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稳定型心绞痛患者的生活:心绞痛患者的路径和需求。

Living with stable angina: patients' pathway and needs in angina.

机构信息

Centre for Clinical and Basic Research, Department of Medical Sciences, IRCCS San Raffaele Pisana, Rome.

Cardiological University Centre of Ferrara, University of Ferrara, Maria Cecilia Hospital, GVM Care & Research, Cotignola (RA), Italy.

出版信息

J Cardiovasc Med (Hagerstown). 2020 May;21(5):377-382. doi: 10.2459/JCM.0000000000000954.

Abstract

AIMS

There is evidence that stable angina patients may suffer from emotional disorders that further impair their quality of life. However, the emotional experience of living with stable angina from the patient's perspective still has to be explored. Thus, the main aim of this study was to explore patients' emotional experience of having stable angina and their reported needs during the pathway from the first symptoms, through the process of diagnosis, to management and related lifestyle changes.

METHODS

A survey was conducted in 75 chronic ischemic heart disease patients with angina (Brazil, China, Romania, Russia, and Turkey) using a 75-min, face-to-face in-depth interview.

RESULTS AND CONCLUSION

Patients' responses highlighted the need to increase individuals' awareness on the first signs and symptoms of the disease. The survey also showed that chronic stable angina patients need constant emotional support to overcome stress, anxiety, and depression. Finally, this study suggests the need to offer greater space for dialogue with healthcare professionals to get more comprehensive and 'patient-friendly' information.

摘要

目的

有证据表明,稳定型心绞痛患者可能患有情绪障碍,这进一步降低了他们的生活质量。然而,从患者的角度来看,稳定型心绞痛患者的情绪体验仍有待探索。因此,本研究的主要目的是探讨患者在出现稳定型心绞痛的过程中(从最初的症状开始,经过诊断,到管理和相关的生活方式改变)的情绪体验以及他们所报告的需求。

方法

对来自巴西、中国、罗马尼亚、俄罗斯和土耳其的 75 名慢性缺血性心脏病伴心绞痛患者(75 名慢性缺血性心脏病伴心绞痛患者)进行了一项调查,采用 75 分钟的面对面深入访谈。

结果与结论

患者的反应强调了需要提高个人对疾病最初症状的认识。该调查还表明,慢性稳定型心绞痛患者需要持续的情感支持来克服压力、焦虑和抑郁。最后,本研究表明需要为与医疗保健专业人员的对话提供更大的空间,以获得更全面和“以患者为中心”的信息。

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