Standardized assessment of psychological well-being and quality-of-life in patients with implanted defibrillators
Standardized assessment of psychological well-being and quality-of-life in patients with implanted defibrillators
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DOI：
10.1111/j.1540-8159.1997.tb04817.x
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发表时间：
1997-01-01
影响因子：
1.8
通讯作者：
Gonska, BD
中科院分区：
文献类型：
--
作者：
Herrmann, C;vonzurMuhen, F;Gonska, BD
赫尔曼，C.，等：植入去骨器患者的心理健康和生活质量的标准化评估。ICD已成为恶性心律失常患者的标准治疗方法。尽管它有好处，但它可能会给患者带来额外的不适。因此，需要评估这些患者的生活质量。以前的研究只使用了小样本或非标准化的生活质量指标，无法与其他患者群体进行比较。本研究采用标准化问卷对ICD患者的心理健康和生活质量进行横断面评估，并将其与未使用ICD的相似冠状动脉疾病（CAD）患者组进行比较。总体而言，两组之间的生活质量没有差异，ICD患者的焦虑程度低于She CAD组。然而，随着ICD电击次数的增加，ICD患者心理痛苦的百分比从10%上升到> 50%。心理困扰的患者在大多数生活质量分量表上的得分明显更差，表现出更低的治疗满意度和更多的消极态度。它的结论是，ICD患者有一个可接受的平均生活质量和低平均焦虑。然而，约15%的相关亚组，特别是频繁电击的患者，会经历心理困扰和生活质量下降，应接受特殊护理。
HERRMANN, C., ET AL.: Standardized Assessment of Psychological Well-Being and Quality-of-Life in Patients with Implanted Defibrillators. The ICD has become a standard treatment for patients with malignant arrhythmias. Despite its benefits it may cause additional discomfort to the patients. Thus, quality-of-life needs to be assessed in these patients. Previous studies have used only small samples or unstandardized measures of quality-of-life that do not allow comparisons with other patient groups. The present study used standardized questionnaires for a cross-sectional assessment of psychological well-being and quality-of-life in ICD patients and to compare them to a similar group of coronary artery disease (CAD) patients without ICD. Overall, quality-of-life did not differ between both groups, ICD patients being less anxious than She CAD group. With increasing numbers of lCD shocks, however, the percentage of psychologically distressed ICD patients rose from 10% to > 50%. Psychologically distressed patients had significantly worse scores on most of the quality-of-life subscales, showed less treatment satisfaction, and more negative attitudes. It is concluded that ICD patients have an acceptable mean qualify-of-life and low mean anxiety. However, a relevant subgroup of about 15%, especially patients with frequent shocks, experience psychological distress and reduced quality-of-life and should receive special care.