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首页> 外文期刊>Circulation journal >Gender disparities in quality of life and psychological disturbance in patients with implantable cardioverter-defibrillators
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Gender disparities in quality of life and psychological disturbance in patients with implantable cardioverter-defibrillators

机译：植入式心脏复律除颤器患者的生活质量和心理障碍方面的性别差异

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Background: Implantable cardioverter-defibrillator (ICD) has improved prognosis in fatal arrhythmia and the number of ICD implantations has increased. ICD-related psychological problems and impaired quality of life (QOL), however, have been observed. This study examined whether gender differences exist in QOL and psychological disturbances in ICD patients. Methods and Results: Consecutive outpatients (n=179; mean age, 60.5±15.9 years; 81% male) with ICD implantations completed questionnaires consisting of the Short Form-8 (SF-8), Beck Depression Inventory, Impact of Event Scale-Revised (IES-R), State-Trait Anxiety Inventory, and Worries about ICD. One-way multivariate analysis of variance (MANOVA) showed women to have impaired QOL on the role physical functioning (F15,157=4.57, P0.05) and bodily pain (F15,157=5.26, P0.05) subscales of the SF-8. More women reported depression (F15,157=5.37, P0.05) and worry about ICD than men (F15,157=6.62, P0.05). Moreover, women also had higher IES-R scores indicating post-traumatic stress disorder (PTSD) than men (F15,157=5.87, P0.05). Conclusions: Women reported poorer QOL on 2 subscales: role physical functioning and bodily pain. There was a significant relationship between gender and depression, worry about ICD, and PTSD, but not for anxiety. Female patients need more psychological interventions following ICD implantation.
机译：背景：植入式心脏复律除颤器（ICD）改善了致命性心律失常的预后，并且植入ICD的数量有所增加。然而，已经观察到与ICD有关的心理问题和生活质量（QOL）受损。这项研究检查了ICD患者在生活质量和心理障碍方面是否存在性别差异。方法和结果：连续ICD植入的门诊患者（n = 179;平均年龄，60.5±15.9岁;男性占81％），完成了由简式8（SF-8），贝克抑郁量表，事件影响量表-修订（IES-R），状态特质焦虑量表和对ICD的担忧。单向方差多元分析（MANOVA）显示，女性在SF的身体功能（F15,157 = 4.57，P <0.05）和身体疼痛（F15,157 = 5.26，P <0.05）的分量表上QOL受损-8。与男性相比（F15,157 = 6.62，P <0.05），有更多女性报告抑郁（F15,157 = 5.37，P <0.05）和对ICD的担忧。此外，女性的IES-R得分也高于男性（F15,157 = 5.87，P <0.05），表明创伤后应激障碍（PTSD）。结论：妇女在两个子量表上的生活质量较差：角色的身体机能和身体疼痛。性别与抑郁，对ICD和PTSD的担心之间存在显着的关系，但对焦虑却没有。女性患者在植入ICD之后需要更多的心理干预。

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