1. Quality of life changes in patients after cardiac pacemaker implantation
ID 23116
Dr. Natālija Nikrus, Dr. Maija Vikmane, Prof. Oskars Kalējs
Pauls Stradiņš Clinical University Hospital, Latvian Centre of Cardiology
In recent years, much attention has been focused on exploring the impact of physical and mental illness on overall quality of life. In 2016 there were 1228 pacemaker units implanted in Latvia (945 – first implants, 283 – replacements). Person’s subjective feeling of the “goodness” and “well-being” plays an important role in ensuring positive patient outcome after pacemaker implantation operation.
The lowest SF-36 score referred to Role-Physical Functioning (11.67±18.68) and the highest to Bodily Pain (51.57±20.03) in patient group before pacemaker implantation. The lowest SF-36 score referred to Role-functioning Emotional (45.54±35.43) and the highest to Social Functioning (63.78±20.59) in patient group after pacemaker implantation. Both groups have shown low score results (47.05±13.35 before the operation and 46.76±18.24 after the operation) in General Health scale. There was a significant association between Role functioning-Physical (p<0.01), Bodily Pain (p=0.05), Vitality (p<0.01), Social Functioning (p<0.01), Mental Health (p<0.01), Physical Health (p<0.01) and operation.
To evaluate patients’ quality of life after cardiac pacemaker implantation. t -
test for Equality of Means df
Sig. (2
tailed)
Mean
Difference
Std. Error
95% Confidence Interval
of the Difference
Lower
Upper
Physical functioning
1.605
140
.111
6.396
3.986
14.277
1.484
1.578
.117
4.053
14.422
1.629
Role
functioning/physical
7.657
.000
36.931
4.823
46.467
27.395
8.319
4.439
45.712
28.150
Bodily pain
2.834
.005
9.519
3.359
16.159
2.878
2.824
.006
3.371
16.189
2.848
General health
.106
.916
.294
2.779
5.200
5.788
.912
2.651
4.946
5.534
Vitality, Energy/fatigue
5.375
14.555
2.708
19.909
9.201
5.288
2.752
20.005
9.105
Social functioning
3.832
13.830
3.609
20.966
6.695
3.790
3.650
21.055
6.606
Role limitations due to
emotional problems
2.106
.037
12.703
6.032
24.629
.778
2.104
6.037
24.649
.757
Mental Health
5.011
11.031
2.201
15.383
6.679
5.115
2.157
15.296
6.766
A total of 142 patients of both genders were evaluated: 82 patients (58.54% women and 41.46% men) after cardiac pacemaker implantation and 60 patients (55.0% women and 45.0% men) before cardiac pacemaker implantation. Average age in patients after the operation 68.60±10.11 years and 70.62±10.69 years before operation. All patients completed the 36-Item Short Form Health Survey (SF-36) for quality of life measurement which provide an eight-scale profile of functional health, well-being scores and composite physical and mental health summary measures. Statistical analysis was conducted using IBM SPSS Statistics 21 t-test with a 5% significance level.
Number
Minimum
Maximum
Mean
Std. Deviation
Before
surgery
PF (Physical functioning) 60 80
50.25
24.90
RP (Role functioning/physical) 50
11.67
18.68
BP (Bodily pain) 22
100
51.57
20.03
GH (General health) 20 75
47.05
13.35
VT (Vitality, Energy/fatigue) 4 65
40.57
16.89
SF (Social functioning) 13 88
49.95
22.12
RE (Role limitations due to emotional problems)
32.83
35.61
MH (Mental Health) 32
51.07
11.95
After 82 5
56.65
22.36
48.60
33.75
61.09
19.58 90
46.76
18.24 10 85
55.12
15.21
63.78
20.58
45.54
35.43 24 92
62.10
13.64
Patients after pacemaker implantation presented higher quality of life scores in mental and physical health aspects. Both patient groups evaluate their general health as fair.