定期随访和起搏器参数程控对心脏起搏患者心理状态的影响

目的〓〖HTK〗对心脏起搏患者长期随访，观察术后定期随访和起搏器参数程控对患者的心理特点的影响。〖HTW〗方法〓〖HTK〗患者随机分为2组，常规随访组28例，于术后3个月、1年、3年、6年随访，病情需要时测试并程控起搏器参数；随访干预组30例，于术后3个月及每半年随访1次，每次均测试起搏器参数，必要时进行调整。所有患者在术后3个月、3年、6年分别填写完成心脏症状调查表、心理健康水平评定量表（90项症状自评量表SCL-90）。〖HTW〗结果〓〖HTK〗术后同一阶段，随访干预组与常规随访组患者心脏症状的发生率无明显差异。随访干预组患者SCL-90得分与常规随访组比较前者优于后者，差异具有统计学意义（P＜0.05）。〖JP2〗随访干预组患者强迫、焦虑、抑郁、恐惧心理症状得分低于常规随访组(P＜0.05)。心脏起搏患者术后焦虑、抑郁等心理症状术后呈动态改变。〖HTW〗结论〓〖HTK〗术后增加定期随访和起搏器参数程控次数对心脏起搏患者心理状态有积极影响，可以改善患者术后焦虑、抑郁等不良心理症状。

Regular follow-up and pacemaker parameter program on psychological conditions of patients with a cardiac pacemaker

Objective To explore the psychological conditions of patients with a cardiac pacemaker after a regular follow-up and pacemaker parameter programming.Method 28 patients were randomly selected as the normal follow-up group and were followed up at 3 months,1,3,and 6 years after implantation and pacemaker program performance was determined when needed by patients.Another 30 patients served as the follow-up treatment group and were followed up and programmed at 3 months and every 6 months after implantation.Cardiac symptoms questionnaires and symptom checklists(SCL-90) were filled out by all patients at 3 months,3 and 6 years after implantation.Results There were no differences of cardiac symptoms between the follow-up treatment group and the normal follow-up group.But significant differences were found in SCL-90 scores between the two groups,the former was better than the latter.Degree of depression,anxiety and other symptoms were lower in the follow-up treatment group than in the normal follow-up group(P<0.05).Depression,anxiety and other symptoms of the paced patients were dynamically changed time dependently after implantation.Conclusion Regular follow-up and pacemaker parameter program have positive influence on psychological conditions of patients with a cardiac pacemaker by improving depression,anxiety and other symptoms.