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生活质量,焦虑和抑郁症在急性乙型大动脉解剖后
Eva Torbjörnsson1, Olga Nilsson2, Malin Stenman3
1Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden; Department of Surgery, Södersjukhuset, Stockholm, Sweden.
Annals of vascular surgery
|December 18, 2024
概括
患有B型大动脉解剖 (TBAD) 的患者在初始事件发生后很长一段时间内体验到身体和精神健康降低. 许多人报告持续的疼痛,焦虑,抑郁,以及身体和性活动的变化.
科学领域:
- 心血管医学 心血管医学
- 生活质量研究 研究 生命质量研究
- 心理健康 心理健康
背景情况:
- B型大动脉解剖 (TBAD) 是一种关键的心血管紧急情况,需要终身监测.
- 结核病对患者的身体和精神健康的长期影响仍然在很大程度上未被描述.
研究的目的:
- 评估慢性TBAD患者自我报告的与健康相关的生活质量 (HRQoL).
- 为了评估TBAD后焦虑和抑郁症的症状.
- 描述TBAD后身体和性活动的变化.
主要方法:
- 进行了基于人口的横截面调查.
- 邀请了在斯德哥尔摩县 (2017-2021) 住院患有急性结核病的患者,并且在2023年3月31日之前活着.
- 经过验证的问卷评估了HRQoL,焦虑,抑郁和身体/性活动.
主要成果:
- 88名TBAD患者中有49人 (56%) 参与;中位数随访时间为42个月.
- 在"疼痛/不适" (66%),"焦虑/抑郁" (53%) 和"移动" (45%) 领域报告的显著影响.
- 20%的人表现出抑郁症的症状,14%的人表现出焦虑症;69%的人改变了身体活动,42%的人改变了性活动.
结论:
- 结核病患者报告说,在事件发生后的几年里,他们的精神和身体健康显著下降.
- 这些发现凸显了对TBAD幸存者的综合后续护理的需要.
- 医疗保健提供者应在患者管理和未来的协议中考虑这些长期影响.
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