de Groot N M S, Bootsma M, van der Wall E E, Schalij M J
Neth Heart J. 2003 Apr;11(4):154-158.
The goal of this study was to evaluate 1) the presence of psychosocial problems in both ICD patients and their partners, and 2) the relation between psychosocial problems and various clinical variables.
Questionnaires were sent to 219 ICD patients and their partners.
Sixty-eight percent of the ICD patients, 122 (81%) male, aged 59±12 years, and 62% of their partners, 28 (21%) male, aged 58±11 years, returned the questionnaires. Anxiety, depression or nervousness was reported by 49%, 30% and 52% respectively of the patients and by 36%, 24% and 66% of the partners. In patients, mental health problems were associated with a lower left ventricular ejection fraction (p=0.006), younger age (p=0.029), employment (p=0.011), unpleasant experiences from ICD discharges (p=0.032), prior myocardial infarction (p=0.019) and a higher NYHA functional class (p=0.05). Nervousness was more often reported by partners of ICD patients with prior myocardial infarction (p=0.049). Sixty percent of the partners had a need for counselling or support groups.
Psychosocial problems are present in ICD patients and their partners and are associated with a number of clinical variables. A specific ICD rehabilitation programme should therefore not only be offered to ICD patients but to their partners as well.
本研究的目的是评估：1）植入式心律转复除颤器（ICD）患者及其伴侣存在的心理社会问题；2）心理社会问题与各种临床变量之间的关系。
向219名ICD患者及其伴侣发放问卷。
68%的ICD患者（122名男性，年龄59±12岁）及其62%的伴侣（28名男性，年龄58±11岁）回复了问卷。分别有49%、30%和52%的患者报告有焦虑、抑郁或紧张情绪，伴侣的这一比例分别为36%、24%和66%。在患者中，心理健康问题与较低的左心室射血分数（p = 0.006）、较年轻的年龄（p = 0.029）、就业情况（p = 0.011）、ICD放电带来的不愉快经历（p = 0.032）、既往心肌梗死（p = 0.019）以及较高的纽约心脏协会（NYHA）功能分级（p = 0.05）相关。既往有心肌梗死的ICD患者的伴侣更常报告有紧张情绪（p = 0.049）。60%的伴侣需要咨询或加入支持小组。
ICD患者及其伴侣存在心理社会问题，且与一些临床变量相关。因此，特定的ICD康复计划不仅应提供给ICD患者，也应提供给他们的伴侣。
