Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy_West China Medical Journal

Authors：

 HEXiao-lan , XUYing ,  YOUGui-ying

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YOUGui-ying, Email: guiying_you@163.com

Keywords：

Cardiac resynchronization therapy; Quality of life; Psychological status; Scale

DOI：

10.7507/1002-0179.20150209

Video：

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Objective To analyze the quality of life (QOL) and psychological status among patients having undergone cardiac resynchronization therapy (CRT). Methods A total of 42 patients underwent CRT in our hospital during January 2011 to January 2014. All the patients were studied by MOS SF-36 scale and symptom checklist-90 (SCL-90) on overall QOL and psychological QOL, respectively. Another 42 healthy people in matched control group were also tested. Results The QOL of patients after CRT was significantly lower than that of healthy subjects (P<0.05). The psychological status score, which was obtained by the examination of SCL-90, was significantly higher in patients after CRT than in the healthy population (P<0.05). The length of the disease course and leveling exercise tolerance are the influence factors for the QOL and psychological status in patients undergoing CRT. Gender does not make any difference between the two groups. Conclusion The QOL of patients having undergone CRT is significantly lower than that of healthy people, and the psychological status score is higher. Medical staff need to pay attention to the mental illness (such as depression, anxiety and panic) of patients after CRT, especially in patients with long course of disease, and patients who fail to improve exercise tolerance or who are mateless. Psychological interventions can further improve the QOL of patients.

Citation： HEXiao-lan, XUYing, YOUGui-ying. Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy. West China Medical Journal, 2015, 30(4): 732-735. doi: 10.7507/1002-0179.20150209 Copy

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13.	王海魚, 王傳家, 李復雄, 等. 充血性心力衰竭與心理評估關系[J]. 實用醫技雜志, 2005, 12(5):666-667.
14.	呂蓉, 孫路路, 安濤, 等. 心力衰竭患者生活質量與心理狀態的相關性研究[J]. 護理學報, 2011, 18(2):71-73.
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16.	俞明輝. 老年心力衰竭患者的心理護理[J]. 贛南醫學院學報, 2008, 28(1):139-140.

1. Ouyang F, Fotuhi P, Goya M, et al. Ventricular tachycardia around the tricuspid annulus in right ventricular dysplasia[J]. Circulation, 2001, 103(6):913-914.
2. Seggewiss H. Medical therapy versus interventional therapy in hypertropic obstructive cardiomyopathy[J]. Curr Control Trials Cardiovasc Med, 2000, 1(2):115-119.
3. Dickstein K, Vardas PE, Auricchio A, et al. 2010 focused update of ESC Guidelines on device therapy in heart failure:an update of the 2008 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure and the 2007 ESC Guidelines for cardiac and resynchronization therapy. Developed with the special contribution of the Heart Failure Association and the European Heart Rhythm Association[J]. Eur J Heart Fail, 2010, 12(11):1143-1153.
4. 徐英, 游桂英. ICD術后患者生存質量及心理狀況的調查研究[J]. 成都醫學院學報, 2013, 8(4):397-400.
5. Hardt J, Gerbershagen HU, Franke P. The symptom check-list, SCL-90-R:its use and characteristics in chronic pain patients[J]. Eur J Pain, 2000, 4(2):137-148.
6. Cleland JG, Daubert JC, Erdmann E, et al. The effect of cardiac resynchronization on morbidity and mortality in heart failure[J]. N Engl J Med, 2005, 352(15):1539-1549.
7. Bristow MR, Saxon LA, Boehmer J, et al. Cardiac-resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure[J]. N Engl J Med, 2004, 350(21):2140-2150.
8. 敖歡, 沈貴榮, 劉翠萍. 護士心理護理知識、意識及實施現狀的調查分析[J]. 青島大學醫學院學報, 2013, 49(1):62-64.
9. 孫騰. 腹腔鏡直腸癌根治術圍手術期心理護理的效果[J]. 齊魯醫學雜志, 2012, 27(2):167-168.
10. Priest HM. Helping student nurses to identify and respond to the psychological needs of physically ill patients:implications for curriculum design[J]. Nurse Educ Today, 2006, 26(5):423-429.
11. 周郁秋. 護理心理學[M]. 2版. 北京:人民衛生出版社, 2007:50-52.
12. 高志凌. 淺談心力衰竭患者的心理護理[C]//全國心臟內、外科護理學術交流暨專題講座會議論文匯編, 北京:中華護理學會, 2008:430-431.
13. 王海魚, 王傳家, 李復雄, 等. 充血性心力衰竭與心理評估關系[J]. 實用醫技雜志, 2005, 12(5):666-667.
14. 呂蓉, 孫路路, 安濤, 等. 心力衰竭患者生活質量與心理狀態的相關性研究[J]. 護理學報, 2011, 18(2):71-73.
15. Danidson N, Karina W. Psychological theories of depression:potential application for the prevetion of acute coronary syndrome recurrence[J]. Psychosom Med, 2004, 66(3):165-173.
16. 俞明輝. 老年心力衰竭患者的心理護理[J]. 贛南醫學院學報, 2008, 28(1):139-140.

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Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy

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