Gabriel Laurent1, Walid Amara2, Jacques Mansourati3, Olivier Bizeau4, Philippe Couderc5, Nicolas Delarche6, Stéphane Garrigue7, Yves Guyomar8, Jean-Sylvain Hermida9, Cyrus Moïni10, Elena Popescu11. 1. Service de rythmologie et d'insuffisance cardiaque, centre hospitalier universitaire Le Bocage, 2, boulevard de Lattre-Tassigny, BP 77908, 21079 Dijon cedex, France. Electronic address: gabriel.laurent@chu-dijon.fr. 2. Centre hospitalier intercommunal de Montfermeil, Montfermeil, France. 3. Hôpital de la Cavale-Blanche, Brest, France. 4. Centre hospitalier régional Orléans-La-Source, Orléans, France. 5. Clinique cardiologique d'Aressy, Aressy, France. 6. Centre hospitalier de Pau, Pau, France. 7. Clinique Saint-Augustin, Bordeaux, France. 8. Centre hospitalier Saint-Philibert, Lomme, France. 9. Centre hospitalier universitaire d'Amiens, Amiens, France. 10. Hôpital privé d'Antony, Antony, France. 11. Centre hospitalier Jacques-Monod, Le Havre, France.
Abstract
BACKGROUND: Much attention is being paid to the education of and provision of medical information to patients, to optimize their understanding and acceptance of their disease. AIMS: To ascertain the impact of educating recent recipients of an implantable cardioverter defibrillator (ICD) on their perception and acceptance of a home monitoring (HM) system. METHODS: Questionnaire 1, completed one month after ICD implantation, was designed to assess: the quality of patient preparation for HM; patient comprehension of HM; and patient anxiety experienced during its installation. The comprehension questions were assigned a score of -2 for an incorrect answer, +1 for a correct answer and 0 for neither (total score ranging from -40 to +20). Questionnaire 2, completed six months after ICD implantation, assessed patient acceptance of and anxiety about HM. RESULTS: The registry included 571 patients (mean age 63.9±12.8 years; 83% men; 76% of ICDs implanted for primary prevention) followed by HM for 6.2±1.2 months. Questionnaire 1 was completed by 430 (75.3%) patients and questionnaire 2 by 398 (69.7%) patients. Younger patients had a better comprehension of HM than older patients. High-quality training conditions improved the comprehension score, and a positive association was observed between anxiety and acceptance levels and the comprehension score. The 80±20% mean data transmission rate (days of transmission/days of follow-up ratio) was unrelated to the comprehension scores. CONCLUSION: A clear understanding was associated with a higher acceptance of HM, although it was unrelated to the data transmission rate.
BACKGROUND: Much attention is being paid to the education of and provision of medical information to patients, to optimize their understanding and acceptance of their disease. AIMS: To ascertain the impact of educating recent recipients of an implantable cardioverter defibrillator (ICD) on their perception and acceptance of a home monitoring (HM) system. METHODS: Questionnaire 1, completed one month after ICD implantation, was designed to assess: the quality of patient preparation for HM; patient comprehension of HM; and patientanxiety experienced during its installation. The comprehension questions were assigned a score of -2 for an incorrect answer, +1 for a correct answer and 0 for neither (total score ranging from -40 to +20). Questionnaire 2, completed six months after ICD implantation, assessed patient acceptance of and anxiety about HM. RESULTS: The registry included 571 patients (mean age 63.9±12.8 years; 83% men; 76% of ICDs implanted for primary prevention) followed by HM for 6.2±1.2 months. Questionnaire 1 was completed by 430 (75.3%) patients and questionnaire 2 by 398 (69.7%) patients. Younger patients had a better comprehension of HM than older patients. High-quality training conditions improved the comprehension score, and a positive association was observed between anxiety and acceptance levels and the comprehension score. The 80±20% mean data transmission rate (days of transmission/days of follow-up ratio) was unrelated to the comprehension scores. CONCLUSION: A clear understanding was associated with a higher acceptance of HM, although it was unrelated to the data transmission rate.
Authors: Ivy Timmermans; Mathias Meine; Istvan Szendey; Johannes Aring; Javier Romero Roldán; Lieselotte van Erven; Philipp Kahlert; Edgar Zitron; Philippe Mabo; Johan Denollet; Henneke Versteeg Journal: Pacing Clin Electrophysiol Date: 2019-01-02 Impact factor: 1.976
Authors: Khaldoun G Tarakji; Amir M Zaidi; Steven L Zweibel; Niraj Varma; Samuel F Sears; James Allred; Paul R Roberts; Naushad A Shaik; Josh R Silverstein; Abdul Maher; Suneet Mittal; Ashish Patwala; John Schoenhard; Martin Emert; Giulio Molon; Giuseppe Augello; Nilam Patel; Hanscy Seide; Antonio Porfilio; Baerbel Maus; Sherry L Di Jorio; Keith Holloman; Ana C Natera; Mintu P Turakhia Journal: Heart Rhythm O2 Date: 2021-08-02
Authors: Miguel A Ruiz Díaz; Marta Egea García; Roberto Muñoz Aguilera; Xavier Viñolas Prat; Jorge Silvestre García; María Álvarez Orozco; José Martínez Ferrer Journal: BMC Health Serv Res Date: 2020-04-25 Impact factor: 2.655