Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families A Scientific Statement From the American Heart Association
Educational and Psychological Interventions to Improve Outcomes for Recipients of Implantable Cardioverter Defibrillators and Their Families A Scientific Statement From the American Heart Association
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DOI：
10.1161/cir.0b013e31825d59fd
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发表时间：
2012-10-23
期刊：
影响因子：
37.8
通讯作者：
Zeigler, Vicki L.
中科院分区：
文献类型：
--
作者：
Dunbar, Sandra B.;Dougherty, Cynthia M.;Zeigler, Vicki L.
植入型心律转复除颤器(ICD)的接受者有显著的死亡率收益；然而，潜在的心律失常及其对患者和家属的潜在治疗可能会低估临床护理团队对其造成的心理社会痛苦。心脏疾病和设备相关问题的解脱是困难的。大多数ICD患者和家庭成功地适应了ICD，但最佳的护理途径可能需要对所有ICD患者，特别是那些经历心理社会困境的患者给予额外的心理社会关注。这份最新的科学报告是在对现有科学分析和评论的基础上编写的，目的是(1)描述收到ICD后的心理和生活质量结果，并描述相关因素，如患者的特征；(2)描述ICD患者及其家人的关切和教育/信息需求；(3)概述支持干预措施改善ICD患者的教育和心理结果的证据；(4)为改善患者结果的临床方法提供建议；以及(5)确定这一领域未来研究的优先事项。这一声明的最终目标是提高ICD患者心理社会困境的识别和护理的精确度，以最大限度地发挥ICD的衍生效益。(发行量。2012；126：2146-2172。)
Significant mortality benefits have been documented in recipients of implantable cardioverter defibrillators (ICDs); however, the psychosocial distress created by the underlying arrhythmia and its potential treatments in patients and family members may be underappreciated by clinical care teams. The disentanglement of cardiac disease and device-related concerns is difficult. The majority of ICD patients and families successfully adjust to the ICD, but optimal care pathways may require additional psychosocial attention to all ICD patients and particularly those experiencing psychosocial distress. This state-of-the-science report was developed on the basis of an analysis and critique of existing science to (1) describe the psychological and quality-of-life outcomes after receipt of an ICD and describe related factors, such as patient characteristics; (2) describe the concerns and educational/informational needs of ICD patients and their family members; (3) outline the evidence that supports interventions for improving educational and psychological outcomes for ICD patients; (4) provide recommendations for clinical approaches for improving patient outcomes; and (5) identify priorities for future research in this area. The ultimate goal of this statement is to improve the precision of identification and care of psychosocial distress in ICD patients to maximize the derived benefit of the ICD. (Circulation. 2012;126:2146-2172.)