心脏病患者持续体征症状的特征和预测因素
Caroline Clifford1, Bernd Löwe2, Sebastian Kohlmann3
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Building W 37, Room 6010 a, 20246, Hamburg, Germany. c.clifford@uke.de.
Scientific reports
|October 27, 2024
概括
持续的身体症状 (PSS) 影响近三分之一的心脏病患者,与女性性别,年龄,抑郁和心痛有关. 这些患者更频繁地使用医疗保健服务,突出了对量身定制护理的需求.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医疗保健利用情况 医疗保健利用情况
背景情况:
- 持续的体征症状 (PSS) 是体征症状障碍的一个核心标准.
- 心脏病患者代表一个PSS可能影响健康结果和医疗保健使用的人群.
- 了解心脏病中的PSS频率和预测因素对于有效管理至关重要.
研究的目的:
- 为了确定心脏门诊患者PSS的频率.
- 在这个人群中确定预测PSS的因素.
- 调查PSS对医疗保健利用的影响.
主要方法:
- 一项纵向研究评估了95名心脏门诊患者的体征症状,使用体征症状尺度-8 (SSS-8) 在三个月内评估体征症状.
- 用心理测量和数据驱动方法对患有PSS的患者进行了分类.
- 多变量后勤回归和协差分析确定了预测因素和医疗保健利用模式.
主要成果:
- 32% (心理测量) 和28% (数据驱动) 的患者患有PSS.
- PSS与女性性别,失业,胸痛,更高的抑郁和焦虑有关.
- 女性性别,更高的年龄,抑郁症严重程度和胸痛预测了PSS.
- 患有PSS的患者的全科医生和心脏病学家访问率更高.
结论:
- 持续的体征症状在心脏病患者中很普遍,并与特定的人口和临床因素相关.
- 识别心脏病患者的PSS对于了解他们的需求至关重要.
- 考虑到PSS的个性化治疗方法是有必要的,以获得更好的患者结果和优化医疗资源分配.
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