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2014
DOI: 10.1097/dbp.0000000000000073
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Perceived Self-Competence, Psychosocial Adjustment, and Quality of Life in Pediatric Patients with Pacemakers

Abstract: Self-competence may function as a protective factor against lower HRQOL in children with pacemakers. There was less evidence that self-competence may play a protective role against lower adaptive skills and higher externalizing, internalizing, and behavioral symptoms. Clinical implications of these findings, limitations of the study, and areas for future research are discussed.

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Cited by 5 publications
(6 citation statements)
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References 22 publications
(31 reference statements)
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“…However, the unintended consequence of this growth in complex cases was the concomitant rise in the incidence of PPM implantation. Our study focused on the economic burden of PPM implantation in children, but there are social and psychological problems as well that could be associated with pediatric patients’ quality of life . Several technologies have been introduced to identify and avoid damage to the cardiac conduction system during surgery, but the incidence rate continues to creep up.…”
Section: Discussionmentioning
confidence: 99%
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“…However, the unintended consequence of this growth in complex cases was the concomitant rise in the incidence of PPM implantation. Our study focused on the economic burden of PPM implantation in children, but there are social and psychological problems as well that could be associated with pediatric patients’ quality of life . Several technologies have been introduced to identify and avoid damage to the cardiac conduction system during surgery, but the incidence rate continues to creep up.…”
Section: Discussionmentioning
confidence: 99%
“…This burden affects the patients and the patients’ families. Previous reports on this burden included evaluation of the medical costs associated with a PPM and implantable cardioverter-defibrillator (ICD) procedures, indirect costs for families living with a child with a CHD, resource utilization during emergency department visits for children with CHDs, and examination of self-competence and psychosocial functioning of pediatric patients with PPMs . None of these reviews examined the lifetime burden of PPM implantation in pediatric patients.…”
Section: Introductionmentioning
confidence: 99%
“…It is known that pediatric patients with chronic medical conditions have lower HRQOL when compared to healthy controls . Patients with CIEDs have significantly lower HRQOL compared to patients with mild congenital heart disease (CHD) and healthy controls . While it could be suspected that lower HRQOL would be related to factors, such as device shocks, lifestyle modifications, or activity restrictions associated with underlying cardiac disease, these factors were not associated with QOL in a prior report .…”
Section: Introductionmentioning
confidence: 94%
“…[3][4][5][6] Patients with CIEDs have significantly lower HRQOL compared to patients with mild congenital heart disease (CHD) and healthy controls. [7][8][9][10][11] While it could be suspected that lower HRQOL would be related to factors, such as device shocks, lifestyle modifications, or activity restrictions associated with underlying cardiac disease, these factors were wileyonlinelibrary.com/journal/pace not associated with QOL in a prior report. 8 To our knowledge, no prior manuscript has specifically evaluated surgical scar appearance or location of the scar as possibly affecting QOL in pediatric pacemaker and ICD populations.…”
Section: Introductionmentioning
confidence: 96%
“…With this medical progress, implanted medical devices, such as catheters, pacemakers, prosthetic joints, and intraocular lenses, are routinely used in patients. 1,2 However, these devices oen cause infections due to bacterial adsorption and growth with biolm formation on their surface. [3][4][5] The biolm promotes the persistence of pathogens in the host, leading to refractory infections, such as periodontal diseases, nosocomial infectious diseases, and osteomyelitis.…”
Section: Introductionmentioning
confidence: 99%