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了解心血管护理中的心理健康挑战。

Understanding Mental Health Challenges in Cardiovascular Care.

作者信息

Borkowski Pawel, Borkowska Natalia

机构信息

Internal Medicine, Albert Einstein College of Medicine, Jacobi Medical Center, New York, USA.

Pediatrics, SPZOZ Krotoszyn, Krotoszyn, POL.

出版信息

Cureus. 2024 Feb 18;16(2):e54402. doi: 10.7759/cureus.54402. eCollection 2024 Feb.

Abstract

There is a profound link between cardiovascular health and mental well-being. This narrative review shows that heart and mental health are not isolated domains but deeply interconnected, influencing each other. It describes how cardiovascular diseases (CVDs) can cause mental health issues such as stress, anxiety, and depression. It also explains how these mental conditions can, in turn, worsen or raise the risk of CVDs. In addition, it emphasizes the necessity of a holistic approach to healthcare that integrates the treatment of physical symptoms of CVDs with interventions aimed at addressing mental health issues. This approach advocates for comprehensive care strategies that include psychotherapy, pharmacological treatments, lifestyle modifications, and digital health technologies. It also highlights the significant role of family and social support in recovery and discusses barriers to integrating mental health care in cardiovascular treatment. The article argues for a paradigm shift in healthcare towards more inclusive and integrated care models. The authors hope to foster a healthcare environment that prioritizes holistic care by increasing awareness about the connection between heart and mind. The call to action includes policy changes and healthcare system reforms aimed at facilitating the integration of mental health services into cardiovascular care, ultimately leading to improved outcomes for patients with CVDs and associated mental health issues.

摘要

心血管健康与心理健康之间存在着深刻的联系。这篇叙述性综述表明,心脏健康和心理健康并非孤立的领域,而是紧密相连、相互影响的。它描述了心血管疾病(CVDs)如何引发压力、焦虑和抑郁等心理健康问题。它还解释了这些心理状况如何反过来恶化心血管疾病或增加其风险。此外,它强调了采取整体医疗方法的必要性,这种方法将心血管疾病身体症状的治疗与旨在解决心理健康问题的干预措施相结合。这种方法倡导综合护理策略,包括心理治疗、药物治疗、生活方式改变和数字健康技术。它还强调了家庭和社会支持在康复中的重要作用,并讨论了将心理健康护理纳入心血管治疗的障碍。文章主张医疗保健向更具包容性和综合性的护理模式转变。作者希望通过提高对心脏与心理联系的认识,营造一个优先考虑整体护理的医疗环境。行动呼吁包括政策变革和医疗系统改革,旨在促进将心理健康服务纳入心血管护理,最终改善心血管疾病患者及相关心理健康问题患者的治疗效果。

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