接受 Björk-Shiley 凸凹型瓣膜者的心理困扰：信息的影响
Psychological distress among recipients of Björk-Shiley convexo-concave valves: the impact of information.
作者信息
Kallewaard M, Defauw J, van der Graaf Y
机构信息
Julius Center for Patient Oriented Research, School of Medicine, Utrecht University, The Netherlands.
出版信息
Heart. 1997 Dec;78(6):577-80. doi: 10.1136/hrt.78.6.577.
OBJECTIVE
To establish whether there is more psychological distress among recipients of Björk-Shiley convexo-concave (BScc) valves than among recipients of other valves not known to fracture.
DESIGN
Cross sectional study.
PATIENTS
137 patients who received either a BScc valve or a Sorin Biomedical spherical valve during a randomised trial between 1982 and 1983 at St Antonius Hospital, Nieuwegein. Systematic notification of the risk of strut fracture in recipients of BScc valves was carried out at St Antonius Hospital in 1991.
MEAN OUTCOME MEASURES
Psychological distress as assessed with the General Severity Index from the Symptom Checklist 90.
RESULTS
Psychological distress between recipients of BScc and Sorin valves did not differ irrespective of whether the recipients knew their valve type. More recipients of BScc valves, however, knew their valve type and of problems associated with artificial heart valves.
CONCLUSIONS
Information about an increased risk of strut fracture does not induce psychological distress among well informed recipients of BScc valves. All recipients of heart valves should be systematically informed about their valve type--for example, by issuing data cards with valve serial numbers and other relevant information.
目的
确定接受比约克-希利凸凹型（BScc）瓣膜的患者是否比接受其他已知不会破裂瓣膜的患者存在更多心理困扰。
设计
横断面研究。
患者
1982年至1983年期间在荷兰新韦根圣安东尼医院进行的一项随机试验中接受BScc瓣膜或索林生物医学球形瓣膜的137名患者。1991年，圣安东尼医院对接受BScc瓣膜患者的支柱骨折风险进行了系统通报。
主要结局指标
使用症状自评量表90的总体严重程度指数评估心理困扰。
结果
无论患者是否知道自己所使用瓣膜的类型，接受BScc瓣膜和索林瓣膜的患者之间的心理困扰并无差异。然而，更多接受BScc瓣膜的患者知道自己所使用瓣膜的类型以及与人工心脏瓣膜相关的问题。
结论
关于支柱骨折风险增加的信息不会在充分知情的BScc瓣膜接受者中引发心理困扰。所有心脏瓣膜接受者都应系统地了解自己所使用瓣膜的类型，例如通过发放带有瓣膜序列号和其他相关信息的数据卡。
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