Schulz S M, Pauli P
Lehrstuhl für Psychologie I, Universität Würzburg, Marcusstr. 9-11, 97070, Würzburg, Deutschland.
Herzschrittmacherther Elektrophysiol. 2011 Sep;22(3):166-73. doi: 10.1007/s00399-011-0145-y.
Implantable cardioverter-defibrillators (ICD) are increasingly used for the prevention of potentially lethal cardiac arrhythmias due to their confirmed superior medical efficiency. Nevertheless, ICD-patients often suffer from psychosocial problems, e.g., anxiety and depression. These issues are rarely addressed in routine medical follow-up care. Due to the limited mobility of many ICD-patients, Internet-based care may be ideal for delivering psychosocial care to patients in their homes. Our pilot study and case studies illustrate prospects and challenges of this approach. We developed icd-forum.de, a 6-week internet-based prevention program that provides a platform for information, a virtual self-help group, and a professionally moderated chat room in order to help decrease anxiety and to improve quality of life. A critical evaluation in the context of other published studies on the subject allows recommendations for the implementation of future internet-based psychosocial programs for ICD-patients to be deduced. It is the authors' opinion that such programs offer advantages specifically for heart failure patients and they recommend their broader use. Prior to this, conclusive evaluation studies are needed.
植入式心脏复律除颤器（ICD）因其已被证实的卓越医疗效果，越来越多地用于预防潜在致命性心律失常。然而，植入ICD的患者常遭受心理社会问题，如焦虑和抑郁。在常规医疗随访护理中，这些问题很少得到解决。由于许多植入ICD的患者行动不便，基于互联网的护理可能是为居家患者提供心理社会护理的理想方式。我们的试点研究和案例研究说明了这种方法的前景和挑战。我们开发了icd-forum.de，这是一个为期6周的基于互联网的预防项目，它提供一个信息平台、一个虚拟自助小组和一个有专业人员主持的聊天室，以帮助减轻焦虑并改善生活质量。在其他已发表的关于该主题的研究背景下进行批判性评估，可以推导出关于为植入ICD的患者实施未来基于互联网的心理社会项目的建议。作者认为，此类项目对心力衰竭患者尤其有优势，他们建议更广泛地使用这些项目。在此之前，需要进行结论性评估研究。
