左心室辅助装置患者与植入式心脏复律除颤器患者伴侣的健康状况和心理困扰比较：一项初步研究。
A comparison of the health status and psychological distress of partners of patients with a left ventricular assist device versus an implantable cardioverter defibrillator: a preliminary study.
作者信息
Brouwers Corline, Caliskan Kadir, de Jonge Nicolaas, Theuns Dominic A J M, Constantinescu A, Young Quincy-Robyn, Cannon Colleen, Denollet Johan, Pedersen Susanne S
机构信息
CoRPS - Center of Research on Psychology in Somatic Diseases, Department of Medical and Clinical Psychology, Tilburg University, Tilburg, The Netherlands.
Erasmus Medical Center, Thoraxcenter, Rotterdam, The Netherlands.
出版信息
Heart Lung. 2015 Jan-Feb;44(1):27-32. doi: 10.1016/j.hrtlng.2014.10.007. Epub 2014 Nov 20.
OBJECTIVE
To examine if the caregiving for patients with a left ventricular assist device (LVAD) is related to a poorer health status and more distress compared to patients with an implantable cardioverter defibrillator (ICD).
BACKGROUND
Partners distress may influence patient outcomes and is therefore an important aspect in the care of LVAD and ICD patients.
METHODS
Multi-center prospective observational study with 6 months follow-up of 33 LVAD partners (27% men; mean age = 54 ± 10 years) and 414 ICD partners (22% men; mean age = 60 ± 12 years).
RESULTS
LVAD partners reported better physical (F = 10.71, p = .001) but poorer mental health status (F = 14.82, p < .001) and higher depression scores compared to ICD partners (F = 3.68, p = .05) at 6 months follow-up, also in adjusted analyses. There was no significant difference between groups on anxiety.
CONCLUSION
Caregivers of LVAD patients show higher distress levels compared to caregivers of ICD patients. LVAD partners may have a need for support beyond what is offered currently in clinical practice.
目的
与植入式心律转复除颤器（ICD）患者的照料者相比，研究左心室辅助装置（LVAD）患者的照料是否与较差的健康状况和更多的痛苦相关。
背景
伴侣的痛苦可能会影响患者的预后，因此是LVAD和ICD患者护理中的一个重要方面。
方法
多中心前瞻性观察性研究，对33名LVAD患者的伴侣（27%为男性；平均年龄 = 54 ± 10岁）和414名ICD患者的伴侣（22%为男性；平均年龄 = 60 ± 12岁）进行6个月的随访。
结果
在6个月的随访中，与ICD患者的伴侣相比，LVAD患者的伴侣报告身体状况较好（F = 10.71，p = .001），但心理健康状况较差（F = 14.82，p < .001），抑郁评分更高（F = 3.68，p = .05），在调整分析中也是如此。两组在焦虑方面没有显著差异。
结论
与ICD患者的照料者相比，LVAD患者的照料者表现出更高的痛苦水平。LVAD患者伴侣可能需要目前临床实践中所提供之外的支持。
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