Factors influencing health-related quality of life in patients with an implantable cardioverter defibrillator : A systematic review
BACKGROUND: Implantable cardioverter defibrillator is a medical treatment to increase survival from sudden cardiac death attributed to lethal arrhythmias. Previous reports on the effect of implantable cardioverter defibrillators on the health-related quality of life are unclear. Inadequate knowledge is known about factors on health-related quality of life.
OBJECTIVES: The objective was to identify factors influencing health-related quality of life in patients with implantable cardioverter defibrillators.
INCLUSION CRITERIA: This review was limited to studies on adult patients who received implantable cardioverter defibrillators either for primary or secondary prevention. Randomised controlled trials, pseudo-randomised trials, cohort, case control and descriptive studies that utilised a variety of health related quality of life outcome measures were considered.
SEARCH STRATEGY: A thorough literature search was performed for relevant studies written in English or Chinese from 1985 to August 2011 via various healthcare related electronic databases, review of reference list of all relevant studies, and Google Scholar. Cochrane Library and JBI COnNECT were searched for similar systematic reviews were also conducted.
METHODOLOGICAL QUALITY: Eleven studies were included. Nine cohort and two descriptive studies were critically appraised for methodological quality by two independent reviewers using standardised critical appraisal checklists from Joanna Briggs Institute. The methodological quality of all included studies was high.
DATA COLLECTION: A predefined data extraction form (adapted from the standardised Joanna Briggs Institute) was used.
DATA SYNTHESIS: A meta-analysis was not appropriate due to the nature of the review and statistical heterogeneity across the included studies. The evidence was therefore presented in narrative summary.
RESULTS: In eleven studies, total sample size was 1146 ranging from 42 to 223 participants. The range of mean age was between 51 and 74 years old. Factors were categorised into non-modifiable and modifiable factors. Old age (≥60 years old), implantable cardioverter defibrillator shock experience, anxiety, and depression have been identified as important factors for health-related quality of life outcomes. The full understanding was uncertain due to insufficient evidence and statistical inconsistency.
CONCLUSIONS: Based on evidence presented in this review, factors including old age (≥60 years old), implantable cardioverter defibrillator shock experience, anxiety, and depression, are the key predictors of health-related quality of life. Although a comprehensive understanding of factors influencing health-related quality of life is still unconfirmed, the findings of this review has provided direction for future nursing care development and research areas in this population.
IMPLICATION FOR RESEARCH: Further prospective studies with longer follow-up period and larger sample size are needed. Studies are needed to further explore factors influencing health related quality of life outcomes in patients with implantable cardioverter defibrillator for a better understanding of risk factors in order to understand more about patients' needs and develop appropriate intervention.
IMPLICATION FOR PRACTICE: Understanding factors influencing health-related quality of life can help nurses identify patients with implantable cardioverter defibrillator at risk for negative outcomes. Knowledge of such factors can help guiding development of implantable cardioverter defibrillator management protocol by removing or mitigating negative modifiable factors, such as implantable cardioverter defibrillator shock, anxiety, and depression and strengthening support for better health-related quality of life.
| Medienart: |
Artikel |
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| Erscheinungsjahr: |
2012 |
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| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
JBI library of systematic reviews - 10(2012), 43 vom: 14., Seite 2785-2881 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wong, Florence [VerfasserIn] |
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| Themen: |
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| Anmerkungen: |
Date Revised 09.03.2022 published: Print Citation Status PubMed-not-MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM265983606 |
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| 100 | 1 | |a Wong, Florence |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Factors influencing health-related quality of life in patients with an implantable cardioverter defibrillator |b A systematic review |
| 264 | 1 | |c 2012 | |
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| 500 | |a Date Revised 09.03.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a BACKGROUND: Implantable cardioverter defibrillator is a medical treatment to increase survival from sudden cardiac death attributed to lethal arrhythmias. Previous reports on the effect of implantable cardioverter defibrillators on the health-related quality of life are unclear. Inadequate knowledge is known about factors on health-related quality of life | ||
| 520 | |a OBJECTIVES: The objective was to identify factors influencing health-related quality of life in patients with implantable cardioverter defibrillators | ||
| 520 | |a INCLUSION CRITERIA: This review was limited to studies on adult patients who received implantable cardioverter defibrillators either for primary or secondary prevention. Randomised controlled trials, pseudo-randomised trials, cohort, case control and descriptive studies that utilised a variety of health related quality of life outcome measures were considered | ||
| 520 | |a SEARCH STRATEGY: A thorough literature search was performed for relevant studies written in English or Chinese from 1985 to August 2011 via various healthcare related electronic databases, review of reference list of all relevant studies, and Google Scholar. Cochrane Library and JBI COnNECT were searched for similar systematic reviews were also conducted | ||
| 520 | |a METHODOLOGICAL QUALITY: Eleven studies were included. Nine cohort and two descriptive studies were critically appraised for methodological quality by two independent reviewers using standardised critical appraisal checklists from Joanna Briggs Institute. The methodological quality of all included studies was high | ||
| 520 | |a DATA COLLECTION: A predefined data extraction form (adapted from the standardised Joanna Briggs Institute) was used | ||
| 520 | |a DATA SYNTHESIS: A meta-analysis was not appropriate due to the nature of the review and statistical heterogeneity across the included studies. The evidence was therefore presented in narrative summary | ||
| 520 | |a RESULTS: In eleven studies, total sample size was 1146 ranging from 42 to 223 participants. The range of mean age was between 51 and 74 years old. Factors were categorised into non-modifiable and modifiable factors. Old age (≥60 years old), implantable cardioverter defibrillator shock experience, anxiety, and depression have been identified as important factors for health-related quality of life outcomes. The full understanding was uncertain due to insufficient evidence and statistical inconsistency | ||
| 520 | |a CONCLUSIONS: Based on evidence presented in this review, factors including old age (≥60 years old), implantable cardioverter defibrillator shock experience, anxiety, and depression, are the key predictors of health-related quality of life. Although a comprehensive understanding of factors influencing health-related quality of life is still unconfirmed, the findings of this review has provided direction for future nursing care development and research areas in this population | ||
| 520 | |a IMPLICATION FOR RESEARCH: Further prospective studies with longer follow-up period and larger sample size are needed. Studies are needed to further explore factors influencing health related quality of life outcomes in patients with implantable cardioverter defibrillator for a better understanding of risk factors in order to understand more about patients' needs and develop appropriate intervention | ||
| 520 | |a IMPLICATION FOR PRACTICE: Understanding factors influencing health-related quality of life can help nurses identify patients with implantable cardioverter defibrillator at risk for negative outcomes. Knowledge of such factors can help guiding development of implantable cardioverter defibrillator management protocol by removing or mitigating negative modifiable factors, such as implantable cardioverter defibrillator shock, anxiety, and depression and strengthening support for better health-related quality of life | ||
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| 700 | 1 | |a Wong, Eliza |e verfasserin |4 aut | |
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