino CB, Beccaria LM, Aroni MM, Rodrigues LCC, Pacheco S da S. Qualidade de vida em pacientes com cardioversor desfibrilador implantável: utilização do questionário SF-36. Rev Bras Cir Cardiovasc [Internet]. 2011;26(2):238–43. Available from: https://doi.org/10.1590/S0102-76382011000200014
- Magnusson P, Mörner S, Gadler F, Karlsson J. Health-related quality of life in hypertrophic cardiomyopathy patients with implantable defibrillators. Health Qual Life Outcomes [Internet]. 2016;14(62):1–9. Available from: https://doi.org/10.1186/s12955-016-0467-x
- Wong FMF. Factors associated with anxiety and depression among patients with implantable cardioverter defibrillator. J Clin Nurs [Internet]. 2017;26(9–10):1328–37. Available from: https://doi.org/10.1111/jocn.13637
- Kowey PR, Marinchak RA, Rials SJ. Things that go bang in the night. N Engl J Med [Internet]. 1992;327(26):1884. Available from: https://doi.org/10.1056/NEJM199212243272614
Descargas
Los datos de descargas todavía no están disponibles.