The experience of bodily image for patients with left ventricular assist device

IntroductionMechanical Cardiac Support and Left Ventricular Assist Devices (LVAD) have been demonstrated to prolong Heart Failure patients' survival and improve their quality of life. LVAD implantation has a considerable effect on patients' body image. Patients find it hard to accept the d...

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Main Authors: Irena Milaniak, Emilia Witkowska, Marta Cebula, Paulina Tomsia, Grzegorz Wasilewski, Izabela Górkiewicz-Kot, Sylwia Wiśniowska-Śmiałek, Michał Kaleta, Karol Wierzbicki
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1484428/full
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author Irena Milaniak
Emilia Witkowska
Marta Cebula
Paulina Tomsia
Grzegorz Wasilewski
Izabela Górkiewicz-Kot
Sylwia Wiśniowska-Śmiałek
Michał Kaleta
Karol Wierzbicki
Karol Wierzbicki
author_facet Irena Milaniak
Emilia Witkowska
Marta Cebula
Paulina Tomsia
Grzegorz Wasilewski
Izabela Górkiewicz-Kot
Sylwia Wiśniowska-Śmiałek
Michał Kaleta
Karol Wierzbicki
Karol Wierzbicki
author_sort Irena Milaniak
collection DOAJ
description IntroductionMechanical Cardiac Support and Left Ventricular Assist Devices (LVAD) have been demonstrated to prolong Heart Failure patients' survival and improve their quality of life. LVAD implantation has a considerable effect on patients' body image. Patients find it hard to accept the device as an extension of their body, especially the driveline. The study aimed to examine the relationships between anxiety and depressive symptoms, acceptance of illness, beliefs about pain control, and quality of life with body image among LVAD-implanted patients.MethodsThe cross-sectional study included 54 conveniently recruited patients who completed the Body Image Scale, SF-12, Acceptance of Illness Scale, Beliefs about Pain Control Questionnaire, NRS, HADS, and demographic and clinical data. Multiple regression analyses examined the associations between the research variable.ResultsThe mean Age of the participants was 59.64 (SD=9.63), and 96.3% were men. The mean scores were: Body Image Scale – 28.33 (SD=5,91); Acceptance of Illness Scale – 25.51 (SD=5.92); beliefs about pain control: internal factors – 15.85 (SD=4.96), the influence of physicians – 17.57 (SD=3.15), random events – 14.37(SD=3.32), NRS=2.80(SD=1.86), HADS anxiety – 5.33 (SD=4.12), HADS depression – 4.66 (SD=3.10), SF12MCS-45.49 (SD=6.48), SF-12PCS-41,33 (SD=6.48). The presence of anxiety and depressive symptoms and complications after LVAD significantly predicted low body image concerns.DiscussionHealthcare professionals should be aware of challenges regarding body image faced by LVAD-implanted patients and address related factors, especially anxiety and depression.
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spelling doaj-art-ae46a401de6544a48ea862e64034ae042025-01-27T08:33:13ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14844281484428The experience of bodily image for patients with left ventricular assist deviceIrena Milaniak0Emilia Witkowska1Marta Cebula2Paulina Tomsia3Grzegorz Wasilewski4Izabela Górkiewicz-Kot5Sylwia Wiśniowska-Śmiałek6Michał Kaleta7Karol Wierzbicki8Karol Wierzbicki9Andrzej Frycz Modrzewski Krakow University, Faculty of Health Sciences, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandAndrzej Frycz Modrzewski Krakow University, Faculty of Health Sciences, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandClinical Department of Cardiovascular Surgery and Transplantology, Krakow Specialist Hospital of Saint John Paul II, Krakow, PolandJagiellonian University Medical College, Krakow, PolandIntroductionMechanical Cardiac Support and Left Ventricular Assist Devices (LVAD) have been demonstrated to prolong Heart Failure patients' survival and improve their quality of life. LVAD implantation has a considerable effect on patients' body image. Patients find it hard to accept the device as an extension of their body, especially the driveline. The study aimed to examine the relationships between anxiety and depressive symptoms, acceptance of illness, beliefs about pain control, and quality of life with body image among LVAD-implanted patients.MethodsThe cross-sectional study included 54 conveniently recruited patients who completed the Body Image Scale, SF-12, Acceptance of Illness Scale, Beliefs about Pain Control Questionnaire, NRS, HADS, and demographic and clinical data. Multiple regression analyses examined the associations between the research variable.ResultsThe mean Age of the participants was 59.64 (SD=9.63), and 96.3% were men. The mean scores were: Body Image Scale – 28.33 (SD=5,91); Acceptance of Illness Scale – 25.51 (SD=5.92); beliefs about pain control: internal factors – 15.85 (SD=4.96), the influence of physicians – 17.57 (SD=3.15), random events – 14.37(SD=3.32), NRS=2.80(SD=1.86), HADS anxiety – 5.33 (SD=4.12), HADS depression – 4.66 (SD=3.10), SF12MCS-45.49 (SD=6.48), SF-12PCS-41,33 (SD=6.48). The presence of anxiety and depressive symptoms and complications after LVAD significantly predicted low body image concerns.DiscussionHealthcare professionals should be aware of challenges regarding body image faced by LVAD-implanted patients and address related factors, especially anxiety and depression.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1484428/fullleft ventricular assistance devicebody imagepatientanxietydepression
spellingShingle Irena Milaniak
Emilia Witkowska
Marta Cebula
Paulina Tomsia
Grzegorz Wasilewski
Izabela Górkiewicz-Kot
Sylwia Wiśniowska-Śmiałek
Michał Kaleta
Karol Wierzbicki
Karol Wierzbicki
The experience of bodily image for patients with left ventricular assist device
Frontiers in Psychiatry
left ventricular assistance device
body image
patient
anxiety
depression
title The experience of bodily image for patients with left ventricular assist device
title_full The experience of bodily image for patients with left ventricular assist device
title_fullStr The experience of bodily image for patients with left ventricular assist device
title_full_unstemmed The experience of bodily image for patients with left ventricular assist device
title_short The experience of bodily image for patients with left ventricular assist device
title_sort experience of bodily image for patients with left ventricular assist device
topic left ventricular assistance device
body image
patient
anxiety
depression
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1484428/full
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