جستجوی مقالات مرتبط با کلیدواژه "implantable defibrillator" در نشریات گروه "پزشکی"

Nursing model is used to improve the adaptation of patients. Patients' participation in support groups can play an important role in improving their adaptation by getting to know similar patients. The purpose of this study was to determine the effect of using support groups based on the nursing model on social adaptation of patients with implantable defibrillators.

Methods and Materials: 

In this randomized clinical trial, 60 patients referred to the heart clinics of Farshchian Hospitals in Hamedan and Kausar hospital in Shiraz were selected as convenience sampling. Patients were randomly assigned to intervention and control groups by blocking gender and ejection fraction. Patients in the intervention group participated in support groups based on Roy's nursing model, and then their condition was followed up twice a month through phone calls. Patients in the control group received only routine care. The social adaptation of the patients was assessed using Bell's adjustment inventory before and 3 months after the intervention. Data analysis was done by SPSS software using chi squared, t student and t paired tests.

The findings showed that mean age of the patients was 60.48 ± 4.38 years. The majority of patients (56.7%, n=34) were men, and 35% (n=21) had at least one shock per month. The most common cause of implantation of an implantable defibrillator in patients was heart failure (n=54, 80%). The patients in the two groups did not differ significantly from each other in terms of demographic characteristics. Patients in the test group had a significant difference in the social adaptation before and after the intervention. (p>0.001).

This study showed that patients' participation in support groups based on Roy's nursing model along with telephone follow-up of patients can be used as an effective strategy in improving the social adaptation of patients with implantable defibrillators.

Implantable Cardioverter Defibrillator (ICD) insertion is a common therapeutic method for patients at risk of sudden cardiac death due to ventricular arrhythmias. The present research aimed to identify predictive factors for mortality in patients undergoing ICD implantation.

In this mix-cohort study, 225 patients undergoing ICD placement were enrolled through a census from March 2017 to March 2021 at Farshchian Heart Center in Hamadan, Iran. The patients' demographic characteristics and blood tests were collected by accessing their electronic records and conducting telephone interviews. Participants were followed up to investigate the factors that influence the death. The Cox regression model was performed using Stata software (version 14) to identify predictive factors for premature mortality.

The survey results from the study of 225 individuals indicated that 183 people (80.88%) were male, 91 people (40.44%) were in the age group of 55-65 years, and 87 people (34.66%) were in the age group above 65 years. Moreover, 25 cases (11.1%) of death occurred, with 1, 2, 3, and 4-year survival rates of 96.3%, 93%, 83.2%, and 83.2%, respectively. Additionally, being older than 65 years (hazard ratio [HR] 5.84, CI: 1.20, 21.89) was associated with an increased risk of mortality, while ejection fraction greater than 15% (HR 0.22, CI: 0.06, 0.76) was associated with a decreased risk of mortality following ICD implantation.

In this study, being older than 65 years and an ejection fraction of less than 15% were associated with an increased risk of mortality following ICD implantation. Given the negative outcomes, the follow-up of these patients should be conducted with greater precision.