Edelman Sarah, Lemon Jim, Kirkness Ann
Health Psychology Unit, University of Technology, Sydney, New South Wales, Australia.
Aust J Adv Nurs. 2007 Mar-May;24(3):26-32.
The aim of this pilot study was to evaluate the feasibility of a brief educational intervention administered two weeks after Automatic Implantable Cardioverter Defibrillator (AICD) implantation on subsequent levels of anxiety, depression, stress and hostility.
A randomised controlled design was used.
Twenty-two patients hospitalised for implantation of an AICD were recruited for the study. Thirteen patients were randomised to attend the intervention and nine to the standard care control group.
The educational intervention was delivered by a nurse and psychologist. It comprised one 60-90 minute session in which the patient and a significant other received detailed information about the AICD (including practical and psychological aspects), and had the opportunity to ask questions, express concerns and receive reassurance.
The DASS was used to measure anxiety, depression and stress at two, four and six months after AICD insertion.
Patients who attended the intervention showed no significant improvements or trend toward improvement on any of the measured psychological domains.
The findings suggest that a single educational session delivered to recent AICD recipients is not sufficient to improve patients' psychological adjustment.
本初步研究的目的是评估在植入自动植入式心律转复除颤器（AICD）两周后进行简短教育干预对后续焦虑、抑郁、压力和敌意水平的可行性。
采用随机对照设计。
招募了22名因植入AICD而住院的患者参与研究。13名患者被随机分配参加干预，9名患者被分配到标准护理对照组。
教育干预由一名护士和一名心理学家进行。包括一次60 - 90分钟的课程，患者及其重要他人会收到关于AICD的详细信息（包括实际和心理方面），并有机会提问、表达担忧并获得安慰。
使用抑郁、焦虑和压力量表（DASS）在AICD植入后2个月、4个月和6个月测量焦虑、抑郁和压力。
参加干预的患者在任何测量的心理领域均未显示出显著改善或改善趋势。
研究结果表明，为近期植入AICD的患者提供单次教育课程不足以改善患者的心理调适。
