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心理社会因素与左心室辅助装置植入物结果之间的关联:系统性审查
Joy J Choi1, Shreya Bhasin1, Johannes Levstik1
1Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
General hospital psychiatry
|August 24, 2024
概括
心理社会因素如不坚持,精神疾病和物质使用增加了接受左心室辅助装置 (LVAD) 的患者的风险. 需要更多的研究来澄清这些关联,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 健康 结果 研究 研究 结果
背景情况:
- 心理社会评估对于左心室辅助器件 (LVAD) 植入候选人至关重要.
- 心理社会因素作为LVAD植入禁忌的作用仍在争论中.
- 本综述侧重于可修改的心理社会因素,预测LVAD患者的结果.
研究的目的:
- 系统地审查可修改的心理社会因素,影响LVAD植入患者的结果.
- 确定与不良事件,死亡率和再接收率相关的特定心理社会状况.
主要方法:
- 根据PRISMA指南进行了系统审查.
- 综合的文献搜索产生了2509篇文章,最终在严格选后包含了20篇.
- 包括的研究检查了社会经济地位,护理人员特征,不坚持,物质使用和精神疾病.
主要成果:
- 不坚持,精神疾病和物质使用始终与增加死亡风险,不良事件和再接收有关.
- 社会经济地位与患者的治疗结果没有一致的关联.
- 护理人员的特点在对结果的影响方面呈现了混合的结果.
结论:
- 不坚持,精神疾病和物质使用是与LVAD植入后较差的结果相关的显著心理社会因素.
- 研究方法和质量限制的异质性最终结论.
- 需要有强大的研究和标准化定义,以阐明心理社会因素对长期LVAD患者结果的确切影响.
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