Background: Permanent Pacemakers are one of the most reliable treatments for the 2nd most common cardiovascular disease i.e. cardiac arrhythmias, especially brady-arrhythmias. Objectives: The objective of present study was to study the incidence of selected pacemaker related outcomes i.e anxiety, infection, Shoulder discomfort and performance of activities of daily living among patients. Material and methods: A descriptive design was used for the study. Tools used were sociodemographic and clinical profile sheet, STAI anxiety scale, Barthel Index, Southampton wound scoring system and Quick DASH questionnaire. Interview schedule and observation method was used collection of data from 50 patients undergoing permanent pacemaker implantation in advanced cardiac centre, PGIMER Chandigarh by total enumeration sampling. Results: In present study, majority of patients (80%) were in moderate anxiety in pre pacemaker implantation period. The shoulder discomfort mean ± SD score at one and two month of post pacemaker implantation was 74.54± 7.17 and 73.67± 6.72 respectively, with no statistically decrease in shoulder discomfort. The Barthel Index for Activites of daily living before pacemaker implantation and 2month of post implantation mean score ± SD was 14.86±2.60 and 16.43±1.92. Infection was found in 4% of patients at 1 month of post pacemaker implantation period. Conclusion: In the present study, pacemaker patients do face moderate anxiety, infection, shoulder discomfort and they are not independent in performance of Activities of daily living. Focusing on these problems, health needs of such patients must be meet.
Permanent pacemaker, Anxiety, pacemaker infection, shoulder discomfort in pacemaker patients
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