心理困扰影响了运动为基础的心脏康复期间的表现
Marta Ricci1,2, Gino Pozzi3, Naike Caraglia4,5
1Department of Clinical and Molecular Medicine, "Sapienza" University of Rome, 00189 Rome, Italy.
Life (Basel, Switzerland)
|February 24, 2024
概括
心理困扰会对手术后心血管康复结果产生负面影响. 较高的痛苦水平与步行测试和氧气消耗的改善较低相关,突出了需要心理健康支持的需要.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 心理社会困扰是影响心血管疾病患者发病率和死亡率的已知因素.
- 在接受康复的心脏手术后患者中,心理困扰对心血管性能的影响需要进一步调查.
研究的目的:
- 研究心脏手术后患者的心理痛苦和心血管表现之间的关系.
- 确定在心脏康复期间可能阻碍康复和功能改善的特定心理因素.
主要方法:
- 57名心脏手术后患者在入院5天内完成了症状检查清单-90-修订 (SCL-90-R) 和12项一般健康问卷 (GHQ-12).
- 用6分钟步行测试 (6MWT) 来评估心血管性能,并在入院和出院时推导出最大氧气消耗 (VO2max).
- 积极症状困扰指数 (PSDI) 用于量化症状困扰水平.
主要成果:
- 观察到心理困扰的高患病率,有过多的体质,抑郁,焦虑,恐惧焦虑和精神病症症状.
- 75.4%的患者在GHQ-12上报告了他们对健康状况的负面看法.
- 在6MWT和VO2max与SCL抑郁症,PSDI和GHQ-12得分的改善之间发现了逆相关性,表明更高的痛苦与较差的绩效增长有关.
结论:
- 与一般人群相比,手术后的心脏康复与增加的心理痛苦有关.
- 心理痛苦,抑郁和敌意的严重程度显著限制了功能性表现的改善.
- 将心理支持纳入心脏康复计划对于优化患者康复和结果至关重要.
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