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遗传性心脏病的精神和心理影响
Oliwia Grunwald1, Agata Anna Sakowicz-Hriscu2, Napoleon Waszkiewicz2
1Department of Invasive Cardiology, Medical University of Bialystok, Marii Sklodowskiej-Curie 24A, 15-276 Bialystok, Poland.
Journal of clinical medicine
|May 14, 2025
概括
先天性心脏病 (CHD) 显著增加精神疾病的风险,特别是在儿童中. 综合查和早期干预对于管理这些并发症和改善患者生活质量至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 先天性心脏病 (CHD) 是全球最常见的出生缺陷,每1000例出生就有2.78例.
- 心血管疾病与显著的并发症风险有关,精神疾病影响超过35%的儿科患者和12.4%的成年人.
研究的目的:
- 审查患有先天性心脏病的患者精神病并发症的患病率和影响.
- 强调需要综合查和治疗心脏病和精神健康状况的管理策略.
主要方法:
- 从2024年11月到2025年3月,在PubMed,Scopus和Web of Science进行了广泛的文献搜索.
- 有146篇文章被选中用于本综合性综述.
主要成果:
- 抑郁症,焦虑障碍,双相情感障碍,自闭症谱系障碍和PTSD是经常在心脏病患者中观察到的精神病并发症.
- 与心血管疾病同时存在精神疾病会增加并发症的风险,对心脏和精神病的结果产生负面影响.
结论:
- 慢性心血管疾病的管理需要采用多学科的方法,使用HADS和BDI-2等工具对精神病相关疾病进行综合查.
- 早期检测,预防,患者教育和标准化指导方针对于改善心脏病患者的生活质量至关重要,因为慢性心力衰竭独立地减少了心力衰竭.
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