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Heart Lung ; 44(1): 27-32, 2015.
Article in English | MEDLINE | ID: mdl-25453389

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). RESULTS: LVAD 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.


Subject(s)
Caregivers/psychology , Defibrillators, Implantable/psychology , Heart-Assist Devices/psychology , Stress, Psychological/epidemiology , Adult , Aged , Anxiety/epidemiology , Female , Follow-Up Studies , Health Status , Humans , Male , Middle Aged , Prospective Studies
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