Perceived support from healthcare professionals, shock anxiety and post‐traumatic stress in implantable cardioverter defibrillator recipients

Morken, Ingvild Margreta; Bru, Edvin; Norekvål, Tone M.; Larsen, Alf Inge; Idsøe, Thormod; Karlsen, Bjørg

doi:10.1111/jocn.12200

Cited by 25 publications

(31 citation statements)

References 53 publications

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“…The validity and reliability of FSAS has been examined in the literature with promising results . The initial validation study included 72 patients from a large Southeastern academic‐medical center .…”

Section: Resultsmentioning

confidence: 99%

Measuring ICD shock anxiety: Status update on the Florida Shock Anxiety Scale after over a decade of use

Tripp

Huber

Kuhl³

et al. 2019

Pacing Clinical Electrophis

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Introduction Approximately 44% of patients with implantable cardioverter defibrillators (ICDs) experience some form of shock anxiety, associated with cardiac fear, physical inactivity, and increased morbidity and mortality. The Florida Shock Anxiety Scale (FSAS) was created to measure ICD‐specific fears for a more precise target of patient psychologic distress and potential need for intervention. The current paper describes results from a focused literature review of studies using FSAS over the past 15 years, with the aim of summarizing its current reliability and validity, associated outcomes, and potential future directions for its clinical and research implementation. Methods In this review, 26 peer‐reviewed articles were analyzed and selected from an in‐depth literature search of two electronic databases. Results The reliability and validity of FSAS has been upheld since its initial validation and remain positive. The majority of studies used FSAS as an assessment tool to evaluate a clinical need for psychologic support or psychoeducation. The most frequently reported predictors of FSAS shock anxiety include experience of shock, appropriate and inappropriate, and number of shocks experienced. Common correlates of higher FSAS scores include lower device‐related knowledge, lower perceived support from healthcare providers, greater posttraumatic stress disorder symptoms, and negative attitudes about device dependency. Younger age and female gender are also associated with increased shock anxiety. Conclusions Since 2006, FSAS has been widely represented as a valid and reliable assessment tool for quantifying device‐related anxiety in ICD recipients in diverse populations. Future directions for FSAS should explore its potential role in support of measurement‐based care.

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Section: Resultsmentioning

confidence: 99%

Measuring ICD shock anxiety: Status update on the Florida Shock Anxiety Scale after over a decade of use

Tripp

Huber

Kuhl³

et al. 2019

Pacing Clinical Electrophis

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show abstract

“…With the exception of two Asian studies i.e. Japan and Hong Kong [13, 14], the majority of studies were conducted in the Western countries, more frequently in the United States [15–25], Sweden [11, 12, 26–29], Norway [30–32], and Netherlands [33–36]. …”

Section: Resultsmentioning

confidence: 99%

“…Some participants accepted the uncertainty because they did not wish to bother or were unable to contact their healthcare professionals [26]. Several studies found that non-constructive support provided by healthcare professionals often led to more insecurity, psychological distress, and reduced device acceptance [30–32]. Nevertheless, there were also participants who reported receiving positive support from their healthcare team [15, 26, 30].…”

Section: Resultsmentioning

confidence: 99%

Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

Ooi

Dong

et al. 2016

Health Qual Life Outcomes

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BackgroundSudden cardiac deaths have become a growing major public health concern that affects the world. Despite the various etiologies, life-threatening cardiac arrhythmias attribute the main cause of sudden cardiac deaths. Therefore in certain groups of high-risk patients, the Implantable Cardioverter Defibrillator (ICD) has been recommended as either a secondary or primary prophylactic method of prevention.ObjectiveTo summarise the perceptions of ICD recipients and provide an overview of their experiences with regards to the quality of life, coping strategies, and learning needs.MethodsA systematic search was conducted using CINAHL, MEDLINE, PsycINFO, Scopus, Cochrane Library, and Web of Science. Primary research articles published from January 2005 to January 2016 that met the inclusion criteria were selected and assessed for methodological quality.ResultsThirty-nine articles consisting of 16 qualitative studies, 22 quantitative studies, and 1 mixed methods study were included for the meta-synthesis. Findings extracted from these studies were grouped into eight subthemes with ‘living the ICD experience: a constant process of redefining oneself’ emerging as an over-arching theme.ConclusionThis review provides insight into the perspectives and experiences of ICD recipients. Current evidence highlights the need for healthcare professionals to improve future care standards and develop a patient-centric holistic program that meets the specific needs of ICD recipients. Moreover, future studies are required to address the research gaps identified and also explore the perceptions of patients living with ICD in the Asian context.

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“…Doraźne leczenie powinno spowodować określenie przyczyny wyła-dowań urządzenia, natomiast ważnym uzupełnieniem jest leczenie dystresu psychologicznego [229]. Poziom stresu może być różny, ale u pacjentów mogą też występować bardziej nasilone postaci choroby, takie jak zespół stresu pourazowego [232,233], który wiąże się z wcześniejszymi wyładowaniami oraz stresem przed wszczepieniem ICD [234]. U pacjentów z niedawną tachyarytmią może również występować lęk w oczekiwaniu na kolejne wyładowanie [235].…”

Section: Psychospołeczne Następstwa Leczenia Za Pomocą Implantowanychunclassified

“…Wsparcie ze strony personelu opieki zdrowotnej zmniejsza te problemy, ale potrzebne są dalsze badania w celu optymalizacji postępów opieki oraz opracowania interwencji opartych na dowodach z badań naukowych [233].…”

Section: Psychospołeczne Następstwa Leczenia Za Pomocą Implantowanychunclassified

2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

Priori

Blomström‐Lundqvist²,

Mazzanti³

et al. 2015

Kardiol Pol

233

337

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Perceived support from healthcare professionals, shock anxiety and post‐traumatic stress in implantable cardioverter defibrillator recipients

Abstract: Healthcare professionals should pay more attention to the way in which they communicate information to the recipients during follow-up visits. Clinically based strategies and interventions targeting shock anxiety and PTSD symptoms should be carried out.

Cited by 25 publications

References 53 publications

Measuring ICD shock anxiety: Status update on the Florida Shock Anxiety Scale after over a decade of use

Measuring ICD shock anxiety: Status update on the Florida Shock Anxiety Scale after over a decade of use

Perceptions and experiences of patients living with implantable cardioverter defibrillators: a systematic review and meta-synthesis

2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death

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