BACKGROUND Post-implant recovery in patients with implantable cardioverter-defibrillators (ICDs) is often compromised because of reduced physical and psycho-cognitive function and poor health perception, leading to short event-free survival. OBJECTIVES To examine the effects of psychocognitive function, health perception, and ICD-related factors on 12-month cardiac events among ICD patients. METHODS Using a prospective study design, ICD patients underwent baseline assessment and were followed for 12 months to assess cardiac events. RESULTS Cardiac events occurred in 14 patients (18.9%) (N = 74: age, 58 years; primary ICDs, 45.9%). Time after ICD implant (odds ratio [OR] = 1.002; p = .028) and executive function (OR = 1.021; p = .027) were significant predictors of 12-month cardiac events, while other physical and psychological indices were not. CONCLUSIONS Reduced executive function and longer time after implant predicted the events. Healthcare professionals need to assess executive function and provide treatment and support to improve executive function.

中文翻译：

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身体和心理认知功能和感知健康状况对植入式心脏复律除颤器接受者 12 个月心脏不良事件的影响

背景技术 植入式心脏复律除颤器 (ICD) 患者的植入后恢复通常会受到影响，因为身体和心理认知功能下降以及健康感知不佳，导致无事件生存期短。目的 研究心理认知功能、健康感知和 ICD 相关因素对 ICD 患者 12 个月心脏事件的影响。方法使用前瞻性研究设计，ICD 患者接受基线评估，并随访 12 个月以评估心脏事件。结果 14 名患者 (18.9%) 发生心脏事件（N = 74：年龄，58 岁；原发性 ICD，45.9%）。ICD 植入后的时间（比值比 [OR] = 1.002；p = .028）和执行功能（OR = 1.021；p = .027）是 12 个月心脏事件的重要预测因子，而其他生理和心理指标则不是。结论 植入后执行功能降低和时间延长可预测事件。医疗保健专业人员需要评估执行功能并提供治疗和支持以改善执行功能。