Alarm Fatigue and Related Factors among Nurses Working in Cardiology Wards　　　　　　　　　　　　　　　
Kitasato International Journal of Nursing Science, Mar. 2022

Left Ventricular Ejection Fraction Predicts Severity of Posttraumatic Stress Disorder in Patients With Implantable Cardioverter‐Defibrillators
Hiroyuki Sawatari; Tomoko Ohkusa; Anita Rahamawati; Katsuhiko Ishikawa; Miyuki Tsuchihashi‐Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Hiroaki Chishaki; Harumizu Sakurada; Yasushi Mukai; Shujiro Inoue; Kenji Sunagawa; Akiko Chishaki
Clinical Cardiology, 06 May 2016
ABSTRACT

Background

Implantable cardioverter‐defibrillators (ICD) have provided effective therapy for fatal arrhythmia. However, ICD patients are known to develop psychological problems, such as posttraumatic stress disorder (PTSD), if they have experienced potentially fatal arrhythmia and ICD shocks. Little is known about the factors influencing PTSD in ICD patients.

Hypothesis

Echocardiographic cardiac‐function parameters might relate to psychological problems, especially PTSD, in ICD patients.

Methods

A total of 128 outpatients with ICD implantation completed the Impact of Event Scale Revised (IES‐R) questionnaire as a measurement of PTSD. Demographic and clinical characteristic data were collected from medical records.

Results

The mean age of the ICD patients was 59 ± 16 years; 103 were male; and the mean left ventricular ejection fraction (LVEF) by echocardiography was 52.4% ± 18.3%. In the ICD patients, female sex and impaired LVEF were related to lower IES‐R scores or led to PTSD (P = 0.01 and P = 0.03, respectively). Impaired LVEF also worsened 2 symptoms of PTSD, intrusion (P = 0.02) and hyperarousal (P = 0.03). In patients with LVEF <35%, there was a significant negative correlation between LVEF level and IES‐R score (P = 0.045).

Conclusions

This study showed that LVEF was related to the severity of PTSD, especially in the ICD patients with LVEF of <35%. We should pay more attention to ICD patients with severely impaired left ventricular function to prevent psychological problems.

Influence of primary and secondary prevention indications on anxiety about the implantable cardioverter‐defibrillator
Anita Rahmawati; Akiko Chishaki; Tomoko Ohkusa; Hiroyuki Sawatari; Miyuki Tsuchihashi‐Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujirou Inoue; Kenji Sunagawa; Hiroaki Chishaki
Journal of Arrhythmia, 19 Nov. 2015, [Reviewed]
Abstract

Background

Implantable cardioverter‐defibrillators (ICDs) have been established for primary and secondary prevention of fatal arrhythmias. However, little is known about the influence of ICD indications on quality of life (QOL) and psychological disturbances. This study aimed to examine whether there were differences in QOL and psychological distress in patients that have an ICD for primary or secondary prevention of fatal arrhythmias.

Methods

A multicenter survey of 179 consecutive outpatients (29.1% primary prevention) with ICD implantations completed the Short Form‐8 (SF‐8), Beck Depression Inventory (BDI), Impact of Event Scale‐Revised (IES‐R), State‐Trait Anxiety Inventory (STAI), and Worries about ICD (WAICD).

Results

Patients with an ICD for primary prevention had a higher trait anxiety score and worries about ICD score than patients with an ICD for secondary prevention (41.7±12.4 vs. 34.7±12.3, p=0.001 and 39.6±18.0 vs. 30.0±18.9, p=0.002, respectively), even after adjusting for demographic and clinical characteristics. In multivariable analysis of variance, primary prevention ICD recipients reported a poorer QOL on the vitality subscale of the SF‐8.

Conclusions

In our study population, which mostly consisted of New York Heart Association (NYHA) class I and II subjects, primary prevention ICD recipients were more prone to experience worries about their ICD, anxiety, and a poorer QOL compared to secondary prevention ICD recipients. In clinical practice, primary prevention ICD patients should be closely monitored. If warranted, they should be offered psychological intervention, as anxiety and low QOL were predictors of mortality.

Gender Disparities in Quality of Life and Psychological Disturbance in Patients With Implantable Cardioverter-Defibrillators
Anita Rahmawati; Akiko Chishaki; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujiro Inoue; Kenji Sunagawa; Hiroaki Chishaki
Circulation Journal, 2013, [Reviewed]

臨床老年看護　　　　　　　　　　　　　　　
May 2025

)心臓病とどう向き合うか－がんとは違う心臓病－　　　　　　　　　　　　　　　
Joint work
Sep. 2014

臨床老年看護　　　　　　　　　　　　　　　
Jul. 2014

心不全患者の自己管理能力を測定するためのツールに関する文献レビュー　　　　　　　　　　　　　　　
19 Oct. 2024

循環器病棟で勤務する看護師のアラーム疲労の実態と関連要因の検討 心電学関連春季大会2023 2023/04/22 日本不整脈心電学会　　　　　　　　　　　　　　　
22 Apr. 2023

Psychological Issues in Heart Failure Patients Who Received Implantable Cardioverter-Defibrillator　　　　　　　　　　　　　　　
Anita Rahmawati; Akiko Chishaki; Tomoko Ohkusa; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mori Nakai; Mami Miyazono; Nobuko Hashiguchi; Harumizu Sakurada; Masao Takemoto; Yasushi Mukai; Shujirou Inoue; Hiroaki Chishaki
Oct. 2015

慢性心不全看護認定看護師の活動と役割に関する全国調査(1)慢性心不全看護認定看護師に対する調査結果　　　　　　　　　　　　　　　
Oct. 2014

慢性心不全看護認定看護師の活動と役割に関する全国調査(2)看護管理者に対する調査結果　　　　　　　　　　　　　　　
Oct. 2014

慢性心不全看護認定看護師の活動と役割に関する全国調査(3)医師に対する調査結果　　　　　　　　　　　　　　　
Oct. 2014

末期に医療行為を拒否した慢性心不全患者への看護介入に難渋した一例　　　　　　　　　　　　　　　
Oct. 2013

ICD患者のQOLと患者属性との関係　　　　　　　　　　　　　　　
Mar. 2013

Gender Differences in Quality of Life and Psychological Responses among Implantable Cardioverter-Defibrillator Patients in Japanese Population　　　　　　　　　　　　　　　
Anita Rahmawati; Hiroyuki Sawatari; Miyuki Tsuchihashi-Makaya; Yuko Ohtsuka; Mami Miyazono; Noboku Hashiguchi; Harumizu Sakurada; Masao Takemoto; Sei Nakai; Yasushi Mukai; Syujiro Inoue; Hiroaki Chishaki; Akiko Suyama-Chishak
American Heart Association2012

植込み型除細動器(ICD)患者におけるQOLや心理精神的障害の多施設調査　　　　　　　　　　　　　　　
Oct. 2012

ASV導入における問題点の分析　　　　　　　　　　　　　　　
Oct. 2011

療養環境整備の充実に向けたリンクナースの取り組み　　　　　　　　　　　　　　　
Feb. 2011

ICD植込み後1年以内の患者の不安-誤作動・異物感・日常生活・周囲の環境　　　　　　　　　　　　　　　
Mar. 2010

カテーテルアブレーション後絶対安静時間の短縮の試み　　　　　　　　　　　　　　　
Mar. 2009

ICD植込み後1年以内の患者の不安－作動に対する不安－　　　　　　　　　　　　　　　
Mar. 2009

ICD植込み後1年以内の患者の不安 2008/08/14　　　　　　　　　　　　　　　
14 Aug. 2008

ICD植込み後1年以内の患者の不安　　　　　　　　　　　　　　　
Aug. 2008

May 2024 - Present
日本看護教育研究学会　　　　　　　　　　　　　　　

Apr. 2024 - Present
日本看護科学学会　　　　　　　　　　　　　　　

Apr. 2012 - Present
日本循環器看護学会 会員　　　　　　　　　　　　　　　

May 2011 - Present
日本心不全学会　　　　　　　　　　　　　　　

Jun. 2009 - Present
日本不整脈心電学会 会員　　　　　　　　　　　　　　　

Sep. 2008 - Present
日本循環器学会 正会員・非専門医・非心不全療養指導士