Kim Gi Beom
Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.
Korean J Pediatr. 2014 Jun;57(6):257-63. doi: 10.3345/kjp.2014.57.6.257. Epub 2014 Jun 30.
The incidence of people living with congenital heart disease (CHD) has been increasing every year owing to remarkable advances in surgical and catheter intervention techniques and devices, and improved knowledge of critical care for patients with CHD. However, these patients continue to face physical, psychosocial, and environmental challenges, and a number of studies have shown higher rates of depression and anxiety disorders than the general population. To improve psychosocial functioning and quality of life for adults with CHD, health care providers are recommended to inform CHD patients of an accurate diagnosis, and overall treatment process, beginning in adolescence to facilitate a smooth transition from adolescence to adulthood. Active cooperation with psychiatrists, psychologists, social workers, chaplains, and family members is highly recommended to help CHD patients feel normal and optimistic and to promote good social interactions, close family relationships, and a strong sense of coherence.
由于外科手术和导管介入技术及设备的显著进步,以及对先天性心脏病(CHD)患者重症监护知识的提高,先天性心脏病患者的数量每年都在增加。然而,这些患者仍然面临身体、心理社会和环境方面的挑战,一些研究表明,他们患抑郁症和焦虑症的比例高于普通人群。为了改善成年CHD患者的心理社会功能和生活质量,建议医疗保健提供者从青少年时期开始就向CHD患者告知准确的诊断和整体治疗过程,以促进从青少年到成年的顺利过渡。强烈建议与精神科医生、心理学家、社会工作者、牧师和家庭成员积极合作,帮助CHD患者保持正常和乐观的心态,促进良好的社会交往、亲密的家庭关系和强烈的连贯感。