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Effect of Physical and Psychocognitive Function and Perceived Health Status on 12-Month Adverse Cardiac Events among Implantable Cardioverter-Defibrillator Recipients
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±èÁø½Ç, ÃÖÁöÀÎ
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DOI
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doi.org/10.1016/j.hrtlng.2020.04.010
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Çмú±â°ü
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HEART & LUNG
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¹ßÇà±â°ü
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The American Association of Heart Failure Nurses
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³í¹® ¿ä¾à
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Background
Post-implant recovery in patients with implantable cardioverter-defibrillators (ICDs) is often compromised because of reduced physical and psycho-cognitive function and poor health perception, leading to short event-free survival.
Objectives
To examine the effects of psychocognitive function, health perception, and ICD-related factors on 12-month cardiac events among ICD patients.
Methods
Using a prospective study design, ICD patients underwent baseline assessment and were followed for 12 months to assess cardiac events.
Results
Cardiac events occurred in 14 patients (18.9%) (N = 74: age, 58 years; primary ICDs, 45.9%). Time after ICD implant (odds ratio [OR] = 1.002; p = .028) and executive function (OR = 1.021; p = .027) were significant predictors of 12-month cardiac events, while other physical and psychological indices were not.
Conclusions
Reduced executive function and longer time after implant predicted the events. Healthcare professionals need to assess executive function and provide treatment and support to improve executive function.
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2020³â 09¿ù 16ÀÏ
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1361
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