JAHA:危重先天性心脏病患儿父母心理健康状况如何?

2017-02-13 xing.T MedSci原创

迫切需要对这些随着时间的推移的心理健康问题的严重程度、病程、持续时间和调节因素进行研究,并且进一步开发和检验筛选方法和干预措施,以至于可以有效地加入到持续的小儿心脏保健中来。

重症先天性心脏缺陷儿童的父母(PCCHDs)可能发生心理健康疾病的风险较高;然而,文献中并没有进行很好的归纳总结。鉴于父母心理健康受损会导致儿童长期的认知、健康相关的行为问题,近日,心血管疾病领域权威杂志JAHA上发表了一篇荟萃分析文章,该系统评价的文章为针对危重先天性心脏病儿童家庭后续的研究以及加强的生活护理提供了明智的建议。

研究人员针对这一问题通过使用系统综述和荟萃分析指南的优先报告条目进行了一项系统回顾,研究人员纳入了30个关于PCCHDs心理健康的研究。文献揭示了PCCHDs发生心理问题的风险增加,特别是在进行心脏手术不久的几个星期和几个月内。高达30%的PCCHDs有与创伤后应激障碍诊断条目相一致的症状,超过80%的参与者存在临床上显著的创伤症状;25%至50%的PCCHDs报告了存在临床上有所增加的抑郁或焦虑症状,并且30%到80%的患者报告经历了严重的心理困扰。这些研究中用于评估研究成果、方法学质量和父母社会文化的组成的指标有着较高的变异性。

由此可见,迫切需要对这些随着时间的推移的心理健康问题的严重程度、病程、持续时间和调节因素进行研究,并且进一步开发和检验筛选方法和干预措施,以至于可以有效地加入到持续的小儿心脏保健中来。

原始出处:

Sarah E. Woolf‐King,et al. Mental Health Among Parents of Children With Critical Congenital Heart Defects: A Systematic Review. JAHA.2017. https://doi.org/10.1161/JAHA.116.004862

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    2017-02-15 zhaohui6731
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    2017-02-15 huirong
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