患有血液动力学上不显著的患者的感知心理健康状况 动脉静脉狭窄症
Olga A Germanova1, Marina Fedorina, Igor L Davydkin
1International Centre for Education and Research in Cardiovascular pathology and Cardiovisuslization, Samara State Medical University, 18 Gagarina Street, 443096 Samara, Russia, olga_germ@mail.ru.
Psychiatria Danubina
|October 6, 2023
概括
无症状的内动脉 (ICA) 狭窄患者,特别是那些更严重的狭窄患者 (60-69%),通常对他们的疾病有负面的看法. 这种负面态度在女性中更为明显,并强调了需要心理支持的需要.
科学领域:
- 血管神经学 血管神经学
- 心理学 心理学 心理学
- 医疗成像医学成像
背景情况:
- 研究了无症状患者的疾病感知,这些患者患有内动脉 (ICA) 狭窄.
- 专注于边界狭窄症,特别是直径减少高达69%.
研究的目的:
- 分析不同程度内动脉狭窄的无症状患者如何感知他们的病情.
- 为了确定狭窄症严重程度和心理反应之间的相关性.
主要方法:
- 研究了48名无症状患者 (28名男性,20名女性) 患有ICA狭窄症.
- 根据狭窄症的严重程度 (高达49%,50-59%,60-69%) 将患者分为三个组.
- 使用了臂脑动脉的超声波多普勒和简短的疾病感知问卷.
主要成果:
- 患有较严重狭窄症的患者 (60-69%) 更有可能表现出"对疾病后果的负面态度".
- 大多数 (54.2%) 患者对疾病后果表现出负面态度.
- 这种负面态度在女性和60-69%的ICA狭窄症患者中最为突出.
结论:
- 很大一部分患有ICA狭窄症的患者对自己的疾病有负面的看法.
- 女性和患有更严重狭窄症的人 (60-69%) 特别容易受到这种负面前景的影响.
- 建议采取心理干预措施,以培养适应性应对机制,并改善心血管狭窄症患者的治疗坚持.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
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01:28Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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01:23Assessment of blood pressure in brachial artery(two-step method)
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01:27Assessment of the Cardiovascular System III: Palpation
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01:10Pre-Procedural Guidelines for Assessing Blood Pressure
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