Development and Testing of an Intervention to Improve Outcomes for Partners Following Receipt of an Implantable Cardioverter Defibrillator in the Patient

Dougherty, Cynthia M.; Thompson, Elaine Adams; Kudenchuk, Peter J.

doi:10.1097/ans.0b013e318271d2e8

Cited by 17 publications

(12 citation statements)

References 44 publications

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“…19 Nurses serve a focal role in the development of interventions aimed at improving disease response, adaptation to the disease, and the ability to learn to live with chronic disease states. 4 Nurse scientists have published a great number of studies on the adaptation of patients following SCD, ICD implantation, and ICD shock therapy. 4 It is equally important to note that the vast majority of the behavioral and psychosocial interventions that intended to enhance QoL post ICD implantation were developed and tested by nurse scientists.…”

Section: Nursing Focusmentioning

confidence: 99%

“… 4 Nurse scientists have published a great number of studies on the adaptation of patients following SCD, ICD implantation, and ICD shock therapy. 4 It is equally important to note that the vast majority of the behavioral and psychosocial interventions that intended to enhance QoL post ICD implantation were developed and tested by nurse scientists. 4 …”

Section: Nursing Focusmentioning

confidence: 99%

“… 4 It is equally important to note that the vast majority of the behavioral and psychosocial interventions that intended to enhance QoL post ICD implantation were developed and tested by nurse scientists. 4 …”

Section: Nursing Focusmentioning

confidence: 99%

“… 3 An implantable cardioverter defibrillator (ICD) is the recommended intervention for this high-risk patient population due to its advantage over pharmacologic treatment, resulting in a significant surge of ICDs implanted. 4 Therapy has focused on the identification of high-risk individuals for SCD including those with low ejection fraction or history of malignant dysrhythmias. 5 The ICD is designed to detect and treat these malignant ventricular dysrhythmias through antitachycardia pacing or shock therapy restoring a sinus rhythm.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Roberts¹,

Wofford

Hoy

et al. 2016

Clin Med Insights Cardiol

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INTRODUCTIONImplantable cardioverter defibrillator (ICD) recipients who suffer from posttraumatic stress disorder (PTSD) are known to be associated with significant cardiac-specific mortality. Clinical observations suggest that PTSD is frequently undetected in ICD recipients followed up at electrophysiology (EP) outpatient clinics. Early recognition of PTSD is important to reduce the risk of serious manifestations on patient outcomes.METHODSAll ICD recipients aged 19 years or older at the Washington University School of Medicine (WASHU) EP clinic, a large urban EP clinic, were invited to participate in the project. An informed consent letter with an attached primary care: posttraumatic stress disorder (PC: PTSD) survey was offered to the participants who met the inclusion criteria. Those who completed the survey were included in the project. Individuals with positive survey result were offered a referral to mental health services. Comparisons between PTSD and non-PTSD patients were done using a two-sample t-test for continuous variables. Using Fisher’s exact test, PTSD prevalence was compared to the study by Ladwig et al in which prevalence was determined as the proportion of patients with positive findings of PTSD (n = 38/147). All analyses were conducted using SAS v9.4. The proportion of patients having PTSD was determined and an exact 95% confidence interval was evaluated based on the binomial distribution.RESULTSUsing a convenience sample, 50 ICD recipients (33 males and 17 females) were enrolled. The project had a 30-day outcome period. Nine (18%) of the 50 participants had positive PC: PTSD findings and all these nine participants were referred to a mental health specialist. The current project demonstrated an 18% (9/50) PTSD prevalence rate when compared to a 26% (38/147) prevalence rate in the study by Ladwig et al (P = 0.34). Although this project did not demonstrate 20% PTSD prevalence rate, as hypothesized, the 18% PTSD prevalence rate is consistent with previous research.CONCLUSIONThe prevalence of PTSD noted in the current project is consistent with previous research and validates underrecognition of PTSD in ICD patients. Offering a referral to all ICD recipients at EP clinic visits with a positive PC: PTSD screening to a mental health specialist is an important step in reducing the risk of serious manifestations on patient outcomes.

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Section: Nursing Focusmentioning

confidence: 99%

Section: Nursing Focusmentioning

confidence: 99%

Section: Nursing Focusmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Roberts¹,

Wofford

Hoy

et al. 2016

Clin Med Insights Cardiol

View full text Add to dashboard Cite

show abstract

“…Very few patients can return to pre-SCD functions without help and counseling by health workers (2,13). Nurses play a key role in early recognition of adverse events and complications and in intervention without the need for emergency care (14).…”

Section: Introductionmentioning

confidence: 99%

Self-Efficacy and Shock Anxiety State of Patients with Implantable Cardioverter Defibrillator

Akay¹,

Oğuz²

2018

Clin Exp Health Sci

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Sexual counselling for sexual problems in patients with cardiovascular disease

Byrne

Doherty

Fridlund

et al. 2016

Cochrane Database of Systematic Reviews

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Background Sexual problems are common among people with cardiovascular disease. Although clinical guidelines recommend sexual counselling for patients and their partners, there is little evidence on its effectiveness. Objectives To evaluate the effectiveness of sexual counselling interventions (in comparison to usual care) on sexuality-related outcomes in patients with cardiovascular disease and their partners. Search methods We searched CENTRAL, MEDLINE, EMBASE, and three other databases up to 2 March 2015 and two trials registers up to 3 February 2016. Selection criteria Randomised controlled trials (RCTs) and quasi-RCTs, including individual and cluster RCTs. We included studies that compared any intervention to counsel adult cardiac patients about sexual problems with usual care. Data collection and analysis We used standard methodological procedures expected by Cochrane. Main results We included three trials with 381 participants. We were unable to pool the data from the included studies due to the differences in interventions used; therefore we synthesised the trial findings narratively. Two trials were conducted in the USA and one was undertaken in Israel. All trials included participants who were admitted to hospital with myocardial infarction (MI), and one trial also included participants who had undergone coronary artery bypass grafting. All trials followed up participants for a minimum of three months post-intervention; the longest follow-up timepoint was five months. One trial (N = 92) tested an intensive (total five hours) psychotherapeutic sexual counselling intervention delivered by a sexual therapist. One trial (N = 115) used a 15-minute educational video plus written material on resuming sexual activity following a MI. One trial (N = 174) tested the addition of a component that focused on resumption of sexual activity following a MI within a hospital cardiac rehabilitation programme. The quality of the evidence for all outcomes was very low. None of the included studies reported any outcomes from partners. Two trials reported sexual function. One trial compared intervention and control groups on 12 separate sexual function subscales and used a repeated measures analysis of variance (ANOVA) test. They reported statistically significant differences in favour of the intervention. One trial compared intervention and control groups using a repeated measures analysis of covariance (ANCOVA), and concluded: "There were no significant differences between the two groups [for sexual function] at any of the time points". Two trials reported sexual satisfaction. In one trial, the authors compared sexual satisfaction between intervention and control and used a repeated measured ANOVA; they reported "differences were reported in favour of the intervention". One trial compared intervention and control with a repeated measures ANCOVA and reported: "There were no significant differences between the two groups [for sexual satisfaction] at any of the timepoints". All three included trials reported the number of pati...

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Development and Testing of an Intervention to Improve Outcomes for Partners Following Receipt of an Implantable Cardioverter Defibrillator in the Patient

Cited by 17 publications

References 44 publications

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Implementation of a Screening Program for Patients at Risk for Posttraumatic Stress Disorder

Self-Efficacy and Shock Anxiety State of Patients with Implantable Cardioverter Defibrillator

Sexual counselling for sexual problems in patients with cardiovascular disease

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