Kuhl Emily A, Sears Samuel F, Conti Jamie B
Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida 32610, USA.
Pacing Clin Electrophysiol. 2006 Dec;29(12):1426-33. doi: 10.1111/j.1540-8159.2006.00558.x.
Person-to-person psychosocial interventions (e.g., psychological, social) enhance the well-being of implantable cardioverter defibrillator (ICD) patients. Computerized care, though, represents an opportunity to further capitalize on techniques that have already been deemed effective. This includes the provision of tailored, effective patient education; reducing device-specific anxiety; and enhancing social support networks. The aim of this paper is to identify the ways in which computerized psychosocial care could potentially enhance the well-being of ICD recipients. For example, computers may be particularly adept at providing patient education due to the ease in which content can be adapted to meet patient needs. Further, evidenced-based treatments for anxiety and depression (e.g., cognitive behavioral therapy) have demonstrated good applicability to computerized formats. Social support can also be provided online in the form of bulletin boards, email list-servs, or structured online support groups. Despite the existence of some limitations, the use of computers in affecting psychosocial outcomes in implantable defibrillator recipients warrants greater attention.
人际心理社会干预（如心理、社会方面的干预）可提高植入式心脏复律除颤器（ICD）患者的幸福感。然而，计算机化护理提供了一个机会，可进一步利用已被证明有效的技术。这包括提供量身定制的有效患者教育；减轻特定设备引起的焦虑；以及加强社会支持网络。本文旨在确定计算机化心理社会护理可能提高ICD接受者幸福感的方式。例如，计算机可能特别擅长提供患者教育，因为可以很容易地调整内容以满足患者需求。此外，基于证据的焦虑和抑郁治疗方法（如认知行为疗法）已证明对计算机化形式具有良好的适用性。社会支持也可以通过公告板、电子邮件列表服务或结构化在线支持小组的形式在线提供。尽管存在一些局限性，但利用计算机影响植入式除颤器接受者的心理社会结果值得更多关注。
