Psychological distress in pulmonary embolism survivors in a pulmonary embolism response team clinic: Protocol for a prospective observational study.
Psychological distress in pulmonary embolism survivors in a pulmonary embolism response team clinic: Protocol for a prospective observational study.
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DOI：
10.1016/j.rpth.2023.100045
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发表时间：
2023-02
影响因子：
4.6
通讯作者：
Tefera, Leben
中科院分区：
文献类型：
--
作者：
Hurley, Karen;Ryan, Melinda;Puffenberger, Debra;Parker-Davis, Tamra;Bensitel, Albatoul;Liu, Xuefeng;Cameron, Scott J.;Tefera, Leben
肺栓塞（PE）是心血管死亡的主要原因。体育教学中的心理困扰是一个研究不足、认识不足的问题。该方案的主要目的是描述出院后PE幸存者的心理困扰症状（焦虑、抑郁、创伤后应激和害怕复发）的发生率。次要目的是评估急性疾病、病因和PE治疗对心理困扰的影响。这是一项在大型三级医疗转诊中心进行的前瞻性观察性队列研究。参与者是因符合客观肺栓塞反应小组（PERT）激活标准的PE到医院就诊的成年患者。出院后，患者在PE诊断和治疗后约1、3、6和12个月的随访中完成一系列经验证的心理困扰（焦虑、抑郁、创伤后应激和对复发的恐惧）和生活质量测量。影响每种类型的困扰的因素进行了评估。本方案旨在确定PE后出现心理困扰的患者未满足的需求。它将描述在PERT门诊随访的第一年内PE幸存者的焦虑、抑郁、复发恐惧和创伤后症状。肺栓塞（PE）的幸存者经常经历未被认识到的心理困扰。据我们所知，迄今为止，还没有研究探讨PE严重程度与随之而来的心理困扰之间的关系。我们提出了一种新的综合临床评估方案，PE幸存者。我们的方案以可量化的方式研究了PE对心理学的影响。
Pulmonary embolism (PE) is a leading cause of cardiovascular death. Psychological distress in PE is understudied and underrecognized. The primary aim of this proposed protocol was to describe the incidence of psychological distress symptoms (anxiety, depression, posttraumatic stress, and fear of recurrence) in the survivors of PE after discharge from hospitalization. The secondary aim was to assess the influence of acute disease, etiology, and treatment of PE on psychological distress. This is a prospective observational cohort study in a large tertiary care referral center. The participants are adult patients presenting to the hospital with PE fulfilling objective pulmonary embolism response team (PERT) activation criteria. After discharge, patients complete a series of validated measures of psychological distress (anxiety, depression, posttraumatic stress, and fear of recurrence) and quality of life at follow-ups approximately 1, 3, 6, and 12 months after diagnosis and treatment of their PE. Factors influencing each type of distress are evaluated. This protocol aims to identify the unmet needs of patients experiencing psychological distress following PE. It will describe anxiety, depression, fear of recurrence, and posttraumatic symptoms in PE survivors during the first year of outpatient follow-up in a PERT clinic. Survivors of pulmonary embolism (PE) often experience unrecognized psychological distress. To our knowledge, no study has examined the association between PE severity and ensuing psychological distress to date. We proposed a novel comprehensive clinical evaluation protocol for PE survivors. Our protocol examines the impact of PE on psychological symptomatology in a quantifiable manner.
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影响因子：
2.9
作者：
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通讯作者：
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作者：
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DOI：
10.1164/rccm.200506-862oc
发表时间：
2005-10-15
影响因子：
24.7
作者：
Aujesky, D;Obrosky, DS;Fine, MJ
通讯作者：
Fine, MJ