Dechert Brynn E
University of Michigan Congenital Heart Center,Ann Arbor,Michigan,United States of America.
Cardiol Young. 2017 Jan;27(S1):S138-S142. doi: 10.1017/S1047951116002389.
Despite the life-saving capabilities of implantable cardioverter-defibrillators, they may have implications on behavioural and emotional well-being and have been shown to negatively affect patients' psychosocial functioning. Children and CHD patients with these devices are at higher risk for complications, and therefore may have higher risk of psychosocial dysfunction including depression, anxiety, and a decrease in overall quality of life. In addition, these patients may be restricted from activities, which may also contribute to psychosocial dysfunction. Recommendations published in 2015 support a more liberal approach to athletic participation in this patient population compared with previous guidelines. Approaches to limit psychosocial dysfunction include education, minimisation of shocks, and psychosocial therapy. Psychosocial dysfunction should be assessed at each clinic visit, and information regarding intervention should be provided to patients and their families as needed. Psychosocial dysfunction may be debilitating, and healthcare providers should facilitate and support normal psychosocial function by offering resources as needed.
尽管植入式心脏复律除颤器具有挽救生命的能力，但它们可能会对行为和情绪健康产生影响，并且已被证明会对患者的心理社会功能产生负面影响。患有这些设备的儿童和先天性心脏病患者出现并发症的风险更高，因此可能有更高的心理社会功能障碍风险，包括抑郁、焦虑以及整体生活质量下降。此外，这些患者可能会受到活动限制，这也可能导致心理社会功能障碍。与之前的指南相比，2015年发布的建议支持对这一患者群体的运动参与采取更宽松的方法。限制心理社会功能障碍的方法包括教育、减少电击次数以及心理社会治疗。每次门诊就诊时都应评估心理社会功能障碍，并根据需要向患者及其家属提供有关干预的信息。心理社会功能障碍可能会使人衰弱，医疗保健提供者应通过按需提供资源来促进和支持正常的心理社会功能。
