Hackett T P, Cassem N H
J Human Stress. 1975 Sep;1(3):25-38. doi: 10.1080/0097840X.1975.9939544.
The acute coronary experience is divided into three parts. In the first, the pre-hospital phase, attention is devoted to the widespread phenomenon of patient delay. Evidence is given to indicate that the source of delay is entirely psychological and centers around the inability to decide whether or not to seek help. The second part, or hospital phase, describes the response of the patient to the various aspects of the coronary care unit, including monitoring, false alarms, witnessing and sustaining a cardiac arrest. The third phase, the post-hospital convalescence, centers on the principal psychological problem of this period, depression. Its causes, manifestations, and methods of management are discussed.
急性冠状动脉疾病经历分为三个部分。第一部分是院前阶段，关注的是患者延误这一普遍现象。有证据表明，延误的根源完全是心理方面的，核心在于无法决定是否寻求帮助。第二部分即住院阶段，描述了患者对冠心病监护病房各个方面的反应，包括监测、误报、目睹和经历心脏骤停。第三阶段是出院后康复期，重点关注这一时期的主要心理问题——抑郁。文中讨论了其成因、表现及处理方法。
