在心脏病学门诊患者中对恐慌发作症状的方法
Dilek Örüm1, Sabri Abuş2, Yaşar Kapıcı3
1Department of Psychiatry, Elazig Fethi Sekin City Hospital, Elazig, Türkiye.
Scientific reports
|May 20, 2025
概括
心脏病学家经常误诊恐慌发作 (PA) 症状,许多人不知道PA和恐慌障碍 (PD) 之间的区别. 心脏病学和精神病学之间的合作对于有效的患者治疗至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 医学教育 医学教育
背景情况:
- 恐慌发作 (PA) 症状在心脏病学实践中经常遇到.
- 心脏病学家对PA症状的理解和管理,特别是将其与恐慌障碍 (PD) 区分开来,可能是可变的.
- 有效的患者结果需要清楚地了解心脏和精神疾病之间的相互作用.
研究的目的:
- 调查土耳其心脏病专家当前的做法和态度,以了解患有PA症状的患者.
- 在心脏病学家中发现心脏病前列腺炎和心脏病前列腺炎的知识和管理策略的潜在差距.
- 探索影响心脏病学家在推或治疗疑似心脏病患者的决策方面的因素.
主要方法:
- 一项基于互联网的横截面调查对土耳其积极执业的心脏病专家进行了调查.
- 该调查包括有关人口统计,临床经验,对心理药物的态度以及对PA症状的转诊实践的问题.
- 使用统计分析,包括二进制后勤回归来检查变量之间的关系.
主要成果:
- 在145名参与的心脏病专家中,57.24%的患者转诊非心脏PA症状,而42.76%的患者自己开始治疗.
- 相当一部分心脏病学家对抗抑郁药 (ADs) 和二类药物有误解,其中29.7%的人认为ADs具有上性.
- 没有参与者能够区分PA和PD,突出了关键的知识差距.
结论:
- 心脏病学家经常遇到PA症状,但缺乏对恐慌障碍 (PD) 的理解和对精神病药物的误解是普遍存在的.
- 很大一部分心脏病专家在没有精神病学转诊的情况下就开始对疑似心脏病的治疗,这表明需要加强跨学科合作.
- 加强心脏病学和精神病学之间的培训和合作对于准确诊断和有效管理PA和PD患者至关重要.
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