Effect of peer support on health outcomes in patients with cardiac pacemaker implantation: A randomized, controlled trial

Abstract

The aim of this study was to examine the effect of a nurse‐led telephone‐based peer support program on health outcomes in patients after cardiac pacemaker implantation. Seventy six patients who received cardiac pacemaker implantation were recruited as participants and randomly assigned to either the peer support group or the usual care group. The usual care group received routine care and health education measures provided by nurses; the peer support group received telephone‐based peer support. Health‐related quality of life, self‐care knowledge–attitudes–practice, postoperative anxiety and depression, compliance with attending scheduled follow‐up visits, and the incidence of postoperative complications were evaluated at baseline and 6 months’ postintervention for the two groups. The result showed that the interventions had a better effect on self‐care knowledge–attitudes–practice, postoperative anxiety and depression, and compliance with attending scheduled follow‐up visits in the peer support group than in the usual care group. This study confirms that telephone‐based peer support improves self‐care ability, compliance with attending scheduled follow‐up visits, and reduces postoperative anxiety and depression more effectively than conventional nurse care among patients with cardiac pacemaker implantation.

Comparation of quality of life in Chinese patients undergoing leadless versus conventional pacemaker implantation

“…The aim is to avoid complications (dislocation of electrodes, pocket injury). 14 However, after L‐PM implantation, the patient only needs to press the femoral vein of the affected side for 6 h, and there is no subsequent braking requirement. These all cause discomfort and mood swings in patients with C‐PM, and thus may explain the differences in physical health that we found at 1‐ and 3‐month follow‐up.…”

“…This study shown that patients in the L-PM group had more significant improvements in physical health, higher scores in PF and RP, and less discomfort in surgical area and restricted mobility due to The aim is to avoid complications (dislocation of electrodes, pocket injury). 14 However, after L-PM implantation, the patient only needs to press the femoral vein of the affected side for 6 h, and there is no subsequent braking requirement. These all cause discomfort and mood swings in patients with C-PM, and thus may explain the differences in physical health that we found at 1-and 3-month follow-up.…”

“…Therefore, after C‐PM implantation, the patient's pocket should be compressed for 24 h, and the affected upper limb should be completely immobilized for 24 h. Within 3 months after the operation, it is recommended that the affected upper limb be relatively immobilized to avoid lifting and extracting heavy objects. The aim is to avoid complications (dislocation of electrodes, pocket injury) 14 . However, after L‐PM implantation, the patient only needs to press the femoral vein of the affected side for 6 h, and there is no subsequent braking requirement.…”

Symptoms of Depression, Anxiety, and Posttraumatic Stress among Patients with Cardiac Pacemakers

“…Existing data indicate that adult patients with implantable cardiac devices, such as PM and implantable cardioverter-defibrillator, frequently report on symptoms of depression and anxiety [ 2 , 3 ]. For example, the mean baseline scores on the depression and anxiety subscales of the Hospital Anxiety and Depression Scale in a Chinese intervention study indicate that self-reported symptom levels of depression and anxiety among PM recipients are well above those reported in community-based samples [ 4 , 5 ].…”

Mobile health para portadores de dispositivos cardíacos eletrônicos implantáveis: ensaio clínico randomizado ApPaceMove

“…Não foi identificado diferença após essa intervenção nos desfechos de ansiedade e depressão analisados pelo HADS. 72 Rosic et al, avaliou os efeitos de programas educacionais, de aconselhamento, e terapias comportamentais sobre os aspectos de ansiedade, depressão e QdV de pacientes com diversas cardiopatias. Os mesmos foram aplicados em uma população caracterizada pelo sedentarismo, obesidade, sintomas de ansiedade e depressão.…”