Payk T R
Med Klin. 1979 Jul 27;74(30):1131-3.
Several examinations made clear that patients with cardiac pacemakers are able to react in the three following ways: In most cases we see a regain of joy of living and mental performance caused by the regulation of heart-action and the normalization of the physical strength. Most patients seem to be anxious and labile in the first postoperative phase until some weeks later the previous state of emotional stability is obtained again. Many other patients are not able to adapt themselves to the pacemaker in a satisfactory manner; depressions, fears, dependences, lability, and uncomfortable feelings continue. In some cases we see intensive affective reactions even to a psychotic degree. An accurate and continous psychological care based upon an intact doctor-patient-relation might lead to an accelerated and improved adaptation to the pacemaker.
多项检查表明，心脏起搏器患者能够以以下三种方式做出反应：在大多数情况下，我们会看到由于心脏活动的调节和体力的恢复正常，患者重新获得了生活乐趣和精神状态。大多数患者在术后初期似乎焦虑且情绪不稳定，直到几周后才再次恢复到之前的情绪稳定状态。许多其他患者无法令人满意地适应起搏器；抑郁、恐惧、依赖、情绪不稳定和不适感持续存在。在某些情况下，我们甚至会看到强烈的情感反应，甚至达到精神病程度。基于良好医患关系的准确且持续的心理护理可能会加速并改善对起搏器的适应。
