Hesse K A
Int J Psychiatry Med. 1975;6(3):359-72. doi: 10.2190/68EL-UAHR-2QF3-8Y9W.
A review of the literature concerning patients who have received permanently implanted cardiac pacemakers indicates that a substantial number of these patients experience difficulties in adjusting to their medical condition. Common feelings among these patients are anxiety and depression. It is suggested that difficulties often arise from the patient's misconceptions about the pacemaker and inadequate psychosocial support. To assist such patients in their adjustment, the Pacemaker Support Program was developed to provide psychosocial counseling and pacemaker education from the preoperative phase through to the outpatient pacemaker follow-up clinic phase. In the year of the program's operation a marked decline in adjustment problems has been observed, the program has been readily integrated into the hospital routine, and it has been enthusiastically accepted by both the hospital staff and the patients.
一项关于接受永久性植入心脏起搏器患者的文献综述表明，这些患者中有相当一部分在适应自身病情方面存在困难。这些患者常见的感受是焦虑和抑郁。有人认为，这些困难往往源于患者对起搏器的误解以及心理社会支持不足。为帮助此类患者进行调整，制定了起搏器支持计划，以提供从术前阶段到门诊起搏器随访诊所阶段的心理社会咨询和起搏器教育。在该计划实施的当年，调整问题明显减少，该计划已顺利融入医院日常工作，并受到医院工作人员和患者的热烈欢迎。
