Assessing Shock Anxiety in Patients with ICDs

Simple item page
dc.contributor.advisorBell, Anne
dc.contributor.authorHawkins, Taylor
dc.contributor.departmentGraduate Nursing Scienceen_US
dc.date.accessioned2024-04-16T20:14:05Z
dc.date.available2024-04-16T20:14:05Z
dc.date.issued2024-04-15
dc.description.abstractBackground The Electrophysiology department at the collaborating institution for this DNP Project serves approximately 3,500 patients with implantable cardiac devices such as ICDs, pacemakers, and loop recorders. The site was identified as having no set metric to assess the patient's psychological response to the implantation of an ICD. Instead, the clinic intervenes with extensive education or a referral for Cardiac Psychology following an ICD shock based on patient history, clinical presentation, and shared decision-making. Objective The Florida Shock Assessment Scale (FSAS), created by Tripp et al. (2019), measures ICD-specific fears to target patients' psychological distress and the need for intervention. The objective is to prophylactically incorporate this tool at a patient's follow-up visit to identify patient-specific needs related to their ICD. Methods This project included 24 patients (n=24) with ICDs implanted (67% male, 33% female, 45% white, 54% African American, 25% previously shocked, and 75% never shocked). Patients were recruited at their routine follow-up ICD visits, where the clinic staff screened them for participation. The endpoint of the project was to identify patients with ICD-related anxiety and if cardiac psychology was indicated. Results Out of the sample, two patients who had been previously shocked were identified to have increased anxiety and were offered cardiac psychology. The female patient willingly accepted a referral to cardiac psychology. Each FSAS item was averaged, and two critical score items were identified to contribute to ICD-related anxiety: item 2 and item 8. Conclusion Knowledge of the clinic’s resources and education gave each patient a sense of safety and security in their ICD. In return, this improved quality of life and cardiac health.en_US
dc.description.degreeD.N.P.en_US
dc.identifier.urihttp://hdl.handle.net/10342/13354
dc.language.isoen_USen_US
dc.subjectICD, shock, cardiac psychology, anxiety, Florida Shock Anxiety Scaleen_US
dc.titleAssessing Shock Anxiety in Patients with ICDsen_US
dc.typeDNP Scholarly Projecten_US
ecu.campusonlyOpen Accessen_US
ecu.embargo.choice2 yearsen_US

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
Hawkins.Taylor.FinalManuscriptIteration.docx
Size:
193.82 KB
Format:
Microsoft Word XML
Description:
Download

Collections

College of Nursing