Date of Award

12-1-2022

Degree Type

Thesis

Degree Name

Master of Science in Nursing (MScN)

First Advisor

Dr. Rubina Barolia

Second Advisor

Sehrish Sajjad

Third Advisor

Dr. Masooma Aqeel

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background: The burden of cardiovascular diseases (CVDs) and people requiring permanent pacemakers (PM) continue to rise in Pakistan. Globally, approximately 1.25 million PM insertion procedures are performed in a year, which is expected to rise in the future. Permanent PM implantation is a recommended method for treating cardiac conduction disorders and arrhythmias. Living with PM may cause physical and mental health issues, influencing patients’ quality of life (QoL).
Purpose: To assess the QoL among patients with permanent PM and determine the factors associated with QoL.
Methodology: The study used a cross-sectional analytical study design. The consecutive non-probability sampling method was applied to recruit a total number of 135 patients with permanent PMs. The data was collected by using the validated tools: The Short Form 36 Health Survey (SF-36) and Assessment of Quality of Life and Related events (AQUAREL).
Results: The present study showed that the patients with permanent PM scored above average in all domains of QoL which represent a good QoL. Regarding SF-36, the highest score was observed in the emotional well-being domain (78.25 ± 16.12), while the lowest score (57.41 ± 40.29) in the physical health domain. The AQUAREL tool demonstrated that patients had fewer symptoms of chest discomfort (94.95 ± 11.15) as compared to arrhythmia (90.62 ± 10.90) and dyspneal (75.60 ± 15.03). The results also indicated that the patient’s sociodemographic factors including age, gender, and household income were statistically significantly associated with the domains of QoL.
Conclusion: The study has measured the QoL and determined the factors affecting the QoL among patients with permanent PM. The findings can also serve as a guide for designing and planning interventions intending to focus on the most affected domains and promoting the QoL in PM patients. A pre-post study needs to be conducted to compare the QoL of patients before and after PM implantation.

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1

Last Page

48

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