Sears Samuel F, St Amant Jay B, Zeigler Vicki
Department of Psychology, East Carolina University, Greenville, North Carolina 27858, USA.
Pacing Clin Electrophysiol. 2009 Jul;32 Suppl 2:S80-2. doi: 10.1111/j.1540-8159.2009.02391.x.
The extension of the life-saving benefits of the implantable cardioverter-defibrillator (ICD) to prevent sudden cardiac arrest in children and young adults represents a key clinical development. The psychosocial adjustment in young ICD patients has not been as well-studied as in adults and remains an area of needed research.
The current paper reviews the quantitative research regarding ICD patient psychosocial outcomes in the adult and pediatric literature, and highlights existing intervention research on adult ICD patients and its implications for young ICD patients.
Literature review indicates that anxiety may be the most problematic psychosocial reaction for young ICD patients, similar to adult patients. Since young ICD patients appear to be more likely to experience shocks than adults; shock-related anxiety is suspected to be particularly common. Interventions in adults have shown a reduction in anxiety but no pediatric intervention studies are currently available in the literature.
Additional research and clinical attention is warranted to further assist young ICD patients to achieve desirable quality of life outcomes.
将植入式心脏复律除颤器（ICD）的救命益处扩展至预防儿童和年轻成人的心源性猝死是一项关键的临床进展。年轻ICD患者的心理社会调适尚未像成人那样得到充分研究，仍是一个需要开展研究的领域。
本文回顾了成人和儿科文献中有关ICD患者心理社会结局的定量研究，并着重介绍了针对成年ICD患者的现有干预研究及其对年轻ICD患者的启示。
文献综述表明，焦虑可能是年轻ICD患者最成问题的心理社会反应，这与成年患者相似。由于年轻ICD患者似乎比成人更易经历电击；因此怀疑与电击相关的焦虑尤为常见。针对成人的干预措施已显示焦虑有所减轻，但目前文献中尚无儿科干预研究。
需要开展更多研究并给予临床关注，以进一步帮助年轻ICD患者实现理想的生活质量结局。
