Quality of life in patients before and after implantation of an implantable cardioverter-defibillator: a longitudinal study
DOI:
https://doi.org/10.5433/anh.2025v7.id48067Keywords:
Quality of Life, Implantable defibrillators, Perioperative NursingAbstract
Objective: To assess the quality of life of patients before and after implantable cardioverter defibrillator implantation. Methods: An analytical, longitudinal, observational study conducted at a university hospital in the interior of São Paulo. A consecutive, non-probabilistic sample consisted of 18 patients of both sexes, aged over 18 years, with indication for surgery for implantable cardioverter defibrillator implantation. Data collection was performed through individual interviews and consultation of participants' medical records. The SF-36 Medical Outcomes Study 36 - Item Short-Form Health Survey instrument was used to assess the health-related quality of life of patients, considering the eight domains. The Friedman test, with α = 5%, was used to compare the measures of the construct in the three investigated periods. Results: Most patients were male and lived with a partner. The age range was from 29 to 77 years, with a mean of 57.7 years. A significant difference was obtained in the median value when comparing the three times only in the "Pain" Domain (p=0.029), namely: median of 35.0 in the preoperative period versus 15.0 three months after surgery. Conclusion: The effect of time was observed in the evaluation of the "Pain" Domain, that is, patients presented more pain symptoms at the three-month return when compared to the preoperative period.
Downloads
References
1. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Departamento de Análise em Saúde e Vigilância de Doenças Não Transmissíveis. Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas e Agravos não Transmissíveis no Brasil 2021-2030 [ Internet] . Brasília: Ministério da Saúde; 2021 [citado 2023 ago 26]. Disponível em: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/doencas-cronicas-nao-transmissiveis-dcnt/09-plano-de-dant-2022_2030.pdf.
2. Ministério da Saúde (BR). Departamento de Secretaria de Vigilância em Saúde. Análise Epidemiológica e Vigilância de Doenças Não Transmissíveis [ Internet]. Brasília: Ministério da Saúde; 2021 [citado 2023 ago 26]. Disponível em: https://svs.aids.gov.br/daent/
3. Malta DC, Teixeira R, Oliveira GMM, Ribeiro AL. Mortalidade por Doenças Cardiovasculares Segundo o Sistema de Informação sobre Mortalidade e as Estimativas do Estudo Carga Global de Doenças no Brasil,2000- 2017 . A B C Cardiol . 2020; 115 (2). d oi: 10.36660/abc.20190867 DOI: https://doi.org/10.36660/abc.20190867
4. Massa KHC, Duarte YAO. Chiavegatto Filho ADP. Análise da prevalência de doenças cardiovasculares e fatores associados em idosos, 2000-2010. Ciênc Saúde Colet . 2019; 24(1), 105- 14. doi: 10.1590/1413-81232018241.02072017 DOI: https://doi.org/10.1590/1413-81232018241.02072017
5. Silva LDC, de Carvalho Caminha ÉL, Ferreira NS. Qualidade de vida de indivíduos portadores de dispositivo cardíaco eletrônico implantável [Quality of life of individuals with implantable electronic cardiac device][Calidad de vida de las personas con dispositivo cardiaco electrónico implantable]. Rev Enferm UERJ. 2019; 27: 45014. doi:10. 12957/reeu rj.2019.45014
6. Hadler RA, Goldstein NE, Bekelman DB, Riegel B, Allen LA, Arnold RM, Harinstein ME, Kavalieratos D. "Why would i choose death?" A qualitative study of patient understanding of the role and limitations of cardiac devices. J Cardiovasc Nurs 2019;34:275- 82. doi:10.1097/JCN.0000000000000565 DOI: https://doi.org/10.1097/JCN.0000000000000565
7. Liljeroos M, Thylén I, Strömberg A. Patients' and nurses' experiences and perceptions of remote monitoring of implantable cardiac defibrillators in heart failure: cross-sectional, descriptive, mixed methods study. J Med Internet Res. 2020; 22: e19550. doi: 10.2196/19550 DOI: https://doi.org/10.2196/19550
8. Wising J, Mattsson G, Rambaree K, Willmer M, Wallhagen M, Magnusson P. 'Life with a device': the octogenarians' experiences with an implantable cardioverter-defibrillator-a qualitative study. Eur J Cardiovasc Nurs. 2022;21(2):161- 8. doi: 10.1093/eurjcn/zvab033 DOI: https://doi.org/10.1093/eurjcn/zvab033
9. Pedersen SS, Andersen CM, Denollet J, Habibovic M. Depressive symptoms in patients with an implantable cardioverter defibrillator: Does treatment expectations play a role? Gen Hosp Psychiatry. 2018;51:10-14. doi: 10.1016/j.genhosppsych.2017.12.002 DOI: https://doi.org/10.1016/j.genhosppsych.2017.12.002
10. Magnusson P, Mattsson G, Wallhagen M, Karlsson J. Health-related quality of life in patients with implantable cardioverter defibrillators in Sweden: a cross-sectional observational trial. BMJ Open 2021;11:e047053. doi: 10.1136/bmjopen-2020-047053 DOI: https://doi.org/10.1136/bmjopen-2020-047053
11. Verkerk AJ, Vermeer AM, Smets EM, Dekker LR, Wilde AA, Langen IMV et al. Quality of life in young adult patients with a cardiogenetic condition receiving an ICD for primary prevention of sudden cardiac death. Pacing and Clinical Electrophysiology. 2015; 38(7): 870- 7. doi: 10.1111/pace.12649 DOI: https://doi.org/10.1111/pace.12649
12. Flemme I, Bolse K, Ivarsson A, Jinhage BM, Sandstedt B, Edvardsson N et al. Life situation of patients with an implantable cardioverter defibrillator: a descriptive longitudinal study. Journal of clinical nursing. 2001; 10(4): 563-72. doi: 10.1046/j.1365-2702.2001.00494.x DOI: https://doi.org/10.1046/j.1365-2702.2001.00494.x
13. Van den Heuvel LM, Sarina T, Sweeting J, Yeates L, Bates K, Spinks C, et al. A prospective longitudinal study of health-related quality of life and psychological wellbeing after an implantable cardioverter-defibrillator in patients with genetic heart diseases. Heart Rhythm O2. 2022;3(2):143- 51. doi: 10.1016/j.hroo.2022.02.003 DOI: https://doi.org/10.1016/j.hroo.2022.02.003
14. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23(10):433-41. doi: 10.1111/j.1532-5415.1975.tb00927.x DOI: https://doi.org/10.1111/j.1532-5415.1975.tb00927.x
15. Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care [Internet]. 1992 [cited 2021 sep 15]; 30(6): 473-83. Disponível em: https://www.researchgate.net/profile/John-Ware-6/publication/21561645_The_MOS_36-item_short-form_health_survey_SF-36_I_Conceptual_framework_ and_item_s election/link s/ 0deec51d2c2bfefc01000000/The-MOS-36-item-short-form-health-survey-SF-36-I-Conceptual-framework-and-item-selection.pdf DOI: https://doi.org/10.1097/00005650-199206000-00002
16. Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol [Internet]. 1999 [cited 2021 sep 15]; 39(3): 143-50. Disponível em: https://tosaudefuncional.com/wp-content/uploads/2013/03/questionc3a1rio-de-qualidade-de-vida-sf36-traduc3a7c3a3o-e-validac3a7c3a3o.pdf
17. Miozzo AP, Stein C, Sisto IR, Marcolino MZ, Hauck M, Coronel CC, Plentz RDM. Efeitos do exercício aeróbico na qualidade de vida e capacidade funcional, após cirurgia de revascularização do miocárdio. ASSOBRAFIR Ciên. 2021; 10(3), 29- 38. doi: 10.47066/2177-9333.AC.2019.0015
18. Alisherovna KM, Erkinovna KZ, Jamshedovna KD, Toshtemirovna EMM. Study of quality of life indicators in patients with coronary heart disease using the SF-36: QUESTIONNAIRE. Web of Sci . 2022; 3(5), 558- 64. doi: 10.17605/OSF.IO/ATFYW
19. Auquilla-Clavijo PE, Calvo-Galiano N, Povar-Echeverría M, Oloriz-Sanjuan T, Diaz-Cortejana F, Asso-Abadia A. Comparative Study between Subcutaneous and Endovascular Defibrillator Recipients Regarding Tolerance to the Implant Procedure and Perception of Quality of Life. Arq Bras Cardiol. 2021;116(6):1139-48. English, Portuguese. doi: 10.36660/abc.20190312 DOI: https://doi.org/10.36660/abc.20190312
20. Miller JL, Thylén I, Elayi SC, Etaee F, Fleming S, Czarapata MM, et al. Multi-morbidity burden, psychological distress, and quality of life in implantable cardioverter defibrillator recipients: Results from a nationwide study. J Psychosom Res. 2019;120:39-45. doi: 10.1016/j.jpsychores.2019.03.006 DOI: https://doi.org/10.1016/j.jpsychores.2019.03.006
21. Bundgaard JS, Thune JJ, Nielsen JC, Videbæk R, Haarbo J, Bruun NE, Videbæk L, Aagaard D, Korup E, Jensen G, et al. The impact of implantable cardioverter-defibrillator implantation on health-related quality of life in the DANISH trial. Europace. 2019; 21:900 -8. doi: 10.1093/europace/euz018 DOI: https://doi.org/10.1093/europace/euz018
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Paolla Algarte Fernandes, Suellen Rodrigues de Oliveira Maier, Carina Aparecida Marosti Dessotte

This work is licensed under a Creative Commons Attribution 4.0 International License.
All or the content of the newspaper is licensed under a Creative Commons Attribution License, of the CC-BY attribution type.
Authors retain the copyright, and authors are asked to indicate first publication in this journal in the event of republication. Articles published in Advances in Nursing and Health are licensed under the Creative Commons Attribution 4.0 International License, which ensures Open Access. This license allows any user to read, download, copy, and share the content, as long as it is properly cited. It also permits the reuse of the material, including its distribution, adaptation, and creation of derivative works in any format or medium, provided appropriate credit is given, a link to the license is provided, and any changes made are indicated. In addition, the license allows commercial use of the content.











