Quality of life in patients before and after implantation of an implantable cardioverter-defibillator: a longitudinal study

Authors

DOI:

https://doi.org/10.5433/anh.2025v7.id48067

Keywords:

Quality of Life, Implantable defibrillators, Perioperative Nursing

Abstract

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.

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Author Biographies

Paolla Algarte Fernandes, Athens University Center

Nurse Doctor in Sciences. Athens University Center (Uniatenas). Professor of the Medicine and Nursing course. Paracatu, Minas Gerais, Brazil.

Rodrigues de Oliveira Maier, Federal University of Rondonópolis

Nurse Mestre em Educação. Universidade Federal de Rondonópolis (UFR), Professora da Faculdade de Ciências da Saude, Rondonópolis, Mato Grosso, Brazil.

Carina Aparecida Marosti Dessotte, University of São Paulo

Nurse Doctor in Sciences. Ribeirão Preto Nursing School of the University of São Paulo. Professor Doutora of the Department of General and Specialized Nursing. Ribeirão Preto, São Paulo, Brazil.

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Published

2025-04-21

How to Cite

Fernandes, P. A., Maier, R. de O., & Dessotte, C. . A. M. (2025). Quality of life in patients before and after implantation of an implantable cardioverter-defibillator: a longitudinal study. Advances in Nursing and Health, 7, 1–13. https://doi.org/10.5433/anh.2025v7.id48067