Abstract
Objective
To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD).
Background
Partners distress may influence patient outcomes and is therefore an important aspect in the care of LVAD and ICD patients.
Methods
Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years).
ResultsL
VAD partners reported better physical (F = 10.71, p = .001) but poorer mental health status (F = 14.82, p < .001) and higher depression scores compared to ICD partners (F = 3.68, p = .05) at 6 months follow-up, also in adjusted analyses. There was no significant difference between groups on anxiety.
Conclusion
Caregivers of LVAD patients show higher distress levels compared to caregivers of ICD patients. LVAD partners may have a need for support beyond what is offered currently in clinical practice.Keywords: Left ventricular assist device, LVAD, Implantable cardioverter defibrillator, ICD, Health status, Anxiety and depression
To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD).
Background
Partners distress may influence patient outcomes and is therefore an important aspect in the care of LVAD and ICD patients.
Methods
Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years).
ResultsL
VAD partners reported better physical (F = 10.71, p = .001) but poorer mental health status (F = 14.82, p < .001) and higher depression scores compared to ICD partners (F = 3.68, p = .05) at 6 months follow-up, also in adjusted analyses. There was no significant difference between groups on anxiety.
Conclusion
Caregivers of LVAD patients show higher distress levels compared to caregivers of ICD patients. LVAD partners may have a need for support beyond what is offered currently in clinical practice.Keywords: Left ventricular assist device, LVAD, Implantable cardioverter defibrillator, ICD, Health status, Anxiety and depression
Original language | English |
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Pages (from-to) | 27–32 |
Journal | Heart & Lung |
Volume | 44 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2015 |