心脏事件后心理健康问题的发生率和影响。
Incidence and impacts of post-cardiac event mental health problems.
机构信息
PhD, BA (Hons), Associate Director, Australian Centre for Heart Health, Melbourne, Vic; Honorary Senior Fellow, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Vic.
DPysch, GradDipHealth, Health Psychologist, Australian Centre for Heart Health, Melbourne, Vic; Honorary Associate Professor, Physiotherapy Department, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Vic.
出版信息
Aust J Gen Pract. 2023 Nov;52(11):781-786. doi: 10.31128/AJGP-05-23-6828.
BACKGROUND
Acute cardiac events confer an increased risk of mental health problems, which compromise physical recovery and increase the risk of recurrence and premature mortality.
OBJECTIVE
This paper provides an overview of the nature, prevalence, predictors and impacts of post-cardiac event mental health problems, and outlines the benefits of mental health screening, effective treatments for mental health problems and the role of general practitioners (GPs) in the identification and management of mental health problems in cardiac patients.
DISCUSSION
Post-event mental health problems are common, yet gaps exist in their identification and management in acute inpatient, cardiac rehabilitation and primary care settings. Effective screening tools and treatment options are available and have been shown to improve not only mental health, but also cardiovascular outcomes. GPs are well placed to contribute to the identification and management of post-event mental health problems provided they are equipped with adequate information about treatment and referral options.
背景
急性心脏事件会增加心理健康问题的风险，这会影响身体的恢复，并增加复发和过早死亡的风险。
目的
本文概述了心脏事件后心理健康问题的性质、普遍性、预测因素和影响，并概述了心理健康筛查的益处、心理健康问题的有效治疗方法以及全科医生（GP）在识别和管理心脏患者心理健康问题方面的作用。
讨论
心脏事件后的心理健康问题很常见，但在急性住院、心脏康复和初级保健环境中，对其的识别和管理仍存在差距。现已有有效的筛查工具和治疗选择，并且已经证明它们不仅可以改善心理健康，还可以改善心血管结局。只要 GP 具备有关治疗和转介选择的足够信息，他们就可以很好地参与识别和管理心脏事件后的心理健康问题。
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