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.
First Page
1
Last Page
48
Recommended Citation
Moosani, S. S.
(2022). Assessing the quality of life of patients after permanent pacemaker implantation at a tertiary care hospital in Karachi, Pakistan – a cross-sectional analytical study. , 1-48.
Available at:
https://ecommons.aku.edu/etd_pk_sonam_mscn/49