Abstract 10800: Physical and Mental Health of Significant Others is Impacted by ICD Implantation
Background and purpose: Family members often accept responsibility for the care of those after an implantable cardioverter defibrillator (ICD) for emotional or economic reasons, not because they are proficient at or feel comfortable with the care required. It is important that their physical and psychological health be addressed because they provide essential support to patients after receiving an ICD. The purpose of this study was to describe the physical and mental health of the intimate partner's of patients who received an ICD in the 1st year.
Methods: A prospective longitudinal repeated measures design was used, with data collected from significant others at hospital discharge, 1, 3, 6, and 12 months after an ICD in the patient. Physical health was measured using the Short Form -12 (SF-12 PCS) and the DOI symptom inventory. Mental health was measured using the Short form-12 MCS, the CES-D for depression, and the STAI for anxiety. Caregiving demands were measured using the demands of caregiving inventory (DCI). Analysis of variance with repeated measures (ANOVA) was used to examine patterns of change in health over 1 year in signficant others.
Results: 168 patients received an ICD for secondary prevention and 127 had a significant other who participated in the study. Significant others were 60.9 ± 12.6 years, 97% Caucasian, 84% female, 40% employed, and 43% had some college education. Significant others' physical health declined between hospital discharge through 1 year (SF-12 PCS, F=3.78, p=0.007 and DOI symptoms, F=2.65, p=0.04). Mental health improved between hospital discharge and 1 year (SF-12 MCS, F=2.87, p=0.03, CES-D, F=5.21, p=0.001, and STAI, F=4.68, p=0.002). Caregiving demands were reduced over 1 year (DCI, F=7.37, p=0.001). Post-hoc analyses revealed that the biggest change in physican and mental health occurred between hospital discharge and 3 months after the ICD, indicating the post-hospital period was the most challenging.
Conclusions: Significant others reported a decline in physical health in the 12 months after an ICD in the patient. Psychological adjustment and care demands were challenging iniitally but then improved over the 12 months. Interventions designed to assist significant others' after ICD implantation should be developed.
- © 2011 by American Heart Association, Inc.