经历过心脏突发死亡的患者及其亲属的心理状况
Adeline Banos1, Xavier Paul Bouteiller1, Maxime Beneyto1
1Department of Cardiac electrophysiology, Reference center for rare diseases CMARY, ERN Guard Heart, Bordeaux University Hospital, Bordeaux-Pessac, France; IHU Liryc, Electrophysiology and Heart Modelling Institute, Bordeaux University Foundation, Inserm U1045, Avenue de Magellan, 33604 Pessac, France.
L'Encephale
|January 22, 2026
概括
突然心脏病死亡的幸存者及其亲属经常经历创伤后应激障碍 (PTSD). 早期干预对亲属至关重要,建议对患者保持持续警.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 突然心脏病死亡 (SCD) 通常发生在医院外,使得目击者干预对生存至关重要.
- SCD对幸存者及其家人的心理影响是显著的,但研究不足.
研究的目的:
- 调查心脏病突然死亡对患者及其亲属的心理影响.
- 为了确定急性压力障碍和创伤后应激障碍 (PTSD) 的发生率,在复苏SCD后的患者和亲属中.
主要方法:
- 用问卷在15天内采访了因复苏性SCD而入院的患者和一位亲属.
- 参与者在事件发生3-6个月后通过电话填写了后续调查问卷.
- 包括22名患者和23名亲属;SCD的原因各不相同,包括缺血性和扩张性心肌病.
主要成果:
- 亲属报告的急性压力水平高于患者 (48±20比26±25,P<0.001).
- 3-6个月后,20%的患者和15%的亲属被诊断出患有PTSD.
- 有20名患者和20名亲属的随访数据.
结论:
- 创伤后应激障碍是复苏后SCD (15-20%的发病率) 的患者和亲属经常出现的结果.
- 患者仍然容易患上后期的PTSD发作,需要持续监测.
- 对亲属的早期心理干预可以预防PTSD的发展.
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